Top
20
Doctor insights on: Procardia Diabetes Related Agent

Share
Dr. Allen Fischer
289 doctors shared insights

Nifedipine (Definition)

This is a blood pressure medication in the class of calcium channel blockers which results in lower blood pressure by relaxing blood vessels through blocking calcium mediated constriction. This certain CCB does not typically affect the heart rate as ...Read more


2

2
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

3

3
Could anti uricosuric agents also prevent heart /coronary arteries disease/s?

Could anti uricosuric agents also prevent heart /coronary arteries disease/s?

No: Gout is just a marker for increased heart risk. Lowering uric acid levels has never been shown to reduce the risk of heart disease. ...Read more

See 1 more doctor answer
4

4
Does chlorthalidone cause impaired renal function in CKD, what antihypertensive is safe to HTN (now using lercanidipine 20,metoprolol 25mg), in73yrpat?

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

5

5
Can you please explain how hbp medication such as CCB causes GERD and acid reflux. Would beta blocker such as bystolic (nebivolol) causes less GERD than ccb?

LES relaxation: Calcium channel blockers such as amlodipine can cause muscles to relax. One of these might be lower esophageal sphincter which tightens to keep stomach acid in stomach. If it relaxes inappropriately, you might notice gerd or acid reflux. Beta blockers tend to slow heart rate by negating effect of adrenaline on your heart. But beta blockers can also relax your les. Only way to find out is to try... ...Read more

Dr. Tony Ho Dr. Ho
1 doctor agreed:
6

6
Why diabetes mellitus is risk factor tuberculosis?

Dr. Tony Ho Dr. Ho
1 doctor agreed:
Why diabetes mellitus is risk factor tuberculosis?

Immune function: Diabetes, especially uncontrolled diabetes, causes neutrophils to not behave as well as they should, so infections are both more likely and more frequent. Tuberculosis is one of these, and tends to be more severe in a poorly controlled diabetic. ...Read more

See 1 more doctor answer
8

8
Gfr 57. Potassium 5.4. Creatinine 1.1. Medications ruled out. No known kidney disease. Hypertension controlled with mess. Can dehydration cause this?

Gfr 57. Potassium 5.4. Creatinine 1.1. Medications ruled out. No known kidney disease. Hypertension controlled with mess. Can dehydration cause this?

Depends: It's hard to know with only a one-time reading. Your kidney function can fluctuate depending on your hydration status, how well controlled your blood pressure is (esp if it's too low for adequate renal perfusion) and if you're taking any medications that can affect gfr, ie nsaids, antibiotics like bactrim (sulfamethoxazole and trimethoprim). You may have kidney disease if you have other creat that are similar. Talk to your pcp. ...Read more

See 2 more doctor answers
9

9
Can hbp drug scuch as amlodipine (ccb) causes GERD or heart burn?

Can  hbp drug scuch as amlodipine (ccb) causes GERD or heart burn?

Yes many drugs can…: Relax the esophageal sphincter & allow acidic stomach fluids to reflux. Ccb's, beta-agonists, alpha-adrenergic antagonists, nitrates, anticholinergics, theophylline, morphine, meperidine, diazepam, & barbiturates. Some meds may irritate esophagus directly, especially if not taken with enuf water: nsaids, tetracyclines, beta blockers. Take all meds with full glass of water; don't lie down for 15-30. ...Read more

10

10
Dx of cardiomyopathy, CHF & diabetes in 9/2012. Taking metoprolol, lisinopril, pravastatin, metformin & lantus (insulin glargine). I have muscle pain w/ activity such as bending, walking, etc. Could it be due to meds?

Dx of cardiomyopathy, CHF & diabetes in 9/2012. Taking metoprolol, lisinopril, pravastatin, metformin & lantus (insulin glargine). I have muscle pain w/ activity such as bending, walking, etc. Could it be due to meds?

Maybe : Generalized muscle aches without any overuse can be caused by pravastatin or statins in general. Consider discussing this symptom with your doc and find other alternatives for cholesterol reduction if this is the side effect. ...Read more

See 2 more doctor answers
11

11
Why doctors consider drugs like ( rifampicin & isoniazid) as risk factor of metabolic syndrome?

Why doctors consider drugs like ( rifampicin & isoniazid) as risk factor of metabolic syndrome?

Metab syndrome: An insulin-sensitizing agent, such as metformin, is often used as hyperglycemia treatment in patients with metabolic syndrome. Literature suggests that metformin may help to reverse the pathophysiologic changes of metabolic syndrome. Cannot find any evidence that Rifampin is a risk factor for metabolic syndrome. ...Read more

13

13
Shouldnt we avoid pharmacological treatment of drug induced liver disease?

Shouldnt we avoid pharmacological treatment of drug induced liver disease?

How ?????: Liver is a complex organ, most of the time protects itself by detoxifying chemicals rarely fails, . Remarkable progress has been made in control of infections, b.P. Stroke, cancer, vas dis meta.Diseases etc by use of medications, prolonging life and virtually every drug could be hepato toxic and unavoidable. Watchful fda withdrawn several ( duracet, ruzulin, pemolin etc ) may be more to go. ...Read more

See 1 more doctor answer
14

14
Is it true that prolonged use of Tenormin (atenolol) causes diabetes mellitus?

Is it true that prolonged use of Tenormin (atenolol) causes diabetes mellitus?

No: Tenormin (atenolol) is a derivative of amphetamines which suppress your appetite, unfurtunately for a short term period. Many overweight persons take tenormin, (atenolol) but beign overweight put at risk for developing diabetes, the answer is no. ...Read more

15

15
Prescribed metoprolol ER (beta blocker)? Only 12.5 mg daily. Is this safe? Can this cause bradycardia or cardiac arrest/heart attack or anything?

Prescribed metoprolol ER (beta blocker)? Only 12.5 mg daily. Is this safe? Can this cause bradycardia or cardiac arrest/heart attack or anything?

Safe: That is a low dose. It can cause a slowing of the heart rate, which can be dramatic and cause symptoms in some individuals. Arrest is rare. You should have your heart rate and ECG checked initially to make sure you are ok on your current dose. ...Read more

See 1 more doctor answer
17

17
Is high cholesterol related to heart disase?

Is high cholesterol related to heart disase?

Yes: Cholesterol is one of the major risk factors for arteriosclerosis, which is building of plaques in the vessels, which could lead to heart disease or the dislodging of the plaque could cause Mycocardial infarction by blocking an artery that supplies the heart, or lead to embolism to the heart. Other risk factors include diabetics, HTN, age and smoking. ...Read more

See 2 more doctor answers
18

18
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

19

19
Glimepride or metformin sustained release? Which anti diabetic tablet is safer for stage 2 renal disease (diabetic nephropathy)

Glimepride or metformin sustained release? Which anti diabetic tablet is safer for stage 2 renal disease (diabetic nephropathy)

Caution: Metformin is contraindicated as renal function declines. Glimepiride is ok, but all such agents are more potent as renal function falls since Insulin is metabolized by the kidney and Insulin levels may persist at a higher level with renal disease. Night time hypoglycemia is more common w/renal disease so monitor carefully. ...Read more

See 1 more doctor answer
20

20
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

See 1 more doctor answer
Dr. Katharine Cox
92 doctors shared insights

Procardia (Definition)

Procardia is a calcium channel blocker which is a kind of rhythm ...Read more


Dr. Quang Nguyen
3,328 doctors shared insights

Diabetes (Definition)

A group of diseases that result in too much sugar in the ...Read more