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Doctor insights on: Hrt And Hypertension

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Your opinion about lercanidipine vs amlodipine in htn control in 72 htn male with renal impairment and LVH ,paroxysmal a fib?

Your opinion about lercanidipine vs amlodipine in htn control in 72 htn male with renal impairment and LVH ,paroxysmal a fib?

Hi BP drugs: They are both in the same class of drugs called calcium channel blockers for treatment of high BP. If that does not lower it enough there are many additional classes of meds that can be added such as angiotensin blockers, angiotensin converting enzyme inhibitors, diuretics, life style changes. See a good internist! ...Read more

Dr. Barbara Lavi
325 doctors shared insights

Hypertension (Definition)

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


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Are pulmonary hypertension and hypertension two different things?

Are pulmonary hypertension and hypertension two different things?

PH: High blood pressure in the lungs is called pulmonary hypertension (ph) or pulmonary arterial hypertension (pah). Pah is quite different from systemic hypertension which is assessed by cuff pressure in your arm. You should check with your physician to determine which you have. ...Read more

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BP 135/72. Age 72. history: AMI, IHD and PVD. Treat with aspirin, Frusemide, irbesartan/ hydrochlothiazide, atenolol. will the doctor cease frusemide?

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

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Will dalatas interreact with blood pressure, thyroid, celexa (citalopram) and welbutrin? I have high blood pressure, thyroid disease, depression and anxiety

Will dalatas interreact with blood pressure, thyroid, celexa (citalopram) and welbutrin? I have high blood pressure, thyroid disease, depression and anxiety

Is : Is this a prescription medication? Find the exact spelling of this drug or supplement and reask your question, please. I cannot find "dalatas" as a prescription med or supplement? ...Read more

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Why testestrone replacement has risk for heart attack and stroke?

Why testestrone replacement has risk for heart attack and stroke?

Testosterone: At the present time, the FDA has NOT concluded that there is an increased risk for heart attack and stroke if prescribed properly. Testosterone is a hormone essential to the development of male growth and masculine characteristics. Testosterone products are FDA-approved only for use in men who lack or have low testosterone levels in conjunction with an associated medical condition. http://www.fda.gov/Drugs/DrugSafety/ucm383904.htm ...Read more

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Is dextromethorphan safe? I have anxiety disorder, hypertension, pre-diabetic, and history of heart attack.

Is dextromethorphan safe?  I have anxiety disorder, hypertension, pre-diabetic, and history of heart attack.

Safe: yes it is safe and is a very commonly prescribed cough medicine. It is not a decongestant which can cause several potential side affects. ...Read more

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Usual dose of crestor (rosuvastatin) for 90yo with mild elevation of BP and renal damage, high good and bad cholesterol, prior stroke?

Usual dose of crestor (rosuvastatin) for 90yo with mild elevation of BP and renal damage, high good and bad cholesterol, prior stroke?

Crestor (rosuvastatin) Stroke: To a 90 old, who has paid her dues, with hypertension, hyperlipidemia & stroke. I feel, there is no need to give crestor (rosuvastatin). There is more risk than benefit. Crestor (rosuvastatin) dose is also adjusted with kidney function. No crestor (rosuvastatin), to this patient. ...Read more

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What can cause high BP and low pulse. Mom had BP of 180/88 and pulse of 48.She is on BP medications.

ISH: The elevation in pulse pressure in patients is primarily due to diminished arterial compliance ISH is associated with a two- to fourfold increase in the risk of myocardial infarction, left ventricular hypertrophy, renal dysfunction, stroke, and cardiovascular mortality Even in patients who also have diastolic hypertension, the cardiovascular risk correlates more closely with the systolic ...Read more

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Am I at increased risk of cervical artery dissection with my migraine history and intercranial hypertension?

Am I at increased risk of cervical artery dissection with my migraine history and intercranial hypertension?

Likely not: Both migraine and intracranial hypertension have varied causes most of which are not related to dissection of the vertebral or carotid arteries in the neck. dissection is usually related to either trauma in the neck, systemic hypertension or fibromuscular dysplasia of the carotid or vertebral arteries which can by diagnosed by ultrasound or CT angiography. ...Read more

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RAS in one kidney- issues with BP meds, some increase BP instead of lowering. MD discontinued Arb and diuretic. Better option to increase renal flow?

RAS in one kidney- issues with BP meds, some increase BP instead of lowering. MD discontinued Arb and diuretic. Better option to increase renal  flow?

Plant products: Drink a glass of beet juice-dilates blood vessels add water melon to your diet & 1 clove of raw garlic. Do yoga or Tai-chi or both daily. Visit drhoffman.com for non medicinal approach to hypertension. ...Read more

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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?

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 more

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Which is better option for heart protection and blood pressure control: ben/hct and bystolic (nebivolol) or amlodipine and bystolic (nebivolol). ?

