All the Blood pressure medications

[DavisH]

9 hours ago, ignis said:

CKD is kidney disease ?  YES

BP med's at moment   LO sar tan

Hugh blood pressure is really bad for the kidneys. Never leave high blood pressure untreated. 

[KannikaP]

14 minutes ago, DavisH said:

Yea, I asked the doctor I waned to changed and he was fine with it. I just changed over. On that very first night I slept soundly and didn't wake up till the morning. I use olmetech (the arb). 20 mg at night time along with a statin. I don't have any  obvious side effects but it's important to get regular blood tests to check on kidney and liver function. I'm a bit fatigued on occasion but maybe I'm just a lazy sod. lol. 

 

It just goes to show however, that Doctors are in the 'try it and see what happens' frame of mind. 

I went to see Urologist for enlarged prostate symptom a few years back and had a list of possible medications which could be appropriate. Showed him and he said 'which one do you want to take'?

 

[BigStar]

2 hours ago, georgegeorgia said:

I think you need to change blood pressure medication 

That is too high , 

You may have to see a specialist doctor,you can't go on like that 

What other factors are contributing?

Weight? No exercise?

 

This should be helpful:

 

Google’s New Pixel Watch 3 Can Detect a Loss of Pulse

 

 

[save the frogs]

39 minutes ago, DavisH said:

Hugh blood pressure is really bad for the kidneys. Never leave high blood pressure untreated. 

just watched one doctor's youtube vid.

he claims high blood pressure is also related to dementia. 

[Will B Good]

2 minutes ago, save the frogs said:

just watched one doctor's youtube vid.

he claims high blood pressure is also related to dementia. 

 

Not seen the video, but yes.....I have hypertension and recently had an MRI which indicated 'moderate cerebral small vessel disease, SVD'......a precursor to dementia, strokes, MCI etc...... and almost certainly due to the hypertension.

 

Get that blood pressure down!!!!

[Ralf001]

11 minutes ago, Will B Good said:

 

Not seen the video, but yes.....I have hypertension and recently had an MRI which indicated 'moderate cerebral small vessel disease, SVD'......a precursor to dementia, strokes, MCI etc...... and almost certainly due to the hypertension.

 

Get that blood pressure down!!!!

Recently watch a doco about low dose LSD and people suffering dementia.... the results were jaw dropping.

 

wish I had of known... woulda fed my mother LSD instead of spunking the coin to put her in a care facility !

[Will B Good]

2 minutes ago, Ralf001 said:

Recently watch a doco about low dose LSD and people suffering dementia.... the results were jaw dropping.

 

wish I had of known... woulda fed my mother LSD instead of spunking the coin to put her in a care facility !

 

 

Might give it a buzz.....what's to lose?

 

Not my mind sadly.

[Sheryl]

15 hours ago, ignis said:

As Sheryl suggested  upped my dosage from 25 mg to 50mg  = very tired all the time

 

Now BP is 167/68     1st one to high ? second one to low ?

Yes, your systolic BP (top number) is too high if this reading was taken at rest.

 

And your pulse pressure (difference between top and bottom numbers) is extremely  wide. Sometimes this can just be due to an erroneous reading of the bottom number (common with home machines, even the best) and sometimes due to cardiac problems. You should consult a cardiologist, especially since you have a history of heart problems.

[ignis]

8 hours ago, Sheryl said:

Yes, your systolic BP (top number) is too high if this reading was taken at rest.

 

And your pulse pressure (difference between top and bottom numbers) is extremely  wide. Sometimes this can just be due to an erroneous reading of the bottom number (common with home machines, even the best) and sometimes due to cardiac problems. You should consult a cardiologist, especially since you have a history of heart problems.

I keep a daily chart going back years.

going back and looking up to chaging to local Village Hospital, [Covid time] my monthly reading were near the same

Blood Sugar 112   Blood Pressure  daily monthly adverage  121/78

 

Past 3 years at local Hospital advrage monthy reading = 170 + over  71

 

Local Hospital = No Have, on a few of my Meds so were changed + on others dosage changed + no end of Vitimins tablets addred  = 11 Vitimin tablets taken every day..

