 |
NetWellness is a global, community service providing quality, unbiased health information from our partner university faculty. NetWellness is commercial-free and does not accept advertising.
Monday, May 20, 2013
|
|
|
NetWellness is a global, community service providing quality, unbiased health information from our partner university faculty. NetWellness is commercial-free and does not accept advertising.
Monday, May 20, 2013
|
| Home | HealthTopics | Health Centers | Reference Library | Research |
 Join us on Facebook
|
Share on Facebook | Tweet |
|
High Blood Pressure |
Re: What is the answer07/05/2007 |
I am curently taking dilitazem 90mg SA, Atenolol 50mg and cozaar 50mg for high blood pressure. These medications work well. However, for over a week I have had constipation and have to take laxative every other day. I think the dilitiazem maybe the cause of this. Seem I have tried many drugs, feldipine/metotoprol 50/5mg(feet swelled)Teveten 600mg( headache feel bad), lozol 1.5mg( high uric acid) Alazide(high uric acid). Is there a drug combination I can take and utilize without to many side effects. I found the best combination was feldipine/metotoprol 50/5, cozaar 50 and indur 30mg. Only problem feet swelled. Is that a concern? Help I need a drug combo now. It seems the sustained release drugs work best. Took toprol Xl but not available in foreign country where I live. Please advise me desprate for a regime.
It is always difficult to give advice in an individual case. However, a few points can be made:
The combination of diltiazem and atenolol carries the risk of causing a drop in heart rate, and should be used with caution. Diltiazem (like verapamil) can cause constipation. In your case, the combination of a dihydropyridine calcium channel blocker (amlodipine 5 mg or felodipine 5 mg) with an ACE inhibitor (lisinopril, ramipril or benazepril) is less likely to cause swelling.
The addition of a low dose of hydrochlorothiazide (HCTZ), e.g. 12.5 mg per day increases the antihypertensive effect of calcium channel blockers and ACE inhibitors. A small increase in uric acid levels can safely be ignored if you do not have gout.
You may be able to be controlled with a combination of amlodipine or felodipine, an ACE inhibitor and a small dose of HCTZ. Unfortunately, there is no way of predicting with certainty how a patient will do on a given regimen. We still have to resort to trial and error in designing the best regimen for a given person.
|
Max C Reif, MD Professor of Medicine Director of Hypertension Section College of Medicine University of Cincinnati |
|
|
Please note: only your personal physician or other health professional you consult can best advise you on matters of your health based on your medical history, your family medical history, your medication history, and how information from any of these databases may apply to you. Neither University of Cincinnati (NetWellness) nor any party involved in creating, producing or delivering this web site shall be liable for any damages arising out of access to or use of this web site, or any errors or omissions in the content thereof. (More) 
|