It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



High & Low Blood Pressure Message Board

  • Moms blood pressure above 200

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 04-09-2005, 09:00 AM   #1
    mydogsobe
    Inactive
    (male)
     
    Join Date: Mar 2005
    Posts: 63
    mydogsobe HB User
    Moms blood pressure above 200

    Heloo, we have been battling with my Moms blood pressure for a long time now. Last year she had a mild stroke with no lingering affects, thank God but I fear a worse one coming. Once or twice a week we'll take her blood pressure and it will be up over 200. We have takin her to the emergency room before when it got this high and her Doctor has been try different blood pressure pills to try and get it under control but nothing is working.
    Should'nt the Doctors be taking this more seriously that my 74 year old Mothers blood pressure routinly goes above 200? Any Questions or commints would be appreciated, Thank You

     
    Sponsors Lightbulb
       
    Old 04-09-2005, 02:02 PM   #2
    Lenin
    Senior Veteran
    (male)
     
    Lenin's Avatar
     
    Join Date: Nov 2004
    Posts: 8,456
    Lenin HB UserLenin HB UserLenin HB UserLenin HB UserLenin HB UserLenin HB User
    Re: Moms blood pressure above 200

    mydogsobe,

    Yes, her doctors should be getting it down and there's no excuse for letting her numbers go that high, CERTAINLY not after she's already had one stroke. With proper attention they CAN get it down. And of course, 200 is just ASKING for another stroke (not meaning to sound like a typical doctor here.)

    If you took her BP twice a day for a week what would say would be her average systolic pressure for the 14 readings? How many of those 14 readings would you expect over 180?

    What BP meds is she taking right now?

     
    Old 04-09-2005, 02:18 PM   #3
    zuzu8
    Senior Veteran
    (female)
     
    Join Date: Jan 2003
    Location: California, U.S.A.
    Posts: 3,086
    zuzu8 HB Userzuzu8 HB Userzuzu8 HB Userzuzu8 HB Userzuzu8 HB Userzuzu8 HB User
    Re: Moms blood pressure above 200

    I agree with Lenin...
    Absolutely, the doctor(s) should be taking your mother's resistant/uncontrolled BP very seriously, particularly in light of the fact that she has now suffered a stroke.

    Usually, when a patient has refractory hypertension, it's absolutely essential for the docs to investigate thoroughly why this is happening.

    First of all, and most obvious is to investigate if her drug regimen is appropriate.
    By definition, resistant hypertension is when BP cannot be controlled following a regimen of no less than three BP meds from different classes, including an oral diuretic in near maximum doses.

    Her doc should be looking for inappropriately low dosages or for inappropriate combinations.... (eg, two agents in the same class, or multiple drugs but no oral diuretic).

    Also important is making sure your mother is compliant. Is she fastidious about taking her meds? And taking them as directed?

    Is her general practitioner dealing with her meds or is she seeing a hypertension specialist? (oftentimes this would be a cardiologist).

    Other things to take into consideration are possible drug interactions.
    Nonsteroidal anti-inflammatory drugs (NSAIDs) like Advil etc can cause sodium retention, and antagonize the effects of all antihypertensive agents, (except maybe not with calcium channel blockers). Also in and of themselves, they tend to increase BP... (average, 4 to 5 mm Hg).
    Over-the-counter nasal sprays, oral decongestants, and appetite suppressants often contain "vasoactive" compounds (like pseudophedrine) which can cause BP to rise and definitely interfere with her drugs if taken often.

    Some antidepressants can interact with some BP meds particularly beta blockers. Regular use of corticosteroids can cause salt and water retention, which can raise BP.

    ALSO, has her doctor run thorough tests to rule out secondary hypertension???

    If there is a secondary cause, all the BP meds in the world won't work.

    Things to rule out: Cushing's syndrome, pheochromocytoma (tumor of the adrenal gland(s), primary aldosteronism, kidney disease, thyroid disease.

    Please don't think I'm nosy but does she drink alcohol? Smoke? Both these factors are important, particularly the former if excessive.

    Is she obese or overweight?
    Is she diabetic?
    Again, both contribute to hard-to-manage Bp.

    Hypertension that is really- truly-completely refractory to treatment is really very rare....So it seems like either her present doctor or, [if you are concerned about this one's nonchalance], a NEW one, should be delving much deeper.

    zuzu xx

    Last edited by zuzu8; 04-09-2005 at 02:19 PM.