 

Biggest change was Blood Sugar used to take Metformin 3 x day + 18 units of Insulin morning + 12 units evening.

Local Hspital 1x metormin mrning + 35 units of Insulin morning + 24 units evening.  [often take less as go in my readings]

 

Do you or anyone use/can advise  Bang Yai Government Hospital ? not sure I can face the long trip to Red Cross  Hospital anymore........... Don't want to change to a worst Hospital

[DavisH]

On 8/14/2024 at 6:57 PM, KannikaP said:

It just goes to show however, that Doctors are in the 'try it and see what happens' frame of mind. 

I went to see Urologist for enlarged prostate symptom a few years back and had a list of possible medications which could be appropriate. Showed him and he said 'which one do you want to take'?

 

Sometimes they just don't know and everyone reacts differently. She was a bit surprised ay my night time incontinence (think my prostate is slightly enlarged), but upon some research I did  find that this is a side effect, albeit a rare one. I schooled her that evening 😄 So anyone with prostate problems should probably avoid CCB's. 

[Sheryl]

12 hours ago, ignis said:

 

 

Do you or anyone use/can advise  Bang Yai Government Hospital ? not sure I can face the long trip to Red Cross  Hospital anymore........... Don't want to change to a worst Hospital

Community hospital (lowest level of government hospital). It will not have a cardiologist.  

 

In that genrral area you could try the Mahidol Golden Jubilee Medical Center.

 

For that matter Siriraj (arguably the best govegnment hodpitdl in ghe country) would still be much closer than Red Cross Hospital. 

 

There are also a number of private hospitals in this general area  that are mainly used by the Thai middle class so much less expensive than the "international" hospitals  though of course still more than government. Thonburi Hospital, Thonburi 2 hospITal, ChAo Phya for example (woulD help if I knew more exactly where you live). 

[ignis]

12 minutes ago, Sheryl said:

Community hospital (lowest level of government hospital). It will not have a cardiologist.  

 

In that genrral area you could try the Mahidol Golden Jubilee Medical Center.

 

For that matter Siriraj (arguably the best govegnment hodpitdl in ghe country) would still be much closer than Red Cross Hospital. 

 

There are also a number of private hospitals in this general area  that are mainly used by the Thai middle class so much less expensive than the "international" hospitals  though of course still more than government. Thonburi Hospital, Thonburi 2 hospITal, ChAo Phya for example (woulD help if I knew more exactly where you live). 

Out in the stick for past 20 years near Sai Noi, about 80 baht Taxi to Sai Noi Hospital

 

No longer drive, so must use Taxi or Mini Bus, [2 Mini Buses go by Village 2x a day 10 am + 3:30 pm]  there is a 6 wheel truch Bus goes by from 5 am every 2 hours but is to difficult for me to get on....... at least if I went back to Red Cross easy on Public Transport, [can get a lift 3 people go past most morning between 4 am & 5:30 am] to the Pruple Line end station

 

2004 had a Burst Apensix and was taken to Kasemrad International Hospital, very very expensive, even with a shared room was 85,000 baht  !!  so stay away from Private/International Hospitals

 

[Sheryl]

1 hour ago, ignis said:

Out in the stick for past 20 years near Sai Noi, about 80 baht Taxi to Sai Noi Hospital

 

No longer drive, so must use Taxi or Mini Bus, [2 Mini Buses go by Village 2x a day 10 am + 3:30 pm]  there is a 6 wheel truch Bus goes by from 5 am every 2 hours but is to difficult for me to get on....... at least if I went back to Red Cross easy on Public Transport, [can get a lift 3 people go past most morning between 4 am & 5:30 am] to the Pruple Line end station

 

2004 had a Burst Apensix and was taken to Kasemrad International Hospital, very very expensive, even with a shared room was 85,000 baht  !!  so stay away from Private/International Hospitals

 

I really do not know which hospital you mean when you say  "Red Cross".  Do you possibly mean Chulalongkorn Hospital in central Bangkok?

 

Do nto confuse the3 cost of being an inpatient at a private hospital with costs of simple consultation (usually 1,000 - 2,000 baht, but do not get meds at hospital)

 

Anyhow go to a major hospital or medical center which has a cardiologist, up to you which one.