Which is better option for heart protection and blood pressure control: ben/hct and bystolic (nebivolol) or amlodipine and bystolic (nebivolol).
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Htn: Of the drugs mentioned likely Benicar (olmesartan) has more cardio protective properties . The drug class not mentioned is ace inhibitors like Altace which are highest in cardio protection. ...Read more

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How fast can Atherosclerosis progress? No Diabetes, thin, low chol., low bp, good health but have ICA Atherosclerosis. Mom, stroke 54, Dad HRT atk 54.

How fast can Atherosclerosis progress? No Diabetes, thin, low chol., low bp, good health but have ICA Atherosclerosis. Mom, stroke 54, Dad HRT atk 54.

Genetic factors: Some people inherit tendency to develop atherosclerosis even in absence of "traditional" risk factors. Consider screening for unusual risk factors e.g. homocysteine, abnormal lipoproteins, other hematologic factors etc. Consider aggressive Rx with e.g. statins, B-vitamins, aspirin etc. Seek out an academic cardiologist-specialist in atherosclerosis. Check out cardiology depts at Emory &/or MCG. ...Read more

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What can cause a fast heart rate, high blood pressure especially diastolic, nervousness and headaches? On bp, depression and anxiety meds.

What can cause a fast heart rate, high blood pressure especially diastolic, nervousness and headaches?  On bp, depression and anxiety meds.

Antidepressants: Antidepressants, to varying degrees, can have sympathomimetic properties, particularly the snri's (effexor, cymbalta, (duloxetine) pristiq) and maoi's. The risks and benefits should be weighed. ...Read more

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Best exercise for diabetic and high blood pressure?

Best exercise for diabetic and high blood pressure?

Before even : Considering i would optimize blood sugar and the hypertension through the appropriate medication. I would then recommend walking as an excercise or swimming. This will likely help lower your blood su gar and blood pressure and you can continue this or with medical doctor decide what else you may do. ...Read more

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I take hydralozine, clonidine, amlodipine, coreg (carvedilol) and losartan for HBP and thyroxine. could any of these medications cause erectile dysfunction?

I take hydralozine,  clonidine, amlodipine, coreg (carvedilol) and losartan for HBP and thyroxine.  could any of these medications cause erectile dysfunction?

BP meds can do this: Impotence are listed potential side effects of hydralazine, amlodipine and losartan. Potentially, any of the antihypertensive medicines can do this. It is uncommon to require 5 different medicines to control hypertension. Ask your doctor to reassess your treatment ...Read more

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I am hypertensive and diabetic both diabetes and blood pressure under control.My stress echo test came mildly positive for reversible ischemia advise?

I am hypertensive and diabetic both diabetes and blood pressure under control.My stress echo test came mildly positive for reversible ischemia  advise?

Young for heart dis.: Reversible Ischemia on stress Test means that part of the muscles in your heart is/are are not getting enough blood due to partial blockage of one or more arteries to that muscle. You need a cardiologist who can perform a (cath) Coronary artery ANGIOGRAM. This requires catherization of artery, usually in your groin, leading into your Heart arteries. You may angioplasty or stent of blocked artery. ...Read more

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Does viagra (sildenafil) and nitrates lowering blood pressure cause heart attack and stroke? How?

Does viagra (sildenafil) and nitrates lowering blood pressure cause heart attack and stroke? How?

Yes it can: It has been reported that viagra (sildenafil) has caused heart attack in many younger men more so who were taking nitrites as well this was reported to fda in 2000due to post marketing adverse event report. In analysis of 1473 major adverse event reported 522 people died, most from cardiovascular causes, two third deaths happened 4to5hors after taking viagra (sildenafil).Majority of patients were less than 65 years age. ...Read more

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Should women on HRT with cardiac risk factors take calcium supplements?

Should women on HRT with cardiac risk factors take calcium supplements?

Controversial: Researchers in a large study found that "... Increasing calcium intake from diet might not confer significant cardiovascular benefits, while calcium supplements, which might raise [heart attack] risk, should be taken with caution." the increased risk may be due to high levels of calcium from 1-2 doses of supplement as opposed to the small amounts absorbed from diet. Ask your cardiologist on this. ...Read more

Dr. Bryan Treacy
873 doctors shared insights

Hormone Replacement Therapy (Definition)

Usually done to provide the hormones that would be deficient upon surgical removal or inactivity or malfunction of a hormone producing gland or organ. The endocrinologist is the medical specialist that specializes amongst other things , in doing just that. Insulin/glucagon-pancreas, thyroid hormone-thyroid, ovaries, testicles, hypothalamus, ...Read more


Dr. Payam Mehranpour
2,112 doctors shared insights

Hypertension (Definition)

Hypertension is defined as elevated blood pressure systolic over 140 and diastolic over ...Read more