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Doctor insights on: Hypertension Pamphlet

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Hi, with my current medical conditions i.e hypertension & on simvastatin, HCTZ (hydrochlorothiazide) & losartan medications, is it safe for me to try Garcinia Cambogia?

Hi, with my current medical conditions i.e hypertension & on simvastatin, HCTZ (hydrochlorothiazide) & losartan medications, is it safe for me to try Garcinia Cambogia?

Not really because: Alternative medications have no safety profile and are not rigorously tested for safety by any agency. It has nothing to do with your blood pressure meds. If your goal is weight loss (usual reason why people want to take garcinia), there is no better method than a proper diet and regular exercise. Try cutting your food portions in half and see how that goes for a month. I'm sure you'll see results ...Read more

Dr. Ana Adelstein
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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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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History of hypertension, pre-diabetes, anxiety disorder on SSRI, heart attack. Is Nyquil safe?

History of hypertension, pre-diabetes, anxiety disorder on SSRI, heart attack. Is Nyquil safe?

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

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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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Are the following medications harmful past their expiration dates? Lisinopril/Hctz 10/12.5 Triamterene/Hctz 37.5/25 Hctz 25mg

Are the following medications harmful past their expiration dates?
Lisinopril/Hctz 10/12.5
Triamterene/Hctz 37.5/25
Hctz 25mg

Medications: are UNLIKELY to be HARMFUL after their expiration dates which are usually estimated very conservatively...HOWEVER much more commonly are NOT AS EFFECTIVE! Short answer is DO NOT USE THEM! Hope this helps! Dr Z ...Read more

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13y boy(no disease history)have Adenoids+sleep problem.Recently had hypertension(140/100),tried cipril h&cipril-10 but none worked.Any better medicin?

13y boy(no disease history)have Adenoids+sleep problem.Recently had hypertension(140/100),tried cipril h&cipril-10 but none worked.Any better medicin?

Ask his doctor: If truly has hypertension, documented on several occasions, measured in the right way, measured on both sides, investigated for a cause, weight loss program if obese, adhering to treatment plan and taking medication on time everyday, if all this is met and still hypertension isn't controlled, other group of antihypertensives can be tried, all under doctor 's supervision, wish you all wellness ...Read more

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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?

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 more

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Does bisoprolol have fda approval in nyha class 4 heart failure?

Does bisoprolol have fda approval in nyha class 4 heart failure?

Beta blockers: Beta blockers are typically indicated in class IV chf, however, they may be contraindicated in acute decompensated systolic chf. ...Read more

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Diet control for hypertensive and diabetic patient?

Diet control for hypertensive and diabetic patient?

Metabolic syndrome: I am not sure why you are on a calcium channel blocker, but ace inhibitors are first line in diabetes with hypertension. Metabolic syndrome is a problem of obesity, high bp, high blood lipids and poor sugar control. The best approach to this is to eliminate refined foods from the diet. Eat a quart of vegetables daily. Omega 3 oils, magnesium, Alpha lipoic acid and aerobics are very helpful. ...Read more

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Resistant pulmonary htn due to sjogrens. Norvasc (amlodipine) works but isosorbide unpredictable. Beta blocker worsens. Arb acs contraindicated ckd high K. Advice?

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

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36yo WM, 27 BMI, hx of HBP, hyperlipidemia, anxiety, MVP; all controlled w/ beta blocker, statin, clonazepam. Sedentary. Fear of MI; real risk?

36yo WM, 27 BMI, hx of HBP, hyperlipidemia, anxiety, MVP; all controlled w/ beta blocker, statin, clonazepam. Sedentary. Fear of MI; real risk?

Real risk: It is good that your blood pressure and lipids are controlled but you do have three risks for MI. Being male, hypertension and hyperlipidemia all put you at risk for MI. It is unlikely that you would have an MI at your age but there is still some risk. It is very important that you start an exercise program as advised by your doctor and get your weight to an optimal level. ...Read more

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Taking BP meds, BP normal, does this indicate white coat hypertension?Without meds, very high bp

Taking BP meds, BP normal, does this indicate white coat hypertension?Without meds, very high bp

DX: PRIMARY HTN: YOU LIKELY HAVE PRIMARY HYPERTENSION. It is a combination of genetics Environment SBP<120. DBP<80. I would discuss with your doc adjusting the regimen. COREG CAN FLARE ASTHMA. DIOVAN (valsartan) IS BETTER IN DIABETICS TO IMPROVE RENAL FLOW. You need to be GF WHOLEAPPROACH.com & focus on weight loss. ...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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Does anyone have problems on quinapril (acupril) high blood pressure meds?

Does anyone have problems on quinapril (acupril) high blood pressure meds?

Quinapril: Quinapril, brandname is accupril, (quinapril) like other ace inhibitors can cause elevated potassium, worsening renal function, rashes, or cough. Individuals can also have allergic reactions to these meds which are different from these meds. ...Read more

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Bp 140/66 , 28 weeks pregnant with twins and chronic hypertension, took atenalol and aspirin today is this Bp normal?

Bp 140/66 , 28 weeks pregnant with twins and chronic hypertension,  took atenalol and aspirin today is this Bp normal?

That depends: On what your blood pressure measurements have been prior. If this is much higher than it had been (and I suggest you repeat that) then you need to call your OB to be more closely monitored. If you have headache, blurred vision, nausea/vomiting and sudden swelling of face hands or feet, you need to be evaluated immediately. Notify your OB right now if you have these symptoms and then go to L and D ...Read more

Dr. Payam Mehranpour
2,116 doctors shared insights

Hypertension (Definition)

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