Discussions that mention procardia

High & Low Blood Pressure board


Hi my names Rob 29 years old very thin. Im new to this board i just need some advice about my medicine. I'm currently taking daily
60mg procardia Xl
20mg benicar
40mg lisinopri
25mg atenolol
25mg hydrochlorothiazide
0.1mg clonidine
and I feel Terrible, almost cannot function at times, body feels like its going to shut down, near fainting. Went to Emergency room all tests o.k. C.t. Scan,echogram and Ekg, Blood Tests, kidney M.R.I sent me home. Went to primary doctor he lowered benicar from 40mg to 20mg. my pressure still averages about 145/91 sometimes lower sometimes higher. Any sugggestions will be greatly appreciated. Which ones should i try decreasing first. Thanks
Quote from bigrob0834:
Hi my names Rob 29 years old very thin. Im new to this board i just need some advice about my medicine. I'm currently taking daily
60mg procardia Xl
20mg benicar
40mg lisinopri
25mg atenolol
25mg hydrochlorothiazide
0.1mg clonidine
Wow, you are on EVERY common hypertension drug class - CCB, ARB, ACEI, BB, diuretic and a potent central nervous system agent.
Quote from bigrob0834:
and I feel Terrible, almost cannot function at times, body feels like its going to shut down, near fainting. Went to Emergency room all tests o.k. C.t. Scan,echogram and Ekg, Blood Tests, kidney M.R.I sent me home. Went to primary doctor he lowered benicar from 40mg to 20mg. my pressure still averages about 145/91 sometimes lower sometimes higher. Any sugggestions will be greatly appreciated. Which ones should i try decreasing first. Thanks
First off, decreasing the dose of Benicar doesn't really make any sense. That drug is either working (properly dosed) or its not (underdosed). You really need to drop it entirely to learn anything. All halving the dose will do is reduce 24 hour effectiveness. This also applies to lisinopril. BTW, I wouldn't expect any changes in your BP until you drop BOTH lisinopril AND Benicar. Since you are on both an ACEI and an ARB, you certainly are not getting any renin feedback. And, HCTZ should be doing wonders.

When you say your BP is 145/91 is this at the doctor's office? Or, are these home readings?

Do you have a little history? How did you manage to get on 5 different drug classes?

If your BP is truly elevated on all those meds, you need to have some primary causes evaluated more thoroughly - kidney failure, etc.

Pal
rob,

First off, are you sure of your blood pressure readings. Do you test yourself at home? Testing only at the doctor's or ER isn't good enough. I think it's important to try to define what kind of a hypertensive you are...low or high renin. You can do this by taking ONLY the Procardia and thiazide for awhile and see what readings you get.
Then you can try the OTHERS WITHOUT the procardia and thiazide.
One or the other group should work MUCH better. Clonidine is in it's own class.

Now, which makes you feel horrible...
From most likely to least likely I'd rate:
ATENOLOL
CLONIDINE
PROCARDIA
LISINOPRIL
BENICAR
THIAZIDE.

Exceptions CAN occur like murderous coughing from lisinopril and horrible blood mineral imbalances (sodium, potassium, uric acid primarily) from thiazide but if they don't these drugs are easy to take.

NOBODY should take 6 blood pressure medication except to run up a big insurance company charge (oh, and the Procardia costs 7 times as much as generic nifedipine.)
Find the two or POSSIBLY three that work the best and dump the rest. Do you have any other cardiac condition for which you are taking any of these drugs, or just hypertension? How high are your rested readings if you stop taking them?

You are lucky if you are not coughing from the lisinopril. It's a good strong drug for high renin hypertensives (most people) and a good CHEAP combo might be JUST lisinopril and HCTZ.

DO drop the Diovan...the ONLY reason for anyone to take an expensive ARB class hypertensive is the inability to take an ACE inhibitor because of coughing, allergy or accustomization (ACE's sometimes stop working.) In NO case does someone need both.

If the clonidine knocks you hard, if you still want it in your regimen, maybe taking it before bedtime is a good idea...a time when not being able to move is an ADVANTAGE :D:D!

If you DO decide to drop any of these, please check about the need to wean...some, like the atenol need gradual withdrawal and it's probably wise with the channel blocker and maybe clonidine...not the Diovan nor the thiazide though nor probably the lisinopril.

P.S. If ONE doctor put you on all these meds, get a new doctor and start from scratch.
Thank you for answering back, ive had HBP for a little over 10 years took 90mg procardia and 25mg HCTZ for more than 5 years with pretty good control not perfect but good. Then switched doctors he wanted to add new drug diovan said it was new and would work better, took that instead of procardia didn't work as well then he added atenolol, then just kept adding I'm 6'4 198lb, ive had my BP mostly under control for years average about 125/84 and a few months ago i was on 4 meds and didn't take 2 of them for a few days, ran out i know stupid, had a feeling of almost fainting. went to ER BP 158/115.From there got referred to Cardiologist he added all kinds of medicine that made me sick, then changed it around about ten times til we ended up with this combo. I have no other medical problems. I have had all kinds of blood tests, 24 urine test, ct scan, kindey mri scan, echo gram. i take my pressure at home the top number is always high,it's never under 130. My average home readings are about 137/90 at doc office 150/100 i dont smoke or drink. What is low or high renin hypertention if anyone can explain please.Thanks for all your input. i'm glad i found this site. Anymore advice would be greatly appreciated Went to doctor yesterday took me of benicar and lowered procardia to 30mg. So now I'm On
(Morning)
30mg Procardia xl
25mg hctz
(Bedtime)
25mg Atenolol
40mg Lisinopril
0.1mg clonidine