 

Mahidol Golden Jubilee Medical Center in Salaya is about 30 minute drive form most of Sai Noi but of course I can't say as to specifics of public transport from your village.

[ignis]

8 hours ago, Sheryl said:

I really do not know which hospital you mean when you say  "Red Cross".  Do you possibly mean Chulalongkorn Hospital in central Bangkok?

 

Do nto confuse the3 cost of being an inpatient at a private hospital with costs of simple consultation (usually 1,000 - 2,000 baht, but do not get meds at hospital)

 

Anyhow go to a major hospital or medical center which has a cardiologist, up to you which one.

 

Mahidol Golden Jubilee Medical Center in Salaya is about 30 minute drive form most of Sai Noi but of course I can't say as to specifics of public transport from your village.

King Chulalongkorn Memorial Hospital, The Thai Red Cross Hospital,

[ignis]

Update 

 

past 4 weeks been taking 100mg of LOsartan  !! = may have nothing to do with it but have a bad   Eye /Vision problem + always tired + headache 24/7 + CKD [ is a side effects of LOsartan ? ]

but BP is still high or the 1st number is  155-165 over 57 - 68.........    High/Low

 

again next week Friday to Dr  ar Sai Noi Hospital, from what I can see if you need to change a Med you have to tell the Dr what you want instead..!! [see if they stock it]

 

I have via web searching, but is this OK to the following

 

Atenotol 50 mg with Enalapril Maleate 20mg [had for years up to changing to local Hospital - [3 hours public travel  each way + Covid changed  2020 to local Hospital]  -   or     Enalapril Maleate and Hydrochlorothiazide 20/12.5 mg      any advice please ?   Need he 1st number down, not the 2nd number

Have Allege to  lisinopril    + amlodipine    + Manidipine    + Nifedipine

 Will go next Wednesday to Chula Eye Hospital, so will see how I manage the long trip  to BBK and back, so will see if I can again go to the Diabetic Dr at Chula - Red Cross. Hospital.

 

 

 

Edited September 26 by ignis

[3NUMBAS]

Amlodipine and occasional ramipril tabs , but I find my regular hikes uphill brings my bp down the next day very low ,no doubt strenuous exercise helps bring my bp down

[Sheryl]

On 9/26/2024 at 11:59 AM, ignis said:

Update 

 

past 4 weeks been taking 100mg of LOsartan  !! = may have nothing to do with it but have a bad   Eye /Vision problem + always tired + headache 24/7 + CKD [ is a side effects of LOsartan ? ]

but BP is still high or the 1st number is  155-165 over 57 - 68.........    High/Low

 

again next week Friday to Dr  ar Sai Noi Hospital, from what I can see if you need to change a Med you have to tell the Dr what you want instead..!! [see if they stock it]

 

I have via web searching, but is this OK to the following

 

Atenotol 50 mg with Enalapril Maleate 20mg [had for years up to changing to local Hospital - [3 hours public travel  each way + Covid changed  2020 to local Hospital]  -   or     Enalapril Maleate and Hydrochlorothiazide 20/12.5 mg      any advice please ?   Need he 1st number down, not the 2nd number

Have Allege to  lisinopril    + amlodipine    + Manidipine    + Nifedipine

 Will go next Wednesday to Chula Eye Hospital, so will see how I manage the long trip  to BBK and back, so will see if I can again go to the Diabetic Dr at Chula - Red Cross. Hospital.

 

 

 

Enalapril is chemically telated to lidinopril so if allergic to one, likrly will be to the other. 

 

Ard you sure it is an actual allergy sd opposed to side effects? 

[ignis]

1 hour ago, Sheryl said:

Enalapril is chemically telated to lidinopril so if allergic to one, likrly will be to the other. 

 

Ard you sure it is an actual allergy sd opposed to side effects? 

Guess side effects  they all caused bad feet swelling after a month  after 6 months had all legs swollen, ended up in a wheelchair as the pain was so bad.  Chula Hospital after many visits put me back on Atenotol 50 mg with Enalapril Maleate 20mg [taking this since 1991 - 2015 + 2018 - end 2020]

 

 Sai Noi Hospital, in 2021 did not stock so put on Losartan

[Gobbler]

On 8/3/2024 at 2:46 PM, georgegeorgia said:

However says it helps with erectile dysfunction 🥴

You got my attention.

