BP

[BEVUP]

Hello all 

Have BP 140/80

Take 

Caduet 10/20 -  (Ampoline 10/ Zimmenex 20)

Fibril 160 mg -  (Lipidil)

Blopress 8 mg

 

Work still think no good ? What are your thoughts

[tonray]

140/80 is not bad 

 

Fibril and Caduet are for cholesterol managment

 

Blopress for BP

 

If you believe it is high (and doctor also thinks so) you should try a different BP med or change dosage.

 

 

[SgtRock]

1 hour ago, BEVUP said:

Hello all 

Have BP 140/80

Take 

Caduet 10/20 -  (Ampoline 10/ Zimmenex 20)

Fibril 160 mg -  (Lipidil)

Blopress 8 mg

 

Work still think no good ? What are your thoughts

 

Depends where you work.

 

If I was taking that medication there is not a snowballs chance in hell I would be going to work.

 

I would suggest that your employer is looking beyond the BP.

[Sheryl]

When you say your BP is 140/80, is that the average? Are you monitoring it everyday at home? Or is that just the reading from your last doctor visit?

 

BP is not stationary, it goes up and down a bit all day long and will change a lot if you tense, nervous, in pain etc. Many people have a slightly higher reading when in the doctor's office than they do at home.

 

If you do not already,  suggest you start by taking your BP at home everyday at about the same time of day, say an hour after getting up in the morning (or any other time of day when you are usually relaxed), and see what that shows.

 

If you are really averaging about 140/80, while it is  a little higher than normal range, it is close to  the treatment goal for someone with hypertension, which is to reduce the BP to <140/190, (less in the case of people with diabetes or kidney disease). This is because getting completely down to normal for people with hypertension is often not possible. It would help to know what your BP was like before starting treatment.

 

140/80 would not be an indication for increasing or changing medication (assuming that it is a significant decrease from what you had before starting the medications). However, there are many lifestyle modifications you can make that may further help:

 

- Stop smoking, if you are a smoker (very, very important)

- Avoid processed foods (canned, frozen, packaged etc - these are full of sodium)

-Avoid added salt to your food (includes Thai fish sauce)

-If you are overweight, lose weight - even a small weight loss will make a big difference. Besides lowering your BP it will reduce many health risks.

-get more exercise

 

In fact people whose starting BP (before treatment) is about 140/80 would be advised to do the above things instead of starting medication. But I assume to start with your BP was much higher.

 

You are actually on 2 medications for your BP: Biopress and Caduet (Caduet is a combination of two drugs, one for elevated cholesterol/triglycerides and one for chest pain/high BP).

 

If you have any doubts about the doctor you are seeing now -and/or if this is not a cardiologist - you would benefit from a consultation with a good cardiologist and should also have periodic (every year or two depending on initial results) exercise stress tests to better evaluate your heart. Note that before having such a test it is important the doctor conducting it knows what medications you take and you may be asked not to take any the day before.

[BEVUP]

1 hour ago, Sheryl said:

When you say your BP is 140/80, is that the average? Are you monitoring it everyday at home? Or is that just the reading from your last doctor visit?

 

BP is not stationary, it goes up and down a bit all day long and will change a lot if you tense, nervous, in pain etc. Many people have a slightly higher reading when in the doctor's office than they do at home.

 

If you do not already,  suggest you start by taking your BP at home everyday at about the same time of day, say an hour after getting up in the morning (or any other time of day when you are usually relaxed), and see what that shows.

 

If you are really averaging about 140/80, while it is  a little higher than normal range, it is close to  the treatment goal for someone with hypertension, which is to reduce the BP to <140/190, (less in the case of people with diabetes or kidney disease). This is because getting completely down to normal for people with hypertension is often not possible. It would help to know what your BP was like before starting treatment.

 

140/80 would not be an indication for increasing or changing medication (assuming that it is a significant decrease from what you had before starting the medications). However, there are many lifestyle modifications you can make that may further help:

 

- Stop smoking, if you are a smoker (very, very important)

- Avoid processed foods (canned, frozen, packaged etc - these are full of sodium)

-Avoid added salt to your food (includes Thai fish sauce)

-If you are overweight, lose weight - even a small weight loss will make a big difference. Besides lowering your BP it will reduce many health risks.

-get more exercise

 

In fact people whose starting BP (before treatment) is about 140/80 would be advised to do the above things instead of starting medication. But I assume to start with your BP was much higher.

 

You are actually on 2 medications for your BP: Biopress and Caduet (Caduet is a combination of two drugs, one for elevated cholesterol/triglycerides and one for chest pain/high BP).

 

If you have any doubts about the doctor you are seeing now -and/or if this is not a cardiologist - you would benefit from a consultation with a good cardiologist and should also have periodic (every year or two depending on initial results) exercise stress tests to better evaluate your heart. Note that before having such a test it is important the doctor conducting it knows what medications you take and you may be asked not to take any the day before.