     
    Old 04-09-2005, 05:53 PM   #4
    mydogsobe
    Inactive
    (male)
     
    Join Date: Mar 2005
    Posts: 63
    mydogsobe HB User
    Re: Moms blood pressure above 200

    First of all let me start off by saying, Thank You Lenin, Thank you zuzu8 and anyone else from the bottum of my Heart for taking the time to Help my Family and I.
    I would have to say Lenin, her average would probally be around 180. Her blood pressure ranges from 155 to 205. She doesnt drink no alcohol zuzu8, she isn't overweight, my father gives her meds to her religously, she isn't a diabetic. Here is a list of her meds.
    Baby Bayer (81mg) (1 morn.)
    Prevacid (30mg) (1 morn.)(1 eve)
    Paroxetine (30mg) (1 morn.)
    Lipitor (10mg) (1 eve)
    Synthroid (0.125mg) (1 morn.)
    Plavix (75mg) (1 morn.0
    Clonidine(0.1mg) (1morn)(1eve)
    Metoprolol (100mg) (1morn)(1eve)
    Detrol LA (4mg) (1eve)
    Lotrel (10-20mg tab zeni) (1 morn
    Primidone (50mg) (1 morn)(1 eve)
    Lorazepam (0.5mg) (1 morn)(1 eve)
    Hydrocodone(7.5-750mg)(1 morn)(1 eve)

    and another thing, she is always sleeping. I live at home with my parents and my Mom it seems is always sleeping. I cant believe a person can be so tired and sleep that much. Since she was released from the Hospital 6 months ago nothing has been accomplished as far as lowering her blood pressure. They gave her a so called specialist to help but he has done nothing.
    Looking forward to your next responces, Thank You again!

     
    Old 04-09-2005, 07:13 PM   #5
    mrmojo
    Senior Member
     
    mrmojo's Avatar
     
    Join Date: Nov 2004
    Posts: 142
    mrmojo HB User
    Re: Moms blood pressure above 200

    Thats a pretty high dosage of prevacid, I'm a 245 lb male in good shape & i only take 30mg once a day

    i'd guess its the clonidine making her sleep all the time, although half that list i dont have any experience with

    thats a lot of meds to be taking

     
    Old 04-10-2005, 04:46 AM   #6
    Lenin
    Senior Veteran
    (male)
     
    Lenin's Avatar
     
    Join Date: Nov 2004
    Posts: 8,456
    Lenin HB UserLenin HB UserLenin HB UserLenin HB UserLenin HB UserLenin HB User
    Re: Moms blood pressure above 200

    Of course, taking lorazepam and hydrocodone will keep your mother asleep, she's being heavily sedated. And the primidone (anti-epileptic med) will ALSO put her to sleep. I'm amazed she's EVER awake.
    The detrol is for bladder function (and might be used to overcome the bladder relazing efffects of the narcotic) or the fact that she's never out of bed.
    OY, and paroxetine is PAXIL...a potent anti-depressant...with Lorazepam and hydrocone that's just NUTS!
    And, as zuzu alluded to, I don't think there's a diuretic in sight. Does one of her incompetent quacks think that it will make her PEE while she's sedated into a coma.

    CHANGE DOCTORS BEFORE THEY KILL HER! At the very least she is being vastly overmedicated. At worst, it's with the wrong drugs.
    I DO pray that her stroke was an occlusive one because if it was hemorrhagic, the Plavix WILL cause another major bleed!

    There should be a medical specialty called Drug Weening because your mom is in desperate need of one.

    Last edited by Lenin; 04-10-2005 at 05:05 AM.

     
    Old 04-10-2005, 08:32 AM   #7
    mydogsobe
    Inactive
    (male)
     
    Join Date: Mar 2005
    Posts: 63
    mydogsobe HB User
    Re: Moms blood pressure above 200

    Thats it Lenin, I'm ******. Thank you. I'm making an appointment with both my Moms Doctors next week and I'm taking your response with me and throwing it in their face.
    I WILL GET ACTION from as you say "Those incompetant Quacks"
    I will keep you posted and THANK YOU ALL again, you have helped save my Moms life.