[Sheryl]

2 hours ago, ignis said:

Guess side effects  they all caused bad feet swelling after a month  after 6 months had all legs swollen, ended up in a wheelchair as the pain was so bad.  Chula Hospital after many visits put me back on Atenotol 50 mg with Enalapril Maleate 20mg [taking this since 1991 - 2015 + 2018 - end 2020]

 

 Sai Noi Hospital, in 2021 did not stock so put on Losartan

This is not an allergy.

 

Leg/foot swelling is known side effect of cslcium channel blockers (amlidopine and thd other ***pines).  It is not a side effect of ACE blockers like lisinopril and enalapril.

 

You do not need to get enalapril and atenolol at a hospital. Available and very cheap at any pharmacy. 

[ignis]

8 hours ago, Sheryl said:

This is not an allergy.

 

Leg/foot swelling is known side effect of cslcium channel blockers (amlidopine and thd other ***pines).  It is not a side effect of ACE blockers like lisinopril and enalapril.

 

You do not need to get enalapril and atenolol at a hospital. Available and very cheap at any pharmacy. 

Yes maybe will do if the Hospital has none. will ask to go back on ACE blockers   all Meds appear cheaper at the Hospital pharmacy + Most important to me is Insulin have tried over the years every Pharmacy within a 15 km radius  NOT one sells Insulin, so have to get at the Hospital, 18 km away is one Pharmacy that sells but cost double the  Hospital price...  

 

No idea if my reasoning is true - if I had to be taken to Hospital, then all Med's are on Hospital file

[Sheryl]

6 hours ago, ignis said:

Yes maybe will do if the Hospital has none. will ask to go back on ACE blockers   all Meds appear cheaper at the Hospital pharmacy + Most important to me is Insulin have tried over the years every Pharmacy within a 15 km radius  NOT one sells Insulin, so have to get at the Hospital, 18 km away is one Pharmacy that sells but cost double the  Hospital price...  

 

No idea if my reasoning is true - if I had to be taken to Hospital, then all Med's are on Hospital file

You can tell doctor what you sre taking that you get at the pharmacy. Then on your revord.

 

Insulin is a different matter from the BP meds. You can get the BP meds at mist pharmacied  and cost diffetence will be very small. These are   inexpensive meds. 

[ignis]

8 hours ago, Sheryl said:

You can tell doctor what you sre taking that you get at the pharmacy. Then on your revord.

 

Insulin is a different matter from the BP meds. You can get the BP meds at mist pharmacied  and cost diffetence will be very small. These are   inexpensive meds. 

Yes but again is which Pharmacy.  Pharmacy I use for other thing is good and cheap, nearest to me is very expensive

eg: last week went in to get 3" x 3" gauge pack  16 baht, my normal Pharmacy is 7 bahr same brand /size so over double the price.

 

Found over the years prices vary in different Pharmacys  even one next door to each other + some by a lot.

[tomazbodner]

On 8/3/2024 at 2:46 PM, georgegeorgia said:

My doctor has decided to put me on one called VALSARTIN😱

 

I googled it ,it doesn't have good reviews unfortunately 

 

However says it helps with erectile dysfunction 🥴

I haven't bothered to start it yet because I'm concerned it may do more damage than good 

 

Anyone else here on Valsartin?

Did you cope with it ?

I don't think Valsartan helps down there, if any, it does the opposite. But it works, alas not immediately - takes a few days to bring numbers down.

You could get Valsartan as Diovan in 80 or 160 mg version from Diamond Pharmacy in soi Wang Lang (also known as Soi Sirirat) at about 720 baht for 28 pills of 160 mg.

[tomazbodner]

15 hours ago, ignis said:

Yes maybe will do if the Hospital has none. will ask to go back on ACE blockers   all Meds appear cheaper at the Hospital pharmacy + Most important to me is Insulin have tried over the years every Pharmacy within a 15 km radius  NOT one sells Insulin, so have to get at the Hospital, 18 km away is one Pharmacy that sells but cost double the  Hospital price...  

