Doctor insights on:
Medicine For Secondary Hypertension
Secondary to another: Medical condition. Most hypertension is called essential or primary hypertension. Not caused by another medical condition. Conditions that cause secondary hypertension include but are not limited to tumors called pheochromocytomas, cushing's disease or syndrome, renal disease and renal artery stenosis. There are many other conditions that can cause high blood pressure. ...Read more
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
2nd HTN Vs Essential: Secondary hypertension is secondary to a know cause. There are hundreds. The cause of essential hypertension is unknown. There are hundreds of hypothesis as to what it is due to tho. Some facts: runs in families, tends to be sensititive to diet salt intake, the higher the BP the shorter time you live and the greater the % of life you spend with heart disease, stroke, renal failure etc. ...Read more
See below: Obesity results in increased incidence of several non communicable chronic illnesses such as type ii dm, htn, high cholesterol, heart disease, strokes, circulation problems, kidney disease, arthritis, cancers, gout, acid refux, liver problems. At least 25 conditions are caused by it. ...Read more
A patient having polycysitc kidney disease associate with hypertension, do we call this secondary hypertension&is it due to cysts this BP elevation?
PKD and HIBP: PKD causes hypertension in most affected persons. This is not secondary hypertension in the classical sense; this evolves from cysts, cyst compression of arteries, elevation of renin and angiotensin, and salt retention; meds help; low salt helps; avoid saturated fats; drink 4-5 liters fluid per day; avoid caffeine. ...Read more
Does lercanidipin 20mg causes dry mouth when taken once daily as a chronic medication for a 37 years old patient having secondary hypertension? And wh
No: It doesn't cause dry mouth. Here are the adverse effects with lercanidipine 10 mg/day included flushing (1.1% vs 0.4% for placebo), ankle edema 0.9% vs 1.3%), palpitations (0.6% vs 0.4%), headache (2.3% vs 1.3%), vertigo (0.4% vs 0.4%), and asthenia (0.4% vs 0.4%). Source:http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/pmc1993952/. ...Read more
Does treatment with arb's specifically olmesartan 20mg reduces proteinurea to below 30mg even if secondary hypertension is still there in arteries?
Yes: ARBs and ACEi class of drugs reduce proteinuria regardless of the cause of the hypertension (they restructure the anatomy in the glomeruli which are the building blocks of your kidneys) and make the filter in your kidneys tighter (so to speak) to prevent leakage of protein in the urine. ...Read more
Does olmesartan 20 mg causes dry mouth when taken once daily as a chronic medication for a 37 years old patient having secondary hypertension? And why
Paleo diet/low carb:
Contrary to popular belief, best way to improve blood pressure, cholesterol, and weight is by completely stopping high carb foods (grains, lentils, potatoes based items). Also avoid milk protein since it causes insulin resistance.
Low carb foods: eggs, fish, meats, vegetables, avocados, some saturated fat (butter, coconut oil), olive oil are very effective. This can help avoid meds ...Read more
BP medicine: All medicines have side-effects, sorry.Get a more detailed answer ›
Beta Blockers/Ca Cha:
Beta blockers and calcium channel blockers are often used for PSVT (Persistant Supra Ventricular Tachycardia)
But other drugs like Ace inhibiters and Angiotensin Recepter Blockers are also safe to use as there is no conrtraindications to use if Beta Blockers And ARBS are not able to bring BP down ...Read more
What is the drug of choice for hypertension in middle age male with no history of dm or other chtonic diseases?
Several: Usually we start with one or two drugs. More out now on combination of low dose of two drugs. Usually a combination of an ace inhibitor with low dose hydrocholorothiazide or Chlorthalidone is selected. One may opt for a beta blocker with hctz/chlorthalidone but in males particularly, beta blocker can have untoward sexual side effects. Arb's may be used for ace. It is usually individualized. ...Read more
What are some medications that can cause hypertension? What, if any, are some medications or drugs that have the ability to cause hypertension? .
Get it evaluated: I cannot even try to visualize what you mean by blood pockets. Have a doctor take a look and he/she will be able to tell you what is going on. ...Read more
What 4 Rx HTN?: 41 F asks what are effective drugs for HTN? By effective I trust u mean what r meds proven 2 make u live longer & healthier if u have HTN? First 1 should always try the DASH eating plan 4 2 weeks. If this does not get ur BP to healthy I always recommend take BP at home & start with chlorothalidone, add BB, or ACE or ARB or CCB or vasodilator. Then mineralocorticoid blocker. Start low & go slow. ...Read more
DX: PRIMARY HTN: YOU LIKELY HAVE PRIMARY HYPERTENSION. It is a combination of genetics Environment SBP<120. DBP<80. THE GOAL IS TO PREVENT LVH (heart thickening) ONL2 classes reverse LVH 1.ARB/ACEI (DIOVAN (valsartan)) it IS BETTER IN DIABETICS TO IMPROVE RENAL FLOW. 2. CALCIUM CHANEL BLOCKERS (NORVASC) DIURETICS& BB DO NOT HAVE THE DATA You need to be GF WHOLEAPPROACH. Com & focus on weight loss. ...Read more
There is no one medicine which can be named as best medicine for Hypertension, as the drugs effectiveness is based on many factors like
Other Co Existing condiions ike Diabetese, Congestive HeartFailure, Respiratory coditions like Asthma&copd, kidney disease, Coronary event and other co existing disaseses
What may be best for one may not be best for others ...Read more
Many meds: There are several kind of meds for hypertension. Diuretics, beta blockers, ace inhibitors, arbs, calcium channel blockers are all categories of meds that can be utilized. The decision of which med can be influenced by what other problems you may have, such as diabetes, palpitations, kidney issues, etc. ...Read more
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