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    Old 09-09-2009, 07:41 PM   #1
    ermonkt's Avatar
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    ermonkt HB User
    Question Hard to control hypertension

    I have hypertension my doctor placed me on serveral bp meds. Labatolol 200mg (2 tablets) 1 a day, clonidine 0.2mg 3 times a day, enalipril 15mg 2 a day, furosimide 40mg 1 a day, Avapro 150mg 1 a day in the evening, Potassium 1 a day. Since I been taking Avapro I have pains sometimes and iching in my head and arms constantly, I also get a sore throat and I think it is interacting with Labatolol because I keep getting a head pressure headache, I also since being on Avapro am very tired in the day with somewhat limited energy and because of furosimide react on me at night I have insomia. My question is that if I hypersensative to medication is there anything out there I can take for hypertension with little to no side effects and what do I do about lasix that keeps me up during the night? Someone can you please help me. I scared..........

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    Old 09-09-2009, 09:09 PM   #2
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    Re: Hard to control hypertension


    Hello and welcome to the HealthBoards. I have been battling malignant hypertension for years, and your regimen of hypertension medications are very familiar to me.

    How long have you been on the full combination of these meds? It can take a good while to adjust to such a combo, but obviously your doctor feels the benefits outweigh the side effects.

    If your hypertension is difficult to control, stay with it. I ended up having 4 strokes, and kidney failure due to hard to control hypertension, at 43 years old. Eventually, you will be able to drop the meds off, as you gain control. the side effects will taper off in time. The alternative is not good, so keep on it. These days, I am down to one BP med, after starting at 13. Hang in there, my friend!

    Old 09-10-2009, 08:56 PM   #3
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    Re: Hard to control hypertension

    Are you sure (& your Dr. too) that you can't manage your HBP with just Hctz? Lasix is pretty heavy duty plus you have to take potassium with it as you well know.

    I have a difficult to control b/p but most of the time I can manage with just labetalol & HCTZ. I take with the Dr's okay, extra labetalol went needed. I was on clonidine but it was interacting with labetalol & actually raised my b/p. Plus there are so many negative side effects to Clonidine. Good luck. Fam

    Old 09-14-2009, 10:00 PM   #4
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    Question Since then (follow-up with my doctor)

    Since then I went back to my doctor. She took me off Avapro and she reduced my lasix by half. She also took me off Enalipril and placed me on Diovan 320mg once a day, she left me on Lebatolol 200mg twice a day and Lasix 20mg, Potasium 20mcg and Clonidine 0.2mg 3 times a day.

    Between the medicines I on now. Yesterday I had bad Anxiety attack I could not sleep all night I having pain in my legs not servere, but noticable I'm feeling very sad driving my wife bonkers. Can somebody give me some answer. The only good thing is that when I was in the doctor office my blood preasure was better 148/92 and I lost more weight down to 279 pounds which put me to 40 pounds lost. I just don't know what to do about this medicine anyone have any suggestion.

    Old 09-15-2009, 01:37 AM   #5
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    Re: Since then (follow-up with my doctor)

    I know you are struggling mightily with this med combo, and I can't tell you how familiar it is to many of us on this board. As writeleft said in her post.

    Even in people whose blood pressure isn't difficult to bring down, there is often a lot of experimentation with drugs just because of side effects.

    It took me a year to find a med that didn't trash me with adverse reactions.

    That was DIOVAN, which your doctor had now given you. It's in the same class as Avapro (known as ARBS: angiotensin 2 receptor blockers) but (and this is a big "but") it has fewer side effects than Avapro. In fact it probably has less side effects than ANY anti-hypertensive medication available today.

    Cutting the lasix in half sounds like a good idea. As famnd said, it's pretty heavy duty stuff and can really screw with your electrolytes (especially potassium). So hopefully less is more in your case, where you won't feel so exhausted (the #1 side effect of diuretics).

    You say you are feeling very sad. Do you mean sadder, (more depressed) than before you went on medication? Or just sad because you feel so frustrated? Depression is sometimes a side effect of these drugs but it would be hard to figure out which one is the major culprit, (if in fact your depression IS caused by the drugs) since you're on so many.

    I hope it helps for you to know that there will be a solution. Just continue to work with your doctor and don't be shy about letting him know how you're feeling.

    The doc took you off your ACE inhibitor, Enalapril, so that's one less drug to worry about for now. Good.

    Now there's more good news....Congratulations on losing 40 pounds!. In terms of lifestyle changes that we have control over, nothing is better for blood pressure reduction than losing weight if overweight. Not sure what your height and body type are, but I presume you have a goal to get your weight down substantially. This will do WONDERS for your BP. A lot of people find they can drop some, if not all, of their meds when they lose weight.

    40 lbs- fantastic!!

    Don't be scared. Chopping and changing meds, adjusting dosages, trying different combos until you find what works for you seems to be the norm for most people, please try not to let it get you down.

    Sometimes it just takes time, but you'll get there!

    zuzu xxx

    Last edited by zuzu8; 09-15-2009 at 01:40 AM.

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