What blood pressure drug do you take? Did your doctor switch you from something else?

HeartHawk
By HeartHawk Latest Reply 2013-01-19 23:53:50 -0600
Started 2012-08-04 23:57:12 -0500

We have been getting a lot of comments and questions about blood pressure drugs lately. So, I thought I'd ask what drug(s) everyone is taking. Of particlular interest are two questions.

1. Did the drug work? How much did your blood pressure drop?

2. If not, what was the problem and what did your doc switch you to?

I just submitted two articles on Blood Pressure.

http://www.heartconnect.com/heart-conditions-...

http://www.heartconnect.com/heart-conditions-...

Perhaps as a result of this discussion I'll write another dealing with treatments so by all means share your experiences!

HH


50 replies

polina123
polina123 2013-01-18 10:57:37 -0600 Report

am on aldaactone 25 mg,coversyl 4 mg,apo furosemide 40mg apo-bisoprolol 5mg…and also other for the heart plus warfarin to and so many other pills

HeartHawk
HeartHawk 2013-01-19 23:53:50 -0600 Report

polina:

Thanks for chiming in! Yup, another member on "spiro" (spironolactone the generic of aldactone) proabably for hyperaldosteronism (I'm guessing of course). I would offer my same observation that newer drugs like eplerenone have fewer side effects.

Your Coversyl (perindopril) is one I haven't looked into before but is basically an ACE Inhibitor a very popular class of drug for high BP (anybody else on it?).

Furosemide is a popular diuretic (e.g. Lasix) that many here take and Bisoproplol is a beta-blocker which means you are on quadruple therapy for high BP. What was your starting BP before treatment?

My guess is the warfarin (coumadin) is for either atrial fibrillation or some valve replacement or other heart surgery. Let us know! Yeah, no doubt there are lots of pills. But, the right combination can be powerful when you need it. Now, the goal is to eat healthy and exercise so your doc can wean you off the "pill crutch" as soon as possible. You may not rid yourself of all of them but perhaps a few!

HH

abby211
abby211 2013-01-13 13:51:40 -0600 Report

i take toprol xl, i take lisinipril and fluid pill 375/25 for my heart and blood pressure

draco59
draco59 2013-01-08 22:25:59 -0600 Report

I’m currently on Diltiazem CD 120 mg 1/day in the morning, Coreg 12.5 mg 2/day mid-day and before bed and Spironolactone 50 mg 2/day Am and early evening. On 6/27/12 my Endocrinologist took be off Avapro 150 mg 1 per day, due to BP too low. On 5/26/12 the Endocrologist took me off my Lasix 40 mg 2/day, cut my Avapro 300 mg 1/day to 150 mg 1/day, also cut my Coreg from 25 mg 2/day to 12.5 2/day and added Spironolactone 50 mg 1/day, because my Aldosterone/Renin level was off the charts high, the primary reason for all the med changes over the yrs. Also my Cardiologist took me off Teketurna HCT 300/25 mg 1/day to the Diltiazem CD 120 mg 1/day because of side effects. Both Doctors are somewhat working together but the last visit to the Cardiologist, he would of took me of the Diltiazem instead of the Avapro, but my Echo was improved over the last one I had, so I don’t see him till Sept 2013, unless something changes. I see the Endo in April, so I’ll mention to him about the 2 meds.
So since March, when I started seeing the Endo for my sugar and low T, I lost 50 lbs., my BP meds have been cut in half, so it been good so far. Over the years I’ve been on about 15 to 20 different meds, they all said I was too heavy, which I am, even with the loss of the 50 lbs. but there is also a medical condition for it…. Primary Aldosteronism, also a bundle branch block and Left ventricular hypertrophy (LVH) which also has gotten better…
So I’ll let them work it out as long as I'm doing better. Both groups are working together…..

Hope this helps
Brian

HeartHawk
HeartHawk 2013-01-09 22:22:16 -0600 Report

Brian,

That is GREAT news. You are finding htat there are many co-factors in all disease and now you are treating the whole range - weight being a BIG one - keep it going down! It is good that you got the diagnosis of Primary Aldosteronism and are on the "Spiro" but you might ask your doc about newer drugs like Eplerenone which has fewer side effects.

Also, good to hear that your docs work together! Not everyone is so lucky. Keep up the good work!

