Doctor insights on:
A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more
Ambien (zolpidem): Is usually safe for people with hypertension. For an individual there may be factors which alter that statement. ...Read more
Phentermine: While it is uncertain, a prospective surveillance study1 of 579 patients—205 with primary pulmonary hypertension and 374 with secondary pulmonary hypertension—showed no relation between primary pulmonary hypertension and Phentermine (odds ratio 0·6, 95% ci 0·2—2·2). ...Read moreSee 1 more doctor answer
Severe insomnia, depression. Taking zonisamide, tizanidine, ambien (zolpidem). Averaging 2 hrs sleep. Zyprexa just added, weight gain concern! syroquel prev added 80lbs w/strict diet, exercise. Likely w/zyprexa?
Need diagnosis: Have a sleep study to ascertain the correct diagnosis and thus the correct treatment. Mood disorders[depression] is made more difficult to treat when there is an underlying sleep disorder.. We are always on shaky ground when we treat symptoms without having the diagnosis established. ...Read moreSee 2 more doctor answers
Ritalin (methylphenidate) caused me heart problems, migraine, tmj, high blood pressure, insomnia, addiction, weakness, breathing issue, confusion.How long is withdrawal?
Impaired elimination: All drugs that are taken are eventually metabolized and eliminated from the body. Although liver enzymes perform the bulk of metabolizing of these agents, elimination of the drug and their metabolites relies, to varying degrees, on the kidney. If the kidneys are failing, elimination is impaired, and a toxic buildup of the drug and/or its metabolites is possible. ...Read more
Bp constantly 160/80 despite micardis (telmisartan) 80, norvasc 5, labetolol 50. Pulmonary htn with ckd, lupus.. imdur, diuretics not advised by md. Other choices?
160/80: There seems to be much going on and not fully helping you. For now please check your blood pressure every other morning and every other alternate night. I suspect that the blood pressure data will be different from day to day, in which case you must contact your doctor for treatment advice. Please let me know how things develop. ...Read moreSee 1 more doctor answer
Request Ambien (zolpidem) taper schedule. Current dose = Ambien (zolpidem) 5mg and Ambien (zolpidem) cr 6.5mg q.D. At bed for ssri taper. 1 month clear of ssri, doing well...Desire taper from ambien (zolpidem). Otc meds (melatonin) help?
Many issues: Forget about pre-diabetes, at least for now. If you haven't seen a psychologist you should ask for a referral. If you already have a psychologist ask your friends if they might know someone else. You should be seeing your cardiologist regularly. ...Read more
Can Xanax (alprazolam), (alprazolam) chlorthalidone, and Chlonidine be taken together? Xanax (alprazolam) .5 3x day, chlorthalidone 25mg daily, Chlonidine .1 3x day
BP 135/72. Age 72. history: AMI, IHD and PVD. Treat with aspirin, Frusemide, irbesartan/ hydrochlothiazide, atenolol. will the doctor cease frusemide?
Use of diuretics: Diuretics, like furosemide (and hydrochlorothiazide) are used to increase excretion of salt and water through the kidneys. Common applications for these medications are to help control high blood pressure, and to prevent fluid retention in congestive heart failure. Whether to continue the treatment in this case would depend on medical details including heart & kidney function. ...Read more