Doctor insights on:
Lercanidipine Hydrochloride Medication
Elevation of sgpt to 66 u/i is it due to olmesartan 10mg or to lercanidipine 20mg knowing that patient is taking these two medications, please advice?
I did liver test and I don't have hepatitis a, b, or c and my sgpt is 66 (>45)plus I'm taking olmesartan 10mg+lercanidipine 20mg, is it due to medications?
Alcohol, fatty liver: Could be meds but just as likely this mild elevation in transaminase liver levels could be due to other things (like mild-moderate alcohol use, or fatty infiltration of liver). Fatty liver is more likely if there are elevated triglycerides or signs of Insulin resistance (low hdl, elevated triglycerides, obesity, or hga1c > 5.6). Can also be seen if associated sleep apnea. ...Read more
I am taking lercanidipine and olmesartan 20mg each everyday and I am having erectile dysfunction & I don't think from medications, probably due to htn?
Erectile Dysfunction: Lercandiipine (l) is a member of the calcium channel blocker antihypertensive drugs. Olmesartan (o) is a member of the angiogtensin receptor blocker (arb) class of drugs. Neither l nor o apart, on in combination, are known to cause erectile dysfunction (ed). You are correct in that your ed may due to hypertension, rather than the drugs you are to treat it. See a urologist for more ed information. ...Read more
Please advice what is best time to take olmesartan 20mg and lercanidipine 20mg, both at daytime? Or night time? Or one morning and another at night? Help
Any time: You can take them together or separate. As long as you take them around the same time each day, time of day does not make much difference. ...Read more
Possible: It shouldn't do it directly, but your heart rate may rise to attempt compensation for a drop in blood pressure. It's not typically a desired effect, and you should get an evaluation to make sure it's a normally fast heart rhythm, rather than an arrhythmia. If it continues, or you find yourself dizzy, short of breath, then speak with your doctor about switching medications. Call 911 if severe. ...Read more
Is lercanidipine safe in ckD as amlodipine does it realy has less side effects and renal protective effect (dilate pre and post cap renal arteriol)?
BP Rx renal protect?: 28M form BG asks: Is lercanidipine safe in ckD as amlodipine does it realy has less side effects and renal protective effect (dilate pre and post cap renal arteriol)? ANS: not in US formulary Google reveals is is CCB as is amlod. I would not expect significant differences in pts with Kidney disease. Chlorthalidone is preferred in Rx of HTN to CCBS, ACES etc See ALLHAT trial results. ...Read more
I have protein in urine although I am taking olmesartan 10mg and lercanidipine 20mg, what should I do to decrease it down from 357 to below 250 in 24hr?
Find cause: You're hypertensive but do not list any explanation for your proteinuria. I'm sure you understand that you don't take pills to treat lab values. Your have a right to know why you have proteinuria, including having simple orthostatic proteinuria ruled in or out. Do you have renal insufficiency? Is your proteinuria selective or not? You need to insist on an explanation. ...Read more
My sgpt increased to 66 due to olmesartan10mg &lercanidipine 20mg, but sgot and gamma-gt are normal, can I live with sgpt above 45? M hypertensive person
I am taking olmesartan 20mg and lercanidipine 20mg once daily at daytime and I am experiencing severe dry mouth, please advice what I should do?
Dry mouth: Your medications can cause dry mouth. Dry mouth can lead to cavities so good dental care is important. Biotene products can help your mouth feel better. Avoid mouthwashes with alcohol, they can dry it even more. Chew xylitol or sugar free gum can stimulate saliva. Reduce highly acidic and sugary foods and drinks. See your dentist for mi paste or fluoride. Hope this helps. ...Read more
I am taking lercanidipine 20mg tablet for my blood pressure does it cause erectile dysfunction? Please advice
My father 73, had CKD s.cr1.7, paroxysmal afib mild lvH 1d.h block he use betaloc 25, lercanidipine 20, what can I add to control his Bp?
Can't tell Alaa: Hope your father will be better, unfortunately we can't judge which way to go or what drug to add in your father's rather complex case and this limited platform, which isn't meant for diagnosis/treatment, rather for guidance and advice. Your father's best bet is to follow up closely with a primary physician that he trusts, his primary doctor would orchestrate his care with cardiology/nephrology ...Read more
Which one of the DHP CCB has better safety profile and less triggering atrial fibrillation and palpitations amlodipine or lercanidipine which strong?