Thanks Sheryl & all

BP previously about 150/90 before adding Blopress

Once of readings sitting down

Had all tests Blood,Ecg & confirmed ok

Have googled BP & because of the 140 work thinks no ok

Work under American companies in Auss & now are making me see doc to record BP every week while there

If they think still high they will not allow me to return to work but they have not given my GP a chance to assess condition since i have only been on Blopress for 1 mth & as we know Gp's gradually introduce new Med's to ensure proper dosage 

Quote from work ; BP still on the high end may mean it is not well managed or controlled

[lopburi3]

Just thinking of that job threat can be the reason for the 140 reading.  Stress can be a huge factor and a single (or even multi) reading at a doctors office can be very misleading.  I have a normal difference of up to 40 points (or more) from home and doctor (this has been the case for decades and often resulted in over medication.  With more visits to same doctor often BP goes down).  I also lived my working life in a job that required passing medicals.  A home BP unit is not expensive or hard to use and would highly recommend you buy and use at home to see if this 140 reading is real or 'white coat' effect. 

 

All readings for BP should be sitting or laying down and at rest for at least 5 minutes - although if stress it can take a lot longer than 5 minutes to get your mind off it and have it return to normal in my experience.

[ignis]

 'Lopburi3'  A home BP unit is not expensive or hard to use and would highly recommend you buy ......

 

Yes agree, I do test at home mornings and evenings.  and make a chart,  visit the Hospital every 8 weeks,  past 7 weeks, lowest has been 97/75 and the highest 134/83, normally around 111/76 to 117/78.......  have both kidney problems and Diabetic for over 20 years..  been in Hospital twice 3 years ago and May this year with far to low BP. May this year was 63/? forget but Hospital did not know how I could stand up, in Hospital for 5 days..

 

Believe not normal people with Diabetes have high BP ?  except me always had low BP.

 

 

[ignis]

So today all day  [there before they opened 05:40 to 17:20]  was at Red Cross Hospital Bangkok, had lots of time between appointments..

 

You must take the BP test yourself, to have it put on your folder.. test 1, was very very high, never had it so high in all my life, so moved along and did it again on another machine, very low.......... so for the next hour tested myself on lots of different machine on each floor, all of them gave a different reading.. all machines are the one you put your Arm in and press the button, some your must write down the results others print it out.

 

Eg: 1st room there are 7 machines,  I sat and tested 160/92 then turned around without even getting up the next machine was 111/72 !!!

in the end after 32 tests on different floors all with different readings. I asked a Nurse to test me with the old fashioned as there arm pump up tester..  that read 131/80.... [still high compared to my home one]  wonder which one is correct ??

 

How can anyone be sure or the Drs treat BP  if all the readings are way off  ?? .......... as another interest also checked my weight, also on all floors  from lowest to highest was a difference of 48 KG !!  last time  was the lowest weight, is same as I was at 14 years of age..

 

 

[KittenKong]

10 hours ago, ignis said:

Eg: 1st room there are 7 machines,  I sat and tested 160/92 then turned around without even getting up the next machine was 111/72 !!!

in the end after 32 tests on different floors all with different readings. I asked a Nurse to test me with the old fashioned as there arm pump up tester..  that read 131/80.... [still high compared to my home one]  wonder which one is correct ??

 

At the hospital dental clinic I go to they take my blood pressure (probably to justify the 300B nursing charge). The machine they use always gives me a result that indicates that I should be on my back in intensive care. Yet I know that my BP is around 140/80 which for is fine for someone of my age and weight who takes BP meds. If I walk down the corridor and take it myself the reading confirms it. So dont have too much faith in what hospital BP machines tell you.

[Sheryl]

Manual BP is always more reliable than machine.

 

The "nursing charge" is a hospital surcharge. Nothing to do with whether a nurse takes your BP.

[KittenKong]

15 hours ago, Sheryl said:

Manual BP is always more reliable than machine.

 

The "nursing charge" is a hospital surcharge. Nothing to do with whether a nurse takes your BP.

 

In this particular case it was two similar machines. The one in the dental clinic section always reads mine very high. I have no idea whether it also reads other peoples very high but it seems likely.

When asked, three different hospitals in/near Pattaya have justified the "nursing charge" to me as being for services such as taking BP and weighing me. I'm well aware that it is just a surcharge designed to increase hospital revenue but even so they do need to justify it, and that's how they have done it to me. Not that the justification makes any difference, of course.

[meatboy]

since coming out of hospital after a seizure i went and bought another bp.monitor [omron 7130]

always the machines in the hospitals i have been are off the map.nurse's that take them are always good.

since the 24th.august i have taken my bp.every day [dont forget i have form] out of 26readings the average has been 141/68 pulse 53.

but the first reading i take most days sitting down but after potching about is always high.10minutes sat down its good.

i also have another machine visomat 300 and after 20yrs.is still giving almost the same readings just a little bit lower.

so for the sake of a couple of thousand bht.it puts your mind at ease.