HH

draco59
draco59 2013-01-09 22:43:59 -0600 Report

Thanks HH,
I'll ask him about it when I see him in April. I'm kind at a plateau at the moment, but I think it's just the Holidays… but I won't give up.
Ya, I'm glad my docs are working together They are all 60 miles away, but my cardiologist has office hour in our town once a week, but for procedures, I have to drive the hour, but it's cool. Before, you ask, yes we have a hospital in town, it's OK, but my GP wanted me to see a cardiologist, I told him I didn't want the one in town, went to him years before. Now my GP is semi retired, and left the Medical group in town and is about 30 miles away. Also, the hospital here as a medical helicopter, for the area for faster response time. there's 2 for all of the panhandle of Texas and Oklahoma…
Have a great evening
Brian

HeartHawk
HeartHawk 2013-01-11 22:18:02 -0600 Report

Brian,

Heh, yeah I "plateaued" during the holidays as well but now I am back to "banging away" at all the things I should be doing (like exercise).

HH

draco59
draco59 2013-01-11 22:31:26 -0600 Report

Hi HH,
I'm trying to get back on track, my exercise is taking care of our horses, doesn't leave time for the gym… It's hard enough to eat dinner before 8 or 9 pm.
Brian

HeartHawk
HeartHawk 2013-01-11 22:40:44 -0600 Report

Brian,

Hey good exercise - unless all you do is ride them, lol! Yeah, I rarely eat before 8PM as I usually exercise at 7PM.

HH

draco59
draco59 2013-01-11 23:00:59 -0600 Report

Oh no, it's more than riding, over 2 years, I've only rode twice, our first horse was a rescue, and needed a lot of work to get her healthy again, then we got another one so I could ride, he's bigger. There's alot of work and long days, start work between 7 and 8, then home around 6 pm to change and feed the dogs and then across town to stables, some days then to store. That's Monday thru Friday and weekend are about the same but work around the house…

draco59
draco59 2013-01-15 10:59:57 -0600 Report

very true, but in our house, there more than pets there part of the family… if we could have them in town, they'd be in the back yard… lol

HeartHawk
HeartHawk 2013-01-16 22:40:34 -0600 Report

Brian,

I see your point. But, the zoning committee would give you a hard time over the size of your "doghouse" and where would you keep all the food? :)

HH

draco59
draco59 2013-01-17 14:15:38 -0600 Report

that's true, but if I put an 8 foot fence up, they can see in, as for the food, I have a samll tack room, maybe 4 x 4, were I keep my feed (150 lbs at a time) in a metal garbage can, and I buy my hay by the bale, 2 at a time 70 to 80 lbs a piece. A shed I have would take care of it… the city didn't know we had 9 akita's at one time…

re1ndeer
re1ndeer 2013-01-05 19:07:43 -0600 Report

I take Metoprolol 50mg (tartenate) 2x a day, and Lorsartan (Cozaar) 100mg at bedtime. They are both working fine. Had to take the Lorsartan because of Kdney issues. Doctor figures it would be gentler on my kidneys.

HeartHawk
HeartHawk 2013-01-06 00:15:53 -0600 Report

re1ndeer,

Yup, pretty standard stuff for high BP - a beta blocker (Metoprolol) and an angiotensin receptor blocker (losartan) instead of an Angiotensin Converting Enzyme (ACE) Inhibitor when the kidneys are a concern.

The good news is there are so many option for high BP docs can mix and match for optimum effectiveness and low side effects.

HH

shantee
shantee 2012-12-02 21:50:06 -0600 Report

Don't take no pills

HeartHawk
HeartHawk 2012-12-02 23:29:45 -0600 Report

shantee,

What is your BP and how do you treat it. Everyone is always looking to reduce or eliminate taking pills! Your experience could be very helpful.

HH

HeartHawk
HeartHawk 2012-12-02 23:29:12 -0600 Report

shantee,

What is your BP and how do you treat it. Everyone is always looking to reduce or eliminate taking pills! Your experience could be very helpful.

HH

lebarron1
lebarron1 2012-11-13 12:10:04 -0600 Report

I don't take any pills,i am taking natural vitamins ,they have hawthron berrie and grape seed extract in it plus i take a multivitamin too, it helps and i have more energy too and not tired so much either.

HeartHawk
HeartHawk 2012-11-14 21:06:26 -0600 Report

lebarron,

Yup, it's aways great if you can avoid drugs (but some cannot). Do you know how much your blood pressure dropped after starting your natural therapy?

