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Old 01-15-2013, 04:03 AM   #1
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High Blood pressure

Hello, I all of a sudden started with high blood pressure about 8 months ago. The Dr. put me on "Hydrochlorothiazide--a water pill" to start.
This kind of worked, but the last month it has been higher than normal so the doctor added another pill last night "2.5 of Lisinopril". I have gained about 35 lbs. in the past 3 years so I am sure that is part of the elevated blood pressure. I am on a 1200 calorie diet a day but until I can lose some of this weight the dr. said I need to be on both medications to see if the weight gain is part of the problem. I am so scared to take this drug... I read horror stories on it, but the Dr. said this is the lowest dose they have. Has anyone taken this combination and been ok. May I please have some feedback on anyones experiences, I appreciate that.

 
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Old 01-15-2013, 04:20 AM   #2
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Re: High Blood pressure

Lisinopril is a good drug with a pretty decent side effect profile. The dry cough is one issue that plagues this drug, but most do not get the cough.

 
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Old 01-15-2013, 05:47 AM   #3
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Re: High Blood pressure

I've been tried on a few bp meds and haven't had many problems apart from the HCTZ but it's just a case of trying the meds and if you have problems or it doesn't work well enough, you switch to another. With the HCTZ I was fine for about 9 months and then developed the dry cough, over the next couple of months, I started waking up each morning and all the way down my throat was dry as a bone, and then I had problems staying hydrated, the more water I drank, the more I just pee-d it out again and was still getting dehydrated so I came off it. It's just a case of trial and error with these meds, but just because someone else had side effects, doesn't mean you are going to get them, they affect people differently.

Last edited by captjane; 01-15-2013 at 05:55 AM.

 
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Old 01-15-2013, 07:36 AM   #4
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Re: High Blood pressure

Do you know if the 2.5 dosage is a small level to take?

 
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Old 01-15-2013, 08:10 AM   #5
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Re: High Blood pressure

2.5mg is a tiny dose and you may need to have it increased if it isn't enough but your doc is probably happy to play it safe since you're on the hctz anyway but he's started you on a very low dose.

 
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Old 03-19-2013, 08:05 AM   #6
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Re: High Blood pressure

Quote:
Originally Posted by captjane View Post
I've been tried on a few bp meds and haven't had many problems apart from the HCTZ but it's just a case of trying the meds and if you have problems or it doesn't work well enough, you switch to another. With the HCTZ I was fine for about 9 months and then developed the dry cough, over the next couple of months, I started waking up each morning and all the way down my throat was dry as a bone, and then I had problems staying hydrated, the more water I drank, the more I just pee-d it out again and was still getting dehydrated so I came off it. It's just a case of trial and error with these meds, but just because someone else had side effects, doesn't mean you are going to get them, they affect people differently.
Hi!
I started hctz 2 weeks ago and it is lowering my blood pressure but was wondering if you had any problems with potassium loss? How would I know if I was losing potassium or becoming dehydrated? so far it is o.k. I know I am worrying too much over this but thanks for any advice.

 
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Old 03-19-2013, 03:30 PM   #7
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Re: High Blood pressure

You are not worrying, you do have to make sure this medicine is not depleting your potassium. My potassium was always fine, and my Dr. had it checked about 6 weeks after I was on this drug, and it was low so I had to start taking a potassium tablet prescribed by a doctor. She told me if you eat a banana a day, that will supply your recommended dose. I took the potassium for about a month, went back and got my blood work done again, and it was normal. I don't take these pills anymore, but I am trying to eat a banana every day, or orange juice. That is the only thing, it is dangerous to have low levels of potassium, and high levels so you almost have to get blood work done to see where you fall. I would keep an eye on it if you are on this medication.

 
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Old 03-19-2013, 06:08 PM   #8
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Re: High Blood pressure

Quote:
Originally Posted by leelee58 View Post
Hi!
How would I know if I was losing potassium or becoming dehydrated?
I knew I was dehydrated because no matter how much water I was drinking I kept getting thirsty. I always drink plenty of water every day, but it got to the stage I was drinking excessive amounts of water because of the constant thirst but I was still getting thirsty throughout the day. But the dry throat and cough was probably from dehydration as well, I felt like I was just peeing all the water straight back out again. It wasn't just my potassium that was affected but my sodium went very low as well, but all of this will show up on a blood test for electrolytes.

