All the Blood pressure medications

[Sheryl]

12 hours ago, georgegeorgia said:

Well my blood pressure is 152/90 right now ,should I open this packet and take it and suffer from side effects or stay off salt 

 

Why on earth do you assume you will "suffer side effects"? Most people do not.

 

I think you know very well the substantial risks of leaving your BP untreated.

[Sheryl]

5 hours ago, gamb00ler said:

I switched from Ramipril 10mg to Losartan 75mg about 2 years ago when Ramipril became temporarily unavailable.  I began taking 1.5 X 50mg Losartan each morning.  Lately I also take B12 500mg 3 times a day so I thought it may work better if I also also took the Losartan 3 times daily @25mg.  I was thinking that there would be less variance in the level of the drug in my system.

 

Which is the better medication schedule for Losartan: 75mg at breakfast or 3 @ 25mg around meal times?

Recommended dosing of losartan is once a day.

 

I can find no data on taking it in divided doses as you suggest. Also, the divided doses you would be taking are at sub-theraputic amounts.

 

Why are you thinking of a change? What is your BP like with Losartan 75 mg once a day as prescribed?

[Sheryl]

13 hours ago, ignis said:

Just looked on my Prescription   is Losartan 25mg..

 

The Dr did put me on 100 mg mornings when they took me off Amlodipine , but often by lunch time was very low and passing out, 2 x taken to Hospital so was reduced to 50 mg, often low so now on 25 mg, only take the 50 mg if high.  = a bit of a yo-yo in readings

 

Sheryl  - Question  what about taking 1/2 mornings and the other 1/2 evenings > would that keep it more constant over 24 hrs ?   No good asking my Village Hospital Dr, never any idea who it maybe + they rush to get you in & out,  The Dr I did see for over 2 years has moved to a private hospital

 

Last appointment week ago he just looked on my Blood work tests said good, then all good not sure he could even speak English,,,, I did ask + had it written down in English + Thai - I did not want 1 x prescribed med because I had 320 day supply, still got them anyway so now have over 400 days supply !!

 

Not sure I could face the 12 hr round trip going back to Red Cross Hospital.

 

 

 

I can find no data on taking Losartan  in divided doses as you suggest.

 

If I understand correctly you are mostly taking just 25 mg Losartan a day. That is such a low does that I wonder if you need it at all.

 

What is your BP like on 25mg Losartan a day. and have you tried seeing what it is on none?

 

Are you on other medications with a BP lowering effect? Have you lost weight? (Wondering why the change)

 

Addendum: just noticed fro man early post that you seem to be on Doxazosin for prostate. This in itself has a blood pressure lowering effect. If your hypotension started after `you began (or increased) thsi medication, it is the likey explanation.  Possible you do not need to take a separate BP med at all (buit if you stop, monitor your BP to be sure).

 

 

[sirineou]

9 hours ago, TedG said:

That's an excuse for the lazy. 

I would reply. but I am too lazy

[Presnock]

10 hours ago, sirineou said:

Have you ever heard of hereditary causes? 

 

10 hours ago, sirineou said:

Have you ever heard of hereditary causes? 

Yes,  mother's family had hbp and heart problems - especially the males, father's family had prostrate cancers and other cancers especially the males thus I am healthy concious - diet, exeercise, etc.  Brother in law's males all died prior to 40's but he exercised religiously and at 78 he is stlll going so heredity can definitely affect one's life but with proper dieting and exercise and healthy habits one can overcome many of the bad traits that affect one's health.

[AhFarangJa]

On 8/3/2024 at 3:23 PM, Presnock said:

I never recommend anyone take any kind of medication especially if a doctor prescribes it but...I did recommend to my mother who suffered from high blood pressure and had to regularly visit the doctor for a new perscription.  I told her about taking a garlic supplement for one month, then stop taking the prescribed medication but continue with the garlic supplement.  After doing this, onher next visit to the doctor's office, he remarked that the medicine was finally working.  He gave her a new prescription which she tossed into the trashcan - her blood pressure remained steady and within healthy limits for the next 20 years.  Just saying, I for sure don't know if it works but it seemed to do so for my mother

Thanks, that is interesting. I have been on Amlodipine for 20 years, but my blood pressure remains just on the high side. Never heard of a garlic medication, but will certainly investigate it now. I am also on two other medications, and to be honest I do wonder about the side effects compared to natural remedies.

