Doctor insights on:
Hctz Thiazide Agent
Drug choices: Both losartan (l) and valsartan (v) are drug of the angiotensin receptor blocker class. Both have few side effects and reduce BP and proteinuria quite well. L should be given twice a day and v can be given once daily for maximum their maximum effect. ...Read moreSee 1 more doctor answer
Xanax (alprazolam): Inquiry not clear. Doses of medications not provided. Please resubmit. Thanks. ...Read more
Non-diabetic:ace inhibitors:nephrotoxic or protective.?Nephrectomy 87.Hptn.On toprol, (metoprolol) zestril, hctz, hydralazine;which to dc?/ckd 3a/age 69.
See below: Yes this is used once daily for hypertension.Its a diuretic ie eliminates salt [ sodium chloride] which in turn helps to lower blood presssure.Salt restriction is advised as well.Its a combination medication to minimise the risk of pottassium loss as one of the components retains pottassium. ...Read more
Resistant pulmonary htn due to sjogrens. Norvasc (amlodipine) works but isosorbide unpredictable. Beta blocker worsens. Arb acs contraindicated ckd high K. Advice?
Pulmonary HTN: There are a range of molecules available by prescription that address P HTN ;go see a cardiologist or pulmonologist that has an interest in treating this condition ...Read more
Taking Benicar (olmesartan) 40/ hct 12.5 but my potassium is 3.0 as the diuretic is causing potassium loss. Any other meds to control htn & replace hctz diuretic?
Low potassium levels: Your low potassium (k) could be worsened by magnesium (m) loss due to hct. Your k won't be normal unless the m is repleted. At your age, with a history of cardiac disease, you may have some chronic kidney disease. Hct won't work if you've <50% of your kidney function left. If your BP isn't controlled on your meds, ask your doc to rx Furosemide (f) as a diuretic. F causes urine loss of m and k too. ...Read moreSee 1 more doctor answer
Unlikely: This drug is one of over 700 drugs that can cause ototoxicity. This is an angiotensin II receptor blocker. It is reported but is of little chance to do this. follow your doctor's recommendation. One caveat is that if you are already hearing impaired do not use it. ...Read more
Taking Benicar (olmesartan) /HCT VS Spironolctone .Are they equivalent in lowering or controlling blood pressure.Any advantiage of Benicar (olmesartan) over just Spironolacton?
My HDL is 38. Is there any supplement available to increase the HDL numbers? Currently on thiazide 25mg and Lipitor (atorvastatin) 20 mg.
Hdl: Exercise, weight loss, smoking cessation, and substitution of monounsaturated for saturated fatty acids all can raise hdl-cholesterol. Medication to raise HDL alone is generally not recommended but in high risk gp, nicotinic acid ( vitamin b 3 as a supplement if you like to use ) can be given or Gemfibrozil ( especially people with high triglycerides too). ...Read moreSee 1 more doctor answer
In a way, yes: Diazide worsens control of diabetes and may raise blood sugar level and indirectly raise a1c levels. The drug diazide does not directly affect the assay for a1c. See this site for more information on side effects of diazide. http://hyper.ahajournals.org/content/54/2/196.full. ...Read more
Thiazides in CKD: Thiazides are not contraindicated in renal failure for any medical reason. They are not used as they are ineffective of making patients urinate. Patients with chronic kidney disease are placed on loop diuretics which are able to evoke a diuretic response in patients with it. Patients on dialysis are given these drugs when they still have residual renal function so they can eliminate urine. ...Read moreSee 1 more doctor answer
1.Are there any surgical procedures to remove the uric acid crystals? 2. Is thiazide induced gout reversible ?
Yes: Collections of gout crystals are called tophi. They can be removed surgically if your circulation is adequate. Thiazide is a diuretic. By removing water in your system you in effect increase the concentration of uric acid in the blood. This caused the gouty attack. ...Read moreSee 2 more doctor answers
Low ceiling: Who calls thiazides 'low ceiling' diuretics. This is a new term for me. Why not ask whoever gave you that terminology. ...Read more
How do thiazides reduce calcium excretion through urine? And how do loop diuretics increase the excretion of calcium through urine?
you're right: They do exactly what you said: thiazides reduce urinary calcium excretion and are good for stone formers; loop diuretics increase it and are good for people with hyperparathyroidism and hypercalcemia. The mechanism is complicated. Unless you're taking an exam, this is sufficient information. ...Read more
Can a thiazide's side effect, like some rise in glucose levels, remain after the medication is no longer taken? Or, is it unlikely?
Unlikely: This is unlikely after the medicine is stopped. Whatever medicine was in your system gets broken down and removed from the body in 1-2 days. ...Read more
I am weighing 188 lbs. Last year i was 215 lbs. I am taking thiazide med for high bp. Now its normal. If i reduce 20 more can I away from med
Blood pressure: Great job on the weight loss. Blood pressure and weight are directly related. If you continue losing weight there is a possibility you could get off meds. Discuss this with your doctor for more advice. Do not stop your medicine until approved by the doctor. They can still tell if you can stop meds by your physical exam and blood pressure readings. ...Read more
Can thiazides diuretic cause impaired renal function if it used to control BP inCKD what is the safest antihypertensive drugto be used with CCB&BBlock?
62 yr old patient, w/ hypertension. Dispute taking Diovan (valsartan) & lodopine & thiazide (max doses) my BP is 160/95.Should I consider renal nerve denervation?
Hypertension: Maybe there are some treatments you haven't tried yet that are non invasive. What is your lifestyle like? Can it be improved? Do you smoke, use recreational drugs or are you overweight and underexcecised. Do you meditate or do yoga or some time of mental relaxation techniques? Tried biofeedback? Tried stress management techniques? I would think surgery is last resort. ...Read moreSee 1 more doctor answer
Planning to take fish oil supplements along with thiazide and Lipitor (atorvastatin) medication. Also taking multi vitamin gummies. Is this okay?
At the ER, I was prescribed Norvasc (amlodipine) (5mg) for high BP (193/113). My doc then prescribed Lisinopril (20mg) too. Why not try a safe thiazide diuretic?
Which of the diuretics (thiazide, loop, potassium sparing) if you were to choose just one may be the best overall to treat hbp?
Depends: On multiple issues including kidney function. Certain diuretics work better with certain levels of kidney function/dysfunction. In general a thiazide is preferred as first line and particularly Chlorthalidone as it is long acting and potent. See your doctor for specifics as kidney function and potassium levels need to be followed. ...Read more
Hctz (hydrochlorothiazide) and sodium: Hctz (hydrochlorothiazide) by its mechanism rids the body of sodium and water and reduces blood pressure in the process. If the craving is really bothersome, check with your doctor and check a sodium level. Its rare, but sometimes hctz (hydrochlorothiazide) can lower your sodium levels too much. ...Read more