 
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Old 03-19-2013, 06:36 PM   #9
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Re: High Blood pressure

Thanks so much for your advice. I am eating a banana a day and drinking juice or gatorade. I hope that is enough. My mouth still seems dry though. I am suppose to stay on it for 1 month and then check my numbers. Tonight my stomach is hurting and seems a little bloated. That would seem weird to me since i am on a diuretic but I don't know.

 
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Old 03-19-2013, 10:53 PM   #10
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Re: High Blood pressure

Quote:
Originally Posted by Ashley9045 View Post
Hello, I all of a sudden started with high blood pressure about 8 months ago. The Dr. put me on "Hydrochlorothiazide--a water pill" to start.
This kind of worked, but the last month it has been higher than normal so the doctor added another pill last night "2.5 of Lisinopril". I have gained about 35 lbs. in the past 3 years so I am sure that is part of the elevated blood pressure. I am on a 1200 calorie diet a day but until I can lose some of this weight the dr. said I need to be on both medications to see if the weight gain is part of the problem. I am so scared to take this drug... I read horror stories on it, but the Dr. said this is the lowest dose they have. Has anyone taken this combination and been ok. May I please have some feedback on anyones experiences, I appreciate that.
Hi Ashley,

I only want to make a reference on "lisinopril". I have been taking lisinopril for about 8 years now 40mg. I have HB because of kidney problems which I was diagnosed at Mayo Clinic. According to 3 top specialist which prescribed me lisinopril told me that "lisinopril" is the safest BP madication out there. Good luck!

 
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Old 03-20-2013, 07:58 AM   #11
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Re: High Blood pressure

How long were you on the diuretic? I am just wondering how long it takes to become dehydrated.

 
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Old 03-20-2013, 10:43 AM   #12
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Re: High Blood pressure

No one told me my electrolytes would be affected. Had I known, I would never have taken a diuretic.
I had issues with keeping my elctrolytes in balance when taking a diuretic. My Doctor gave me an "open" clinic appointment so I could have them checked when I felt I needed to. This worked out to be once or twice a month. Whenever I did feel the need to check them, they were always on the border of low/normal, so I feel that, when I was feeling bad, this was the times I dipped below normal levels and made an effort to get them back up again (eating more bananas is what I did) so that when I did get my clinic appt, they were already increasing. This was in winter. When we got to summer and I was sweating a lot, it was almost impossible for me to keep everything in balance so we switched me to the CCB's which is what I am now on.
The following is my take on this, from what I have read here and there and might be correct, or not. I have discussed this with a pharmacist, who did agree with the logic.
I found just drinking water was no good and I read that we excrete sodium and potassium to keep these two electrolytes in balance with one another. So the more water you drink the more sodium you will pee away. Potassium and sodium have to stay in balance so as one depletes so too does the other. If Potassium is already low, then the sodium will reduce as well. But, if you have high sodium (because of diet) your potassium cannot keep up with the balance (unless you eat a ton of bananas!) and thats when the high BP kicks back in. I found this out through trial and error.

Bex

 
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Old 03-20-2013, 07:18 PM   #13
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Re: High Blood pressure

no one told me either about the electrolyte issue. I guess too that I started to question the logic of using a diuretic since I drink water every day to stay hydrated, and also because it's healthy so taking a pill that's going to make me get rid of it again seemed a bit silly towards the end. what a relief it was to come off it so I could stop peeing so often, that part was just annoying for me.

Last edited by captjane; 03-20-2013 at 07:21 PM.

 
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Old 03-21-2013, 11:15 AM   #14
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Re: High Blood pressure

]I am taking a small dose of hctz, half of a .25 tablet. I am wondering if 1 banana a day and 1 cup of orange juice or other potassium rich foods like 1 c. milk is enough to prevent potassium loss. I'm not sure how much extra I need without taking supplements. I've been taking it for 2 weeks now.I guess there is no way to test your own potassium levels. like you can do with blood sugar. I managed to get my blood sugar down by testing it myself regularly and a low sugar diet and walking. Things get a little too complicated!

 
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Old 03-21-2013, 06:03 PM   #15
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Re: High Blood pressure

Thanks for all the information. After a day of eating bananas and drinking juice I had either a panic attack or about 15 minutes of a racing heart. i don't know if HCTZ can cause that. I think I wil call my doctor and stop taking this medicine. Maybe I can try Losartan. What medicine do ya'll take? With no meds, my blood pressure is about 140 or 150 over 90.

 
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