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Old 12-23-2007, 05:32 PM   #1
Gram4
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Join Date: Jul 2005
Location: Fla, USA
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Question about Enalapril/HCTZ 10-25

My husband was on just enalapril maleate 20mg & his BP was fine. Had to get refilled & the Dr gave him The one with HCTZ. From what I see it's a water pill. Just wondering why he would need that if BP was fine. Anyone heard of this or been on it?
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Old 12-23-2007, 05:46 PM   #2
bethsheba
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Re: Question about Enalapril/HCTZ 10-25

Quote:
Originally Posted by Gram4 View Post
My husband was on just enalapril maleate 20mg & his BP was fine. Had to get refilled & the Dr gave him The one with HCTZ. From what I see it's a water pill. Just wondering why he would need that if BP was fine. Anyone heard of this or been on it?
Yup,

Many of us are on it or have been on it...what's your definition of "fine" bp? Does your husband have any other health conditions/concerns? It's difficult to try to answer your question without more information.

Bethsheba
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Old 12-23-2007, 07:07 PM   #3
Gram4
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Re: Question about Enalapril/HCTZ 10-25

Last one he took was 142/82 but when he went to Dr he didn't see a prob, it's just when he was running out of script we called to have it refilled & he gave that one. He has high cholesterol but can't handle the meds, did it w/red yeast rice & diet Dr took blood work sd it was ok. He also takes allopurinol for gout. I think it's the 1st time he took a diuretic. He called to ask left a message but he never got back to him, now he's gone till after Jan.
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Old 12-23-2007, 09:47 PM   #4
bethsheba
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Re: Question about Enalapril/HCTZ 10-25

Gram,

From what you've said thus far, there are some red flags waving warnings at our end. Hydrochlorothiazide can elevate cholesterol levels and uric acid (gout) levels. With your husband's history, I would question taking a diuretic, ESPECIALLY hydrochlorothiazide!!! I don't have a family history of cholesterol but do have a family history of gout...but when I was taking hydrochlorothiazide, I experienced almost a 100 point increase in cholesterol levels within the year, and experienced joint pain similar if not identical to the joint pain gout sufferers experience.

Did you fill the new script yet? If so, did you get a package insert with information about the drug? I should clearly state a warning about gout and cholesterol...if you haven't gotten an insert, ask for one from your pharmacist and show it to your doctor and point to the warnings. My doctor didn't warn me, either, nor did he ask about my family history...I will never get a prescription filled again UNLESS I review the package insert first. Doctors overlook too much in that 15-30 minute exam.

If your husband has already taken the medication, you might want to call the pharmacist to see what he/she recommends based on your husband's history of cholesterol and gout.

His bp numbers are a little high but not bad. Has your doctor talked about lifestyle changes to bring it down further? If not, lifestyle changes should be tried before adding another med given his numbers.

Take care.

Bethsheba

PS Famnd and other posters were kind enough to point out that the package insert which comes from the drug manufacturer and the med information sheet, which comes from the pharmacist, are not the same thing. The package insert that comes from the drug manufacturer contains more info than the one the pharmacist provides. Ask for the manufacturer's drug info.

Last edited by bethsheba; 12-23-2007 at 09:51 PM.
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Old 12-23-2007, 10:17 PM   #5
bethsheba
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Re: Question about Enalapril/HCTZ 10-25

One last thought, you might want to wait to hear from the doctor about that change in prescription. I went to pick up my meds once and found something different than what I was supposed to be taking...I called the doctors office and found out it was a mistake. They ordered my meds electronically, and pushed the wrong button!!! Another time they pushed the wrong button and placed the order for my meds with a pharmacist 20 miles in the opposite direction!

Well, that's all I have...so sorry I ramble.

Bethsheba
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