Discussions that mention potassium

High & Low Blood Pressure board

Your post is familiar. I believe I've already responded to you regarding labetalol so I will give you a shorter response this time.

I'm on 900mg twice a day dosing of labetalol & 25mg of HCTZ. Fatigue is my main side of effect of labetalol. HCTZ gives me no short term side effects but I know there are potential long term side effects. I, too, have tried many drugs with serious side effects.

After much experimenting, I've finally found the best routine for me is to go with the flow. Since labetalol causes fatigue, I take my dose & then go to bed for a nap in the Am & then take it at night for my usual bedtime. I avoided this for a long time because I have acid reflux. I've found if I sleep on my left side for 1/2 the night & take my meds with pumpkin custard & a slice of cheese (not fat free), I can avoid acid reflux. At first I did have some increased dreaming but no nightmares. Now I just go to sleep. I do have 2 glasses of hot chocolate earlier plus a light salad earlier so there is probably some other food in my stomach (I have delayed stomach emptying.)

Taking HCTZ involves a whole lot of planning: increased water intake, a Gout diet, increased potassium containing foods, some salt (don't go salt free.), but I find if I adhere to my plan I don't have any problems.

The best news is that I have finally found a way to stop getting up at night to urinate. If I take my Hctz around 11-12 Noon instead of the usual morning dosing, I can sleep 6 hrs without getting up. It's been about 5 yrs since I have taken b/p meds & have had my sleep disturbed. I am estatic. I hated to get up at night!!! It's kind of funny because my two youngest grandkids just started to sleep all night too:).

With both drugs I would titrate the dose. This means you start out with a small dose & work up to the level that controls your b/p. Most people only need 12.5mg of HCTZ. I'm going to try & cut back to that. I was on Clonidine when I started HCTZ. Clonidine may have raised my b/p so now that I am off of it, I may not need it. Good luck. Fam
[QUOTE=brebre;3761279]Thanks for the responses. Is it ok to take 1/2 the dose in the morning and half at night even if it is ordered for once a day.For example I take Norvasc 10mg once a day.
I will ask about Bystolic very soon.I have read that beta blocker and diuretic is better than CCB and diuretic.



You are right about the beta blocker and diuretic combination being the best. Beta blockers are probably the most effective and proven class of medicine currently in use. Beta blockers have a long history (along with diuretics) for almost all heart related ailments. The problem with diuretics is the depletion of essential minerals such as magnesium, potassium etc.. This creates a terrible imbalance which can effect the heart and kidneys over time.
Beta blockers can cause slight weight gain, cholesterol and glucose increases. The interesting point about these beta blocker/diuretic side effects is the positives appear to outweigh the negatives. People with hypertension and heart problems are living longer (including diabetics) who are currently prescribed beta blockers or diuretics. Other classes of much more expensive HBP medications cannot boast these results (aside from maybe ace inhibitors) My parents are in their 80's and have been taken METOPROLOL/TOPROL/diuretic for over 20 years. Beta blockers appear to be the cardiologists most effective tool. All blood pressure pills will lower blood pressure, but I think it makes sense to take a pill or class of pill with a proven
track record, and most important, the least side effects. As flowergirl mentioned, labetalol is a beta blocker with both Alpha and Beta properties. It can lower blood pressure very quickly by targeting both these properties. About a year ago my cousin had a hypertensive crisis which affected his kidneys (blood in urine etc.) The hospital prescribed him LABETALOL. He was also prescribed NORVASC, DYAZIDE and ALTACE. When I spoke to him recently, he said he feels better than ever and has not experienced any side effects at all. I'm currently taking only one medication complain about side effects. This goes to prove, that we all experience different side effects and are somewhat unique in our medication tolerability.

I think most people can overcome the mineral imbalance from diuretics by consistently eating a healthy diet. Food must be seen as medicine to prevent mineral imbalance. I made a list of my favorite foods & the potassium content. Even when I'm sick with a cold & don't feel like eating there are foods on my list that I can eat to reach my mineral balance for the day. When I got my first cold while on HCTZ, I just didn't feel like eating, so I didn't. I learned quickly not to do that again. Fam