[sirineou]

22 minutes ago, Presnock said:

 

Yes,  mother's family had hbp and heart problems - especially the males, father's family had prostrate cancers and other cancers especially the males thus I am healthy concious - diet, exeercise, etc.  Brother in law's males all died prior to 40's but he exercised religiously and at 78 he is stlll going so heredity can definitely affect one's life but with proper dieting and exercise and healthy habits one can overcome many of the bad traits that affect one's health.

No doubt that exercise can help lower BP  many things can.But that not what I was replying to . Below is the  quote. 

"Bingo.  High blood pressure is of the result of a bad diet and being fat smoking, etc.  "

An inherently wrong statement. (Pun intended)

"Family and twin studies estimate that blood pressure, or hypertension, is 30–50% heritable, "

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3612776/#:~:text=Blood pressure (BP) is also,estimates of 30–50%.

[Presnock]

1 minute ago, sirineou said:

No doubt that exercise can help lower BP  many things can.But that not what I was replying to . Below is the  quote. 

"Bingo.  High blood pressure is of the result of a bad diet and being fat smoking, etc.  "

An inherently wrong statement. (Pun intended)

"Family and twin studies estimate that blood pressure, or hypertension, is 30–50% heritable, "

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3612776/#:~:text=Blood pressure (BP) is also,estimates of 30–50%.

Actually, researchers of note, especially Dr. William Li, doctor of medicine, heart specialist and researcher says that diseases of all types that cause deaths of people before their time (what ever that is defined as) and he mentions the 5 leading causes of early deaths, can be prevented and in some cases cured by diet and healthy habits (exercise, cleanliness, sleep, etc.).  But, look at society today, developed countries have so many fast  and unhealthy foods while healthy foods are available yet overweight and obese people are the norm today and the big pharmas love it as they continue to reap record profits from those sick people.  Manufacturers of unhealthy foods use artificial coloring and taste without care of the negative health effect caused by those ultraprocessed "foods".  We have been told by experts in laboratories that smoking and drugs of all kinds can destroy our bodies yet people still spend $$$ on both.  People eat unhealthy foods because they say it tastes good even though they are constantly told that those foods are bad for their health.  My feelings anyway sorry if one doesn't agree with me.

[sirineou]

1 minute ago, Presnock said:

Actually, researchers of note, especially Dr. William Li, doctor of medicine, heart specialist and researcher says that diseases of all types that cause deaths of people before their time (what ever that is defined as) and he mentions the 5 leading causes of early deaths, can be prevented and in some cases cured by diet and healthy habits (exercise, cleanliness, sleep, etc.).  But, look at society today, developed countries have so many fast  and unhealthy foods while healthy foods are available yet overweight and obese people are the norm today and the big pharmas love it as they continue to reap record profits from those sick people.  Manufacturers of unhealthy foods use artificial coloring and taste without care of the negative health effect caused by those ultraprocessed "foods".  We have been told by experts in laboratories that smoking and drugs of all kinds can destroy our bodies yet people still spend $$$ on both.  People eat unhealthy foods because they say it tastes good even though they are constantly told that those foods are bad for their health.  My feelings anyway sorry if one doesn't agree with me.

Again no doubt that lifestyle changes can positively affect health outcomes.

I am 67 walk several KM 4-5 times a week or ride my bike , work out in the gym, and do laps in the pool.  I enjoy a mostly Mediterranean diet, and take supplements. No Processed foods.   For breakfast I am Juicing it ( Tomato, beets, carot, celery.and a dash of tabasco. 

Yet I have elevated BP. 

I am highly offended offended when someone calls me lazy .

These are some of the question one needs to ask when thinking about the issue. 

Does cholesterol affect BP? Do stress hormones affect BP? Does physiology affect BP? Do any of these things have a big genetic  component? Can diet and exercise eliminate them?

Does aging affect BP, can diet eliminate aging? 

[Presnock]

1 hour ago, sirineou said:

Again no doubt that lifestyle changes can positively affect health outcomes.