HH

msmap25
msmap25 2012-10-17 12:00:55 -0500 Report

Hello I am new here, Lately my blood pressure has spiked ridiculously. I have been to my doctor twice and he says I have stumped him as to what to do next. I am from florida and have been suffering with high blood pressure since I was diagnosed at 31, I am now 46 and it is not getting any better. I think it may have to do with me moving to Colorado. Since I have been here it is higher than it has every been. I am on many meds, I don't have them in front of me to give the does but they are: Coreg, lysinopril, digoxin, lasiks, and synthroid for my thyroid disease. I can't remember the others as you can see some double for my heart condition. I have a Defibrillator also. I took my Blood Pressure this morning and it was 163-110. I am at a loss here

HeartHawk
HeartHawk 2012-10-21 22:37:04 -0500 Report

msmap,

Hmmm, you take a beta-blocker (Coreg), ACE Inhibitor (lisinopril), and a diuretic (Lasix). That still leaves Calcium Channel Blocker (CCB) and Angiotensin-Receptor Blocker (ARB) drug therapies as well as other drugs that are similar to, but may function betterthan, the classes of drugs you already take.

Higher altitudes can also raise blood pressure but ask your doc about it because your body can adjust unless there is some other problem. I would take a look at this article for other causes of high blood pressure.

http://www.heartconnect.com/heart-condition-articles/44-heart-health-basics-healthy-blood-pressure

You may have an underlying condition such as a kidney problem that is responsible for your high blood pressure. You cannot properly treat your high BP until you find the precise cause.

HH

Acting Bill
Acting Bill 2012-09-15 10:26:41 -0500 Report

I am taking Lotrel 10/20, I am also taking 120mg Propranalol ER daily for essential tremor but being a beta blocker it affects blood pressure. My readings are in the 130 to 150 range over 70 to 80 range. I am 3 months post AVR surgery and Pacemaker implantation.

HeartHawk
HeartHawk 2012-09-15 21:44:32 -0500 Report

Bill,

Thanks for adding your experience.

Looks like you have a pretty potent combo that includes a calcium channel blocker and ACE inhibitor (Lotrel) plus your beta blocker. Has your doctor set a systolic blood pressure goal for you. You want to stay away from that 150 number!

HH

Acting Bill
Acting Bill 2012-09-16 21:09:01 -0500 Report

My doctor would like it to be under 130. My pressure right after surgery was in the low 100's over 50 to 60, it has been slowly rising singe I got out of the hospital in June.

HeartHawk
HeartHawk 2012-09-17 21:15:24 -0500 Report

Bill,

Hmm, that's interesting. Your doc say why he thinks that happened? Would be useful to know what might have accounted for that effect so you cold duplicate it!

HH

Heart-Healthy-Bob
Heart-Healthy-Bob 2012-08-20 21:27:02 -0500 Report

I was prescribed Lisinopril 10 mg following my heart attack w/cardiac arrest, and Eplerinone 25 mg was added about 18 months later. I also changed my lifestyle — less meat, more plants, reduced sodium, more exercise, more sleep, less stress. This regimen kept my blood pressure down to about 110 to 125/70 to 85. (Because the heart attack also left me with heart failure, the cardiologist's target was 115/75.)

When I missed my meds (which happened very seldom, but it did happen) my blood pressure went up to 135 to 145/85 to 95.

Later I started taking Omega 3 fatty acids 1000 mg, CoQ10 200mg, and Vitamin D3 1000 mg. They didn't seem to have a specific effect on my blood pressure.

Last year I started eating mostly vegan, and my blood pressure dropped within a month to 85 to 105/55 to 70.

While I've been eating mostly vegan, I missed my meds once and my blood pressure went up to 118/78.

I find that the amount of sleep I get affects my blood pressure, too. Less sleep, higher blood pressure.

Hope this is helpful.

HeartHawk
HeartHawk 2012-08-20 22:18:27 -0500 Report

HHB,

Great input and great results! The Omega-3 and D3 are good ideas too but for different reasons. Note that 1000IU (I think you meant IU not mg) is a pretty sparse D3 dose for many. Regardless of dose, most proponents suggest taking enough D3 to achieve a blood level of 40-60ng/mL (I need 6000IU in the summer and 8000IU in the winter). You are also right about sleep. Study after study shows poor sleep leads to high BP.

HH

msmap25
msmap25 2012-10-17 12:04:21 -0500 Report

Well maybe this is a contributor to my rising pressure I am having trouble staying asleep throughout the night and I have these terrible headaches as well, would a vitamin help me?