[ignis]

Should I start to worry again ?  last evening was 101/74 pulse 75, this morning tried 4 times the highest reading is 95/71 pulse 64 lowest of the 4 tries  86/68..

 

Lunch time yesterday had the shakes and felt light headed, had a table spoon full of pure honey [I mean pure, drained via a strainer to take out the wax caps direct form the hive]

[NancyL]

On 9/16/2016 at 10:28 PM, ignis said:

So today all day  [there before they opened 05:40 to 17:20]  was at Red Cross Hospital Bangkok, had lots of time between appointments..

 

You must take the BP test yourself, to have it put on your folder.. test 1, was very very high, never had it so high in all my life, so moved along and did it again on another machine, very low.......... so for the next hour tested myself on lots of different machine on each floor, all of them gave a different reading.. all machines are the one you put your Arm in and press the button, some your must write down the results others print it out.

 

Eg: 1st room there are 7 machines,  I sat and tested 160/92 then turned around without even getting up the next machine was 111/72 !!!

in the end after 32 tests on different floors all with different readings. I asked a Nurse to test me with the old fashioned as there arm pump up tester..  that read 131/80.... [still high compared to my home one]  wonder which one is correct ??

 

How can anyone be sure or the Drs treat BP  if all the readings are way off  ?? .......... as another interest also checked my weight, also on all floors  from lowest to highest was a difference of 48 KG !!  last time  was the lowest weight, is same as I was at 14 years of age..

 

 

You shouldn't take successive BP readings too close together.  You should wait at least 10 minutes between readings.  If you don't, the second reading will almost always be lower than the first, usually significantly so.

[Sheryl]

5 hours ago, ignis said:

Should I start to worry again ?  last evening was 101/74 pulse 75, this morning tried 4 times the highest reading is 95/71 pulse 64 lowest of the 4 tries  86/68..

 

Lunch time yesterday had the shakes and felt light headed, had a table spoon full of pure honey [I mean pure, drained via a strainer to take out the wax caps direct form the hive]

 

BP is not static and most people are lower first thing in the morning than later in the day.

 

If you are on medications to lower BP (or medications that have BP lowering as a side effect) and IF you are symptomatic at this BP (e.g: light-headed, dizzy especially when suddenly standing up) then should discuss a possible med adjustment with your doctor

 

If not then this may simply be your normal range, some people's normal BP does run low.

 

If honey eased your lunch time symptoms then blood sugar, not blood pressure, was likely the problem. IIRC you are diabetic so may need to look at your diabetes meds and diet.

 

 

[ignis]

Thanks Sheryl,  maybe should have stated about BS as well as that was 170 yesterday morning, High as have not been over 140 morning readings for 8 weeks...   evening BS was also higher than past 8 weeks at 132..

 

This morning appears better again thankfully,  BS going down 151,  BP 122/78  pulse 70..

 

was worried as this past May in Hospital for 5 days, light headed, the shakes,  BP 60/40 the BS level gone through the roof at 434, but was diagnosed with stage 5 kidney failure. understand from the Dr this is a problem with long term Metformin use, now on Insulin.. so far kidneys working and is checked in Hospital every 8 weeks, just started to worry when BP starts going down every day for past 3 days

 

[Sheryl]

At any time that your BP is less than 90/60 and you feel dizzy or light-headed  OR it is below 80/60 regardless of how you feel, best to see a doctor or go to a hospital ER.

[meatboy]

just done mine 10am.past 2, 136/72      137/65  todays  141/74   pulse is very good always in the low 50's.

as my heart has been reconditioned the low pulse readings i understand is good.

is that right sheryl.

[Sheryl]

Not sure what you mean by reconditioned.

 

Odds are you are on a blood pressure medications, such as a beta blocker, which has the effect of slowing the heart. heart rates in the 50's   are common in people on these meds and in itself not a cause for alarm. May even fall into the 40 - 49 range though at that point might be wise to consult doctor for possible dosage  adjustment, especially of accompanied by any light-headness.  Note that with low heart rates the pulse has to be taken for a full 60 seconds to be accurate and should not rely on machines.

[meatboy]

15 minutes ago, Sheryl said:

Not sure what you mean by reconditioned.

 

Odds are you are on a blood pressure medications, such as a beta blocker, which has the effect of slowing the heart. heart rates in the 50's   are common in people on these meds and in itself not a cause for alarm. May even fall into the 40 - 49 range though at that point might be wise to consult doctor for possible dosage  adjustment, especially of accompanied by any light-headness.  Note that with low heart rates the pulse has to be taken for a full 60 seconds to be accurate and should not rely on machines.

light-headness does occure but only maybe once or twice a month.

as for my reconditioned heart,after a m.o.t.2002 i needed a new valve and a double by-pass.

since 2007 every part is fine.

meds include,bisoprolol,coversyl and amlopine.