I am 67 walk several KM 4-5 times a week or ride my bike , work out in the gym, and do laps in the pool.  I enjoy a mostly Mediterranean diet, and take supplements. No Processed foods.   For breakfast I am Juicing it ( Tomato, beets, carot, celery.and a dash of tabasco. 

Yet I have elevated BP. 

I am highly offended offended when someone calls me lazy .

These are some of the question one needs to ask when thinking about the issue. 

Does cholesterol affect BP? Do stress hormones affect BP? Does physiology affect BP? Do any of these things have a big genetic  component? Can diet and exercise eliminate them?

Does aging affect BP, can diet eliminate aging? 

I am 77. Like you I walk 6 kms 7 days a week, lift weights every 3rd day (light with lots of reps to avoid injury), do core exercises for 1 hour on the days I don't lift weights - my BP has remained the same except my resting heart rate has increased about 6 points over the years.  I used to be a runner for 50 years and heart rate used to be lower and during physicals doctor always asked if I was a runner.  As for your juicing - reasearchers indicate that will lower the fiber from those veggies but some people still have great blood work that are juicers.  You might thinks about adding some garlic or garlic supplements to a daily meal.  Some people have found this does help lower BP.  Proper breathing can also lower BP so maybe try some deep breathing exercises - helps the heart to relax more too.  Good luck and don't slow down too much - we need to keep an active lifestyle and healthy eating as long as we can.

[sirineou]

10 minutes ago, Presnock said:

I am 77. Like you I walk 6 kms 7 days a week, lift weights every 3rd day (light with lots of reps to avoid injury), do core exercises for 1 hour on the days I don't lift weights - my BP has remained the same except my resting heart rate has increased about 6 points over the years.  I used to be a runner for 50 years and heart rate used to be lower and during physicals doctor always asked if I was a runner.  As for your juicing - reasearchers indicate that will lower the fiber from those veggies but some people still have great blood work that are juicers.  You might thinks about adding some garlic or garlic supplements to a daily meal.  Some people have found this does help lower BP.  Proper breathing can also lower BP so maybe try some deep breathing exercises - helps the heart to relax more too.  Good luck and don't slow down too much - we need to keep an active lifestyle and healthy eating as long as we can.

Thank you. 

I also adhere to the "Use it or lose it"  thinking, and as we get older it gets so easy to lose it, and so hard to get it back. 

But as the saying goes "I got nothing against old age, I hope to die of old age " 

[BigStar]

10 hours ago, Sheryl said:

Why on earth do you assume you will "suffer side effects"? Most people do not.

 

Tina Turner didn't. Left her high BP untreated and so had a stroke, destroyed her kidneys, and hastened her demise.

[Lorry]

30 minutes ago, BigStar said:

 

Tina Turner didn't. Left her high BP untreated and so had a stroke, destroyed her kidneys, and hastened her demise.

Every doctor can tell you of many patients who left their BP untreated and had a stroke. GF's grandma was 73, average age at AN

[huangnon]

On 8/3/2024 at 6:00 PM, georgegeorgia said:

It gives me energy for the gym

 

It doesn't work for erection dysfunction well not for me 

 

It makes my moods more happier ,I'm now addicted to it 

 

It's obviously affecting my health long term,it's dangerous stuff 

 

Do you supplement with, or take Creatine before workouts?

[gamb00ler]

17 hours ago, Sheryl said:

Recommended dosing of losartan is once a day.

 

I can find no data on taking it in divided doses as you suggest. Also, the divided doses you would be taking are at sub-theraputic amounts.

 

Why are you thinking of a change? What is your BP like with Losartan 75 mg once a day as prescribed?

I think the optimal scheduling of drug consumption is probably determined by the ½ life of the drug in your bloodstream.  I found this by searching for "losartan ½ life":

 

Research indicates losartan lasts less than 24 hours at dosages of 25mg a day and 50mg a day. This may cause your blood pressure to rise at night if you take your dose in the morning. Dosages of 100mg per day or more of losartan will last for 24 hours

 

I haven't been monitoring my BP that closely.  I will step up the frequency and test as soon as I get up each morning to see which schedule works best.