 

No idea if my reasoning is true - if I had to be taken to Hospital, then all Med's are on Hospital file

Diamond Pharmacy sells Lantus Solostar basal insulin at 750 baht per one (lasts up to 28 days, in total about 300 units of insulin per pen). This is one you only inject once per day and lasts between 23 and 25 hours. You can buy needles separately at same pharmacy or get them online.

 

[ignis]

10 hours ago, tomazbodner said:

Diamond Pharmacy sells Lantus Solostar basal insulin at 750 baht per one (lasts up to 28 days, in total about 300 units of insulin per pen). This is one you only inject once per day and lasts between 23 and 25 hours. You can buy needles separately at same pharmacy or get them online.

 

Have no problem injecting twice a day - have done so for years + well under control

 

Insulin I use supplied from the Hospital Pharmacy cost 425 baht for 5 vials of 300 units of insulin per pen  [less than 100 baht per 300 unit Vial]

 

If ever in BKK and need some supplies then use MD Pharmacy speak good English or CHULA  BHESAJ  PHARMACY -Brother  [speaks perfect English]+ 2 Sisters both next to each other on Rama 4.

 

I still use finger pricks, the Lancets price is mind boggling  Hospital 1,200 baht per 100, some Pharmacies up to 2,450 baht, I get them from the same place for some years last month 826 baht.....  ALL same branded name same box and amount, how can some stay in business or do business changing 3 x the amount ?

[tomazbodner]

3 hours ago, ignis said:

Have no problem injecting twice a day - have done so for years + well under control

 

Insulin I use supplied from the Hospital Pharmacy cost 425 baht for 5 vials of 300 units of insulin per pen  [less than 100 baht per 300 unit Vial]

 

If ever in BKK and need some supplies then use MD Pharmacy speak good English or CHULA  BHESAJ  PHARMACY -Brother  [speaks perfect English]+ 2 Sisters both next to each other on Rama 4.

 

I still use finger pricks, the Lancets price is mind boggling  Hospital 1,200 baht per 100, some Pharmacies up to 2,450 baht, I get them from the same place for some years last month 826 baht.....  ALL same branded name same box and amount, how can some stay in business or do business changing 3 x the amount ?

I didn't know about these other pharmacies. Just suggested Diamond as it was waaaaayyyy cheaper than I got from my hospital before (by factor of 10) and they seem to have pretty much everything. There are a few more around there, Fascino is more expensive but has some special stuff, and then some others that look more like a warehouses than pharmacies. They more or less cost the same.

 

The insulin isn't for me but my better half, and while we both have AccuCheck, she's using a Sibionics CGM. About 1800 baht per 14 days off Shopee or Lazada. Reads every minute and sends data into Android app. Gives alerts when sugar is too high or too low. And draws nice graphs, trends, calculates averages, etc. I know continuous glucose monitors are expensive, but they are worth it. Previously she used FreeStyle Libre, but that requires tapping a reader on the sensor to get readings, making it less convenient.

 

The lancets and pen... Using AccuCheck SoftClix, which was 300 baht or so with a box of lancets, and 50 lancets are 60 THB on Lazada.

 

 

My comment was primarily due to part of: "Most important to me is Insulin have tried over the years every Pharmacy within a 15 km radius  NOT one sells Insulin". Around Siriraj hospital all of them sell it. That's what I wished to get across. The private hospital we both visit charged nearly 3000 baht for the same pen we found for 750 at Diamond pharmacy. It was an accidental find - didn't expect pharmacies would sell it, especially without prescription. So still doing followups every 2 months, but buying medicine on her own.

 

 

Edited September 29 by tomazbodner

[ignis]

Need help again

 

So now for a week prescribed 

Atenetol 50 MG   Morning

GPO HTCZ 25 mg  Evenings

 

again the top number has come down to  around 130  [down from months of 160 +]

problem is the 2 number was high 70s > is down to 57 - 60  too LOW ?

 

Which Med's are making the 2nd reading so low ??  or is 130/57 OK ?

 

Going back over my charts last time it was 121/79 was back in May 2016

[Lorry]

2 hours ago, ignis said:

is 130/57 OK ?

It is ok

[advancebooking]

You take the testosterone juice and risk dying from a heart attack. Not smart. What are you doing that for?