HeartHawk
HeartHawk 2012-10-19 23:11:22 -0500 Report

msmap,

Hmm, looks like my last post didn't "take." Melatonin is a common and effective supplement for supporting healthy sleep.

HH

Heart-Healthy-Bob
Heart-Healthy-Bob 2012-08-21 06:30:00 -0500 Report

Indeed, I did mean 1000IU of D3. Thanks for your tip on quantity. I'll look into whether it makes sense to increase the amount of D3.

HeartHawk
HeartHawk 2012-08-22 22:33:20 -0500 Report

HHB,

Note that the only way to know if you are getting enough D3 is by getting the 25-OH Vitamin D3 blood test. If you opt for test make certain you get the one I mentioned as there is another Vitamin D test for kidney function that measures Vitamin D2, not D3.

HH

Ted Hutchinson
Ted Hutchinson 2012-12-03 09:38:28 -0600 Report

You can now get postal 25(OH)D tests.
The Vitamin D Council do a 4 pack at a reasonable price or in the UK NHS path lab CityAssays will send them out at a similar cost.
If you are new to Vitamin D supplementing at effective intakes it may take several tests at 3~5 month intervals to find the optimal intake for your body.
Once you're able to accurately predict the result you can test just once yearly to make sure nothing has changed.
Sometimes, after say 3 years or so, the Vitamin D tank has been fully topped up and you find you can keep around the 50ng/ml ~125nmol/l with a lower daily intake.

HeartHawk
HeartHawk 2012-12-05 23:55:29 -0600 Report

Ted,

Yeah, you can get them for around $60-70. Definitely worth it if you cannot get the standard blood draw test from your doc!

HH

HeartHawk
HeartHawk 2012-12-30 23:42:54 -0600 Report

badgar,

Good advice, especially if you are salt sensitive. If you are not then you have some leeway to not focus on salt.

HH

Nana Rachall
Nana Rachall 2012-08-09 09:57:15 -0500 Report

When I had my heart event I was put on Diltiazem ER 240mg. It seems to be keeping me at below 130/85 somewhere in that range. I was also put on anastrozol. Pharmacy called that the anastrozol reacted with my cyclosporine. So I have stopped the anastrozol but now I have the swollen ankles again. I see doc this month to decide what to do.
Gee I never had HBP but it's about as much fun to regulate as the RA meds!

HeartHawk
HeartHawk 2012-08-09 23:15:54 -0500 Report

Nana,

Intersting drug combination. Anastrozole is a powerful cancer drug and I assume the cyclosporine (a common immunosupressant used in transplants) is being used for its capacity to treat CHF but it can also raise blood pressure.

The Diltiazem is a common Calcium Channel Blocker used to treat high blood pressure. It should help with the swelling but may have to be augmented with a diuretic like furosemide or hydrochlorothiazide or perhaps another class of high blood pressure medicine.

Hang in there! Your doc should be able to help you sort things out.

HH

Nana Rachall
Nana Rachall 2012-08-10 20:47:48 -0500 Report

Wrong first med that's what I get for get for guessing and looking it up. They when you said something about cancer I went ohhh I got that wrong!!!

HeartHawk
HeartHawk 2012-08-10 22:21:05 -0500 Report

Nana,

Heh, didn't mean to scare you. I was just commenting on why your drug combination was so interesting.

Alhtough Anastrozole is more commonly known as an anti-cancer drug usied in breast cancer it is also prescribed sometimes as a diuretic. It works by blocking estrogen which is an effective way of "starving" some forms of breast cancer. But blocking estrogen also works to eliminate water. Most women are all to familiar with that bloated feeling from water retention when their estrogen cycles high.

HH

Nana Rachall
Nana Rachall 2012-08-10 23:15:41 -0500 Report

I will continue to check for right info. Think about it. We can easily grin and nod. Not a good way to become informed.

HeartHawk
HeartHawk 2012-08-12 21:45:56 -0500 Report

Nana,

You got it right! I am kind of curious about the Anastrozole and when it becomes the drug of choice as a diuretic. I'll ask my cardiologist friend.

HH

Nana Rachall
Nana Rachall 2012-08-09 23:32:13 -0500 Report

I will check the first med to make sure I got it right. I thought that one was diuretic. Because now that I am back off it I am having a terrible time with swelling. I will let you know.