[KhunLA]

Mostly common sense stuff ... lower BP without the meds

 

 

[DavisH]

On 8/4/2024 at 12:27 AM, Sheryl said:

Vast majority of people do not experience this. As with most side effects, just an unlucky minority.

I use olmetec (an arb), and chlovas (a statin). and have no physical side effects. Blood tests are normal, LDL went from 160 to 84 in less than 3 months. I don't think any amount of garlic can reduce blood pressure appreciably. Neither exercise in my case for BP and a change in diet did not change my LDL. 

[ignis]

On 8/5/2024 at 12:03 AM, Sheryl said:

 

I can find no data on taking Losartan  in divided doses as you suggest.

 

If I understand correctly you are mostly taking just 25 mg Losartan a day. That is such a low does that I wonder if you need it at all.

 

What is your BP like on 25mg Losartan a day. and have you tried seeing what it is on none?

 

Are you on other medications with a BP lowering effect? Have you lost weight? (Wondering why the change)

 

Addendum: just noticed fro man early post that you seem to be on Doxazosin for prostate. This in itself has a blood pressure lowering effect. If your hypotension started after `you began (or increased) thsi medication, it is the likey explanation.  Possible you do not need to take a separate BP med at all (buit if you stop, monitor your BP to be sure).

 

 

Yes June last year Dr said take none for a week as was often low....  looking back on my daily records I keep after 1 week my BP was 221/118 [this was on same machine at the hospital]  = Dr said  1 week on 50mg then reduced to 25mg

 

Problem is it is going up all last week was in the 160/85+ every day - Yesterday BP 177/87  -  this morning 167/91...  thinking maybe should take 25mg 1 day and 50mg next  and see what the reading is Try to level it out ? what do you suggest ?

 

It is what I do for years with my Insulin > take according to readings every morning.. it is very hard ...  like yesterday woke up in a sweat + cold + the shakes = BS 62 - did not take any Insulin yesterday, this morning still only 102 so took only 1/2 normal units.

[Sheryl]

Just now, ignis said:

Yes June last year Dr said take none for a week as was often low....  looking back on my daily records I keep after 1 week my BP was 221/118 [this was on same machine at the hospital]  = Dr said  1 week on 50mg then reduced to 25mg

 

Problem is it is going up all last week was in the 160/85+ every day - Yesterday BP 177/87  -  this morning 167/91...  thinking maybe should take 25mg 1 day and 50mg next  and see what the reading is Try to level it out ? what do you suggest ?

 

 

Do not allow your BP to get anywhere near that high, it is angerous.

 

 I would go back to 50 mg a day since 25 seems not to adequately control it (and indeed is too low to have much effect)

 

With regard to the low readings are you staying well hydrated?

 

And do you have any known heart condition?

 

 

[georgegeorgia]

Mine is 152 today and I feel fine 

The BP medicine is still un-opened 

[ignis]

55 minutes ago, Sheryl said:

 

Do not allow your BP to get anywhere near that high, it is angerous.

 

 I would go back to 50 mg a day since 25 seems not to adequately control it (and indeed is too low to have much effect)

 

With regard to the low readings are you staying well hydrated?

 

And do you have any known heart condition?

 

 

Had a mini heart attack 2016,  also a mild stroke 24 years ago

 

staying well hydrated?  drink at least 3 lt water per day

 

At the time was using Red Cross Hospital  2016 - 2921 Covid time, change to local Village Hospital.. [saving over 3 hours Public transport travel per visit]\

QUESTION:

Red Cross Hospital put me on Bisoprolol 5 mg per day

Local Hospital said 'No Have' and put me on Dozozin 2 mg? is same ?   As in your reply says "Doxazosin for prostate"

 

Should I try to find a Pharmacy that sells  Bisoprolol 5 mg  ??

 

Edited August 7 by ignis

[Lorry]

4 hours ago, georgegeorgia said:

Mine is 152 today and I feel fine 

The BP medicine is still un-opened 

How many times do people have to tell you that you don't necessarily feel a too high BP?

[swissie]

On 8/3/2024 at 10:44 PM, georgegeorgia said:

Ahhh yes !

Strange you say that ....a guy at my work said the same thing !