Which dihydropyridine CCB is better for controlling Bp and has less side effects including pedal edema (amlodipine or lercanidipine) esp in ElderlyCkD?
Amlodipine tends to cause peripheral/pedal edema fairly regularly.
Lercanidipine has the same effect on BP as amlodipine and has been shown to have less pedal edema.
Both drugs are metabolized by the liver and should be okay for use in an elderly patient with CKD, Lercanidipine may even have protective kidney effects. ...Read more
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
Currently I am taking losartan 100 mg, doxazosin 1mg, lercanidipine 20mg and atenolol 100mg all for my high blood pressure. Can I stop any of these?
No: Although all these medications do lower BP they have other important functions in different parts of the body. Please check with ur md. ...Read more
I'm 37years old and I am on olmesartan 20mg&lercanidipine 20mg as well bc of my hypertension, I'm having heavy legs&feel fatigue all day, what I must do?
Doc: See your doc to evaluate possible causes. ...Read more
Does chlorthalidone cause impaired renal function in CKD, what antihypertensive is safe to HTN (now using lercanidipine 20, metoprolol 25mg), in73yrpat?
CTD IN RENAL FAILURE: 28 F Iraq asks if CTD can cause impaired renal function in CKD AND what is safe BP med is safe in 73 yr pt? ANS: depends on stage of CKD and cause. It can be very good to help lower BP. But if BP gets 2 Lo may worsen. I specialize in this and happy to do 2nd opinion consult with U. HI BP in CKD often driven by eating more salt than kidney can get rid of. Estimate Na intake using fitness pal. ...Read more
Is there any treatment to treat severe dry mouth hppening at bedtime due to taking olmesartan 20mg and lercanidipine 20mg? M drinking water but still!
Yes: Have you tried using Biotene products. The come in the form of tooth paste andouth rinse and other products. ...Read more
I have arterial hypertension and polycystic kidney disease bilateral and I am on olmesartan 10mg and lercanidipine 20mg for 10 years & high sgpt help?
Couple of uses: Pilocarpine eye drops are used to treat glaucoma by lowering eye pressure. It is an old medication and is infrequently used today because of undesirable side effects, such as constriction of the pupil and headache. It is also used sometimes before certain eye procedures. Pilocarpine is also in salagen, an oral medication used for dry mouth as it stimulates salivation. ...Read more
Diltiazem: Diltiazem is a medicine which lowers the blood pressure but also lowers the heart rate. This gives it an extra advantage but also means that people on this drug should be monitored by a cardiologist for slow heart rates. There are also multiple drug interactions with this drug. It is quite safe when prescribed by an eerie need doctor. ...Read more
Yes: Viibryd (vilazodone hydrochloride) is a new class of antidepressant. I have found it useful for anxiety as well as depression. It has different side effects than the others so might benefit people who didn't tolerate others well. No weight gain and maybe less sexual dysfunction, but can cause a lot of nausea and diarrhea and must be taken with food. ...Read more
Is a highly serotonergic medication such as viibryd (vilazodone hydrochloride) more prone to cause sedation or stimulation?
Viibryd (vilazodone hydrochloride): The side effect profile of this medication is more stimulating than sedating. However, individuals vary, and some do have sedation side effects with this medication. ...Read more
Why take low dosage of blood pressure medication 12.5 mg of hydrochloride if my blood pressure jumped around but was never high.
It depends: It may actually be for your kidneys, but not highly likely. More likely, it is to lower the "peaks" of your blood pressure, so they do not get as high. If you see #s >140 / >90, then your doc is likely doing this. If not, then you should ask your doc the rationale for the med since nothing is risk-free. ...Read more
I know brintellix and viibryd (vilazodone hydrochloride) are both very new. Is it safe to try such new medication without there being alot of studies done? Side effects?
Yes: For a medication to be sold in the USA, it has to be approved by the FDA, (federal drug administration), which makes the Drug Co. Go thru very rigorous trials to prove they are effective and "save" in human subjects. But as the drugs are tested in a limited amount of individuals, when ten of thousands of patients try them they could have more rare or idiosyncratic adverse effects. ...Read more