    God Bless, Kingsley

     
    Old 04-10-2005, 01:21 PM   #8
    zuzu8
    Senior Veteran
    (female)
     
    Join Date: Jan 2003
    Location: California, U.S.A.
    Posts: 3,086
    zuzu8 HB Userzuzu8 HB Userzuzu8 HB Userzuzu8 HB Userzuzu8 HB Userzuzu8 HB User
    Re: Moms blood pressure above 200

    Mydogsobe,
    I just did some further research on all your Mother's drugs. Some of the following will overlap some of LENIN'S wise info but when you see the doctors you should specifically question the following:


    CLONIDINE/BETA-BLOCKERS
    1)Clonidine 0.1 mg and Metoprolol Tartrate100 mg may have serious and harmful interactions. Although both DO lower BP, in some people they create a paradoxical reaction that actually raises BP when taken together.

    But under no circumtances should you discontinue one or the other without medical supervision. Clonidine should never be stopped until after withdrawal from Metoprolol and the latter should always be weaned off slowly.


    PLAVIX/LIPITOR
    2)Plavix 75 mg and Lipitor 10 mg have the potential for a negative interaction. The Lipitor may slow down how quickly your mother's liver processes the Plavix and therefore the latter may not work as well or not at all.


    BETA-BLOCKERS/BARBITURATES
    3)Metoprolol 100 mg and Primidone 50 mg may interact.
    The PRIMIDONE may increase how quickly your mom's body processes the METOPROLOL resulting in the possibility that the effects of METOPROLOL can be decreased. THEREFORE her pulse rate AND blood pressure could increase on this combo!



    LORAZEPAM/PRIMIDONE
    4) This may represent what they call a duplication in therapy because both these drugs are associated with the drug class Anticonvulsants.

    ( No wonder she's tired and sleeps all the time. Just these two ALONE without any of the other drugs could knock her out cold. Fatigue and sedation are common side effects of both. Primidone is a long-acting barbiturate.)

    Clonidine, Metoprolol, Primidone, Lorazepam and Hydrocone (Vicodin) ALL cause sedation and/or fatigue especially in the elderly.

    GET TOUGH WITH THOSE DOCS. And come back here if you need re-inforcements!

    zuzu xx

    P.S. Oh yeah, I would also ask why a diuretic is NOT part of her hypertension regimen. There may be a very good reason, but you and you Mom should know what it is!

    Last edited by zuzu8; 04-10-2005 at 01:27 PM.

     
    Old 04-10-2005, 03:07 PM   #9
    CASSIEBEL
    Senior Veteran
    (female)
     
    CASSIEBEL's Avatar
     
    Join Date: May 2004
    Location: HOUSTON TX
    Posts: 637
    CASSIEBEL HB User
    Re: Moms blood pressure above 200

    Quote:
    paroxetine is PAXIL
    Paxil will elevate BP in some folks, I am one of them. I too Lexapro, then Paxil for a month and my BP was higher than it has ever been.
    Did a medical doctor put her on Paxil or a psychiatrist? I get better anxiety control with an occasional Ativan (lorazepam).
    I agree with the others get another doctor ASAP!
    Cass

    Last edited by CASSIEBEL; 04-10-2005 at 03:09 PM.

     
    Old 04-11-2005, 11:26 AM   #10
    mydogsobe
    Inactive
    (male)
     
    Join Date: Mar 2005
    Posts: 63
    mydogsobe HB User
    Re: Moms blood pressure above 200

    I'm am copying this post and taking it my Moms Doctor. I will keep you posted and THANK YOU from the bottum of my HEART!!!!!!!

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    Extreme High Blood Pressure 200+ daily chinsch5hers High & Low Blood Pressure 6 07-14-2010 03:42 PM
    high blood pressure = cardiovascular disease stophypertensio High & Low Blood Pressure 10 07-27-2009 11:05 PM
    blood Pressure 210/109 Hazardf86 High & Low Blood Pressure 3 09-04-2007 12:51 PM
    Lower Blood Pressue in one week! pk16 High & Low Blood Pressure 63 05-04-2007 04:38 AM
    High blood pressure natural cures, enjoy all ttwarrior1 High & Low Blood Pressure 21 12-06-2006 06:38 AM
    what should my blood pressure be during exercise quirkyclown High & Low Blood Pressure 3 12-20-2004 11:05 AM
    Inconsistent blood pressure readings jammann High & Low Blood Pressure 8 12-15-2004 05:11 AM
    High Blood Pressure in First Trimester adam03 Pregnancy 1 12-18-2003 02:23 PM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 03:06 PM.





    © 2021 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!