Cialis or talandfil reckon it works at lowering the BP 

In an other thread Sheryl answered this question already:

Quote: "It is not recommended/approved for use in treating essential hypertension.
It is used in treatment of pulmonary hypertension, but that is a different condition".

 

I can not explain to you what the difference between "essential" hypertension and "pulmonary" hypertension is. I am sure, Sheryl can.

[georgegeorgia]

47 minutes ago, swissie said:

In an other thread Sheryl answered this question already:

Quote: "It is not recommended/approved for use in treating essential hypertension.
It is used in treatment of pulmonary hypertension, but that is a different condition".

 

I can not explain to you what the difference between "essential" hypertension and "pulmonary" hypertension is. I am sure, Sheryl can.

It's ok I will use Dr Google although that old  nurse at my medical clinic who called me a hypochondriac says not to use Dr Google 

Stop googling symptoms she says 

[swissie]

19 minutes ago, georgegeorgia said:

It's ok I will use Dr Google although that old  nurse at my medical clinic who called me a hypochondriac says not to use Dr Google 

Stop googling symptoms she says 

Asking Dr. Google one (1) medical question will produce 10 answers. Take your pick, click on whatever you like best.

Much better to await "Sheryl's" advice. Like: What's the difference between "essential" and "pulmonary" bloodpressure.

[Sheryl]

13 hours ago, ignis said:

Had a mini heart attack 2016,  also a mild stroke 24 years ago

 

staying well hydrated?  drink at least 3 lt water per day

 

At the time was using Red Cross Hospital  2016 - 2921 Covid time, change to local Village Hospital.. [saving over 3 hours Public transport travel per visit]\

QUESTION:

Red Cross Hospital put me on Bisoprolol 5 mg per day

Local Hospital said 'No Have' and put me on Dozozin 2 mg? is same ?   As in your reply says "Doxazosin for prostate"

 

Should I try to find a Pharmacy that sells  Bisoprolol 5 mg  ??

 

Any pharmacy (staffed by actual pharmacist) will have bisoprolol. It is not expensive. And doxazosin is not an adequate alternative especially for cardiac purposes.  I suggest you not follow local hospital recommendations when it comes to your heart. Adhere strictly to what cardiologist at Red Cross Hospital prescribes.

 

 

 

 

 

 

 

[Lorry]

1 hour ago, swissie said:

Much better to await "Sheryl's" advice. Like: What's the difference between "essential" and "pulmonary" bloodpressure.

"Essential" hypertension is what normal people call hypertension.

"Essential" just means doctors pretend there is no obvious, simple reason (funny, weighing 300kg, smoking 40 cig/day, and never moving away from the TV is not considered a reason for hypertension by doctors - they will still call it "essential")

An example for high BP that doctors don't call "essential": some tumours produce hormones that make your heart beat faster and your BP going up.

 

"Pulmonary hypertension" has nothing to do with what you call high BP.

In some diseases of the lung, the pressure only in the blood vessels inside the lung is elevated. 

You cannot measure this with a BP meter, and BP can be normal. 

 

 

[ignis]

9 hours ago, Sheryl said:

Any pharmacy (staffed by actual pharmacist) will have bisoprolol. It is not expensive. And doxazosin is not an adequate alternative especially for cardiac purposes.  I suggest you not follow local hospital recommendations when it comes to your heart. Adhere strictly to what cardiologist at Red Cross Hospital prescribes.

 

 

 

 

 

 

 

Many thanks

[KannikaP]

On 8/4/2024 at 2:17 PM, Moonlover said:

I have an app on my phone which features the  4-7-8 routine and a few others. It's called, very simply, 'Breathe' and works a treat when one needs a bit of encouragement.

Mine is 8-4-7.

[Moonlover]

24 minutes ago, KannikaP said:

On 8/4/2024 at 2:17 PM, Moonlover said:

I have an app on my phone which features the  4-7-8 routine and a few others. It's called, very simply, 'Breathe' and works a treat when one needs a bit of encouragement.

 

24 minutes ago, KannikaP said:

Mine is 8-4-7.

I have a book called the Science of Breath. which outlines many different routines and there are many more on the web. But I think the real secret is to find the one that suits you the best. Following ones instinct think is the best way to go.