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    Old 12-23-2007, 01:32 PM   #1
    Gram4
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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, 01:46 PM   #2
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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

     
    Old 12-23-2007, 03:07 PM   #3
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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.

     
    Old 12-23-2007, 05:47 PM   #4
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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 05:51 PM.

     
    Old 12-23-2007, 06:17 PM   #5
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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

     
    Old 12-23-2007, 06:56 PM   #6
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    Re: Question about Enalapril/HCTZ 10-25

    Hi,

    Quote:
    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.
    Beth is right on all counts! Beware of the Hctz. It has messed up my labs totally. My cholesterol levels are bad (perfect just three months ago) LDL up, triglycerides up, HDL down, potassium WAY down, glucose up, uric acid very high. This all happened over a three month period. It will be a miracle if I don't get gout from my high uric acid levels, or worse yet, RTA. No one mentioned stopping the Hctz. I don't even want to see my numbers three months from now. I was so afraid driving to the hospital for a preliminary report, I almost lost it. Well, I did (briefly) and had to pull over. It does not get any easier.
    I just found out about certain effects the Hctz has on our bodily functions that were not mentioned in anything I have read to date. I experience those and (to put it mildly) was shocked to learn they were side effects of Hctz, not getting old as I had thought. The less medication one takes, the better!

    flowergirl

     
    Old 12-23-2007, 08:37 PM   #7
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    Re: Question about Enalapril/HCTZ 10-25

    Beth beat me to it-make sure it wasn't a mistake. Also, make sure it has your husband's name on the label. One caller to Dr. Dean's radio show said he picked up his med & popped it in his mouth before he realised he had been given someone else's drug.

    I'm on 25mg of HCTZ & so far don't have any changes in my blood work. But I would want a good reason to take it if I had gout.

    In the meantime, tell your husband he should be drinking at least 8-10 glasses of some kind of fluid to help flush out the uric acid plus help the diuretic to work. Being on a diuretic means you have to make sure you eat some salt & enough potassium rich foods.

    I 2nd the vote for exercise, eating health, stressproofing your life as much as possible. Maybe he can reduce his b/p enough to avoid a 2nd med. Fam

     
    Old 02-03-2008, 06:45 AM   #8
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    Re: Question about Enalapril/HCTZ 10-25

    I'm sorry it took so long to reply, I was so sick. Thanks everyone for the input. It turns out when it was called in the Dr "thought he was on it" mistake he wasn't! He's been fine now w/just plain 10mg enalapril. Now my daughter went to the clinic (she has medicaid is disabled) & they put her on Enalapril/HCTZ 10/25 1 daily & Metropolo 100 mg at night, seems like overkill to me. She doesn't remember her reading thought lower # was high but they never tested her Cholesterol or uric acid. She had a splitting headache last night.

     
    Old 02-03-2008, 08:00 AM   #9
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    Re: Question about Enalapril/HCTZ 10-25

    Quote:
    Originally Posted by Gram4 View Post
    ...they put her on Enalapril/HCTZ 10/25 1 daily & Metropolo 100 mg at night, seems like overkill to me. She doesn't remember her reading thought lower # was high but they never tested her Cholesterol or uric acid. She had a splitting headache last night.
    I would highly recommend that she get copies of her records...she may have to go in to the clinic to sign a release and indicate what info she wants to have, but I think it's very important she do so...she's got to know what the numbers are!

    When did she last have lab work done? If she had it done recently, they may be referring back to those results...but I wouldn't count on it. I STRONGLY believe that one of MANY reasons I had problems on hct, was because my doctor did not order timely lab work...and at the time I didn't know it should have been done.

    Bethsheba

     
    Old 02-03-2008, 08:02 AM   #10
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    Re: Question about Enalapril/HCTZ 10-25

    Quote:
    Originally Posted by Gram4 View Post
    ...It turns out when it was called in the Dr "thought he was on it" mistake he wasn't! He's been fine now w/just plain 10mg enalapril.....
    This was a mistake that was caught! I wonder how many people are currently taking meds they were accidentally prescribed.

    Bethsheba

     
    Old 02-03-2008, 05:28 PM   #11
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    Re: Question about Enalapril/HCTZ 10-25

    FG,

    What were the other side effects of HCTZ that you just learned about & that you have? I hope I don't have them as it is the drug I have to take. Fam

     
    Old 02-03-2008, 10:00 PM   #12
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    Re: Question about Enalapril/HCTZ 10-25

    Hi Fam,

    I got really mad when reading about the adverse effects Hctz has on our bodies (as opposed to the beneficial ones, which are appreciated).
    Well, let's just say I was referring to bladder leaks when choking during AR attacks, coughing or laughing. Not much but enough to be annoying. I think I might have read about it in the clinical pharmacology book. There is information there about certain effects of the blood pressure (and other) drugs you won't find anywhere else (on pharmacy handouts, package inserts etc). I'll try to find it again. There were other conditions it can cause besides bladder problems which I can't remember right now. These things should be clearly stated on the drug information sheets, so that people can make an informed decision about whether or not they want to take the drug. Just my opinion. Finding out about it was quite a surprise. Makes me wonder how many other things we don't know about?

    I started reading about the circadian rhythms in one book and somehow ended up reading about beta blockers in another. It was very interesting. Go figure. I also did some reading about the sodium/potassium issue. I ordered books about the kidneys which I hope will somehow simplify these complex physiological hormonal functions and make them easier to understand. One of the books is about electrolytes. I'll just have to find the time to read them. (Never been a problem for me! )

    take care,
    flowergirl

     
    Old 02-04-2008, 06:05 AM   #13
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    Re: Question about Enalapril/HCTZ 10-25

    Quote:
    Originally Posted by flowergirl2day View Post
    ...Well, let's just say I was referring to bladder leaks when choking during AR attacks, coughing or laughing. Not much but enough to be annoying....
    FG,

    I tried to warn you, . That was why it was so easy for me to remember that the hct caused breathing problems...because I coughed and changed my clothes all day long!!! Also, I remember thinking at that time that my employment days were over. In my case, it was more serious than annoying...(I suspect it contributed to an electrolyte imbalance).

    Famnd,

    Before I was taking bp medication and before I was sleeping with my cpap, I would get up as many as 4 times a night to urinate. Since sleeping with my cpap, I haven't had to get up at night to pee EXCEPT when I was on hct. I strongly suspect that the periodic limb movements I had as a side effect of this drug prevented me from going into stage 3 and stage 4 sleep which is when you are in your deepest sleep and "paralyzed". My sleep specialist said that providing you have no urological problems (I didn't), if you get up to pee it is an indication of a sleep problem....which in this case, I believe, was caused by the hct.

    Bethsheba

    Last edited by bethsheba; 02-04-2008 at 06:06 AM.

     
    Old 02-05-2008, 12:31 PM   #14
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    Re: Question about Enalapril/HCTZ 10-25

    Have you heard of enalapril hctz causing nausia, my daughter feels so sick to her stomach now. Of course she's on also another BP pill too along w/thyroid med & incontinence med. Seems like overkill to me!

     
    Old 02-05-2008, 01:33 PM   #15
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    Re: Question about Enalapril/HCTZ 10-25

    Gram,

    Nausea can be a side effect of hct, and other bp meds for that matter. It sounds to me like she's on too many meds, too, but as I have said in another post, you really need to get some more info given her multiple health concerns.

    Bethsheba

     
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