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Doctor insights on: When Impotence In Dm With Hpn Pts Can Start

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Can a tilt-table test plus the adrenaline shot cause problems to patients with pulmonary hypertension?

Can a tilt-table test plus the adrenaline shot cause problems to patients with pulmonary hypertension?

TTT Pulm HTN: A TTT assesses how your BP/HR responds to standing. Adrenaline is normally released in response to standing to raise the HR. It could have a vaso constrictor effect on pulmonary circulation. Guazzi MD, De Cesare N, Fiorentini C, et al. Pulmonary vascular supersensitivity to catecholamines in systemic high blood pressure. J Am Coll Cardiol. 1986;8(5):1137-1144. doi:10.1016/S0735-1097(86)80393= ...Read more

Dr. Alvin Lin
1,027 doctors shared insights

Erectile Dysfunction (Definition)

Any problem when a male cannot get or keep an erection long enough for intercourse. It has many different causes so "erectile dysfunction" is a descriptive term ...Read more


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Can bisolol can be used in hypertensive pt with diabetes?

Can bisolol can be used in hypertensive pt with diabetes?

Yes: bisoprolol can be used for high blood pressure or heart disease in diabetes. It belongs to beta-blockers class so potential side effect is that it can hide symptoms of low blood sugar. It depends on individual risk/benefit evaluation to use it or not. In selected patients we do use it. Also if kidneys are slow dose needs to be lowered. good luck! ...Read more

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How often should a person in early or middle 30s have heart check ups? No heart problems in familiy, non smoker, normal blood pressure, with anxiety?

How often should a person in early or middle 30s have heart check ups? No heart problems in familiy, non smoker, normal blood pressure, with anxiety?

Heart check up: Actually, at your age without any risk factors you don't need a heart check until you have symptoms or you are older, over 40 for men or post menopausal for women. ...Read more

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Why we can not use nsaids in patients with hypertension ?

Why we can not use nsaids in patients with hypertension ?

Some Can: In some people, nsaids, like ibuprofen, can cause an increase in blood pressure. It does not affect everyone, so many people can take nsaids without worrying about their blood pressure. ...Read more

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With early onset BPH in a 50+ male, with inability to empty bladder in one shot, is it reccomended to take the meds w/side affects or manage ?

With early onset BPH in a 50+ male, with inability to empty bladder in one shot, is it reccomended to take the meds w/side affects or manage
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Can try: Can try otc things like saw palmetto. At some point it will progress to needing med like Flomax (tamsulosin) or cardura. Maybe even needing a procedure to open passage with microwave or laser. Discuss situation with family physician or urologist. ...Read more

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Can taking psychiatric medications lead to congestive heart failure. I have discontinued meds a while back but feel mild symptoms of CHF and jointprob?

Can taking psychiatric medications lead to congestive heart failure. I have discontinued meds a while back but feel mild symptoms of CHF and jointprob?

Cardiac Disease: As answered elsewhere, the fda has issued warnings for antipsychotics and certain antidepressants as causing cardiac illness, sudden death or metabolic syndrome in certain populations. The prescriber should monitor the risks and benefits of those agents when being prescribed to a person with coexisting heart disease. ...Read more

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I have hypertensive retinopathy so do people with this often have sclerosis and vascular changes to other blood vessels as well?

I have hypertensive retinopathy so do people with this often have sclerosis and vascular changes to other blood vessels as well?

Yes: The small blood vessels in the eye are sensitive "barometers" of hypertensive disease, and reflect the systemic changes seen in other blood vessels elsewhere. Larger blood vessels like the carotid, cardiac and aorta arteries develop atherosclerosis, whereas the smaller retinal, renal, ; cerebral develop arteriolar sclerosis. Blood pressure control is essential for organ protection. ...Read more

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How can I treat erectile dysfunction while on blood pressure meds such as coreg12.5mg and others twice a day narturally?

How can I treat erectile dysfunction while on blood pressure meds such as coreg12.5mg and others twice a day narturally?

Vacuum penile pump: Since you have to be on your blood pressure medication and you don't want to take drugs like viagra (sildenafil) or cialis, your other alternative is to use a vacuum penile pump. Your insurance company might cover the cost of such a device. ...Read more

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Can we use antipsychotics for patients with Alzheimer's disease and psychosis knowing that antipsychotics may lead to death in patients with dementia ?

Can we use antipsychotics for patients with Alzheimer's disease and psychosis knowing that antipsychotics may lead to death in patients with dementia ?

Sometimes, no choice: Antipsychotics are best avoided in managing agitation in dementia. However, if the agitation is the result of actual psychosis i.e., delusions and hallucinations, the risk/benefit ratio often shifts in favor of using antipsychotics, as untreated psychosis itself is a risk of factor for serious injury to self/others. Hope this helps. ...Read more

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Is meloxicam safe to take in patients with diabetes and hypertension blood pressure? Someone please help me....

Is meloxicam safe to take in patients with diabetes and hypertension blood pressure? Someone please help me....

Possible: Meloxicam is a non steroid anti-inflammatory medication. It can cause increased blood pressure. Long term use can cause kidney dysfucntion, including kidney failure. Please discuss with your doctor about your concern. ...Read more

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How often does High blood pressure (hypertension) occur in people with Alcohol withdrawal syndrome?

How often does High blood pressure (hypertension) occur in people with Alcohol withdrawal syndrome?

Very common in AWS: Alcohol withdrawal (AWS) is hyperadrenergic state. In it, a lot of adrenaline & other chemicals run around that wouldn't otherwise be released. High Blood Pressure (requiring clonidine & other medication) is VERY common & part of the "AWS treatment package" in many medical centers. Clonidine also stabilizes the heart rate, which can be increased. TTYD or use HealthTap Prime if you experience AWS. ...Read more

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Is risperdal .5 mg dose safe for an elder patient with alzheimer's and vascular dementia? I read this drug can cause sudden death in elder patients.

Is risperdal .5 mg dose safe for an elder patient with alzheimer's and vascular dementia? I read this drug can cause sudden death in elder patients.

No: According to all studies so far, any antipsychotic used for the purpose of treating behavioral problems or psychosis related to dementia is associated with earlier stroke-related death. This occurs regardless of the antipsychotic and the dose. There are some studies that have shown some antipsychotics to be safer than others (like quetiapine) but those studies are small and inconclusive. ...Read more

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How often should a person in middle to late 30s have heart check ups? Heart problems in family, smoker, normal blood pressure, with anxiety?

How often should a person in middle to late 30s have heart check ups?  Heart problems in family,  smoker, normal blood pressure, with anxiety?

Start with....: ....Once a year medical check-ups. Then if your md has any concern about you, they can refer you to a cardiologist who can determine if there is any need to see you more frequently or even at all. ...Read more

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What cold/ sinus medicines can I take safely with both hypertension and bad tachycardia (hr usually runs 120-150) even with a beta blocker?

What cold/ sinus medicines can I take safely with both hypertension and bad tachycardia (hr usually runs 120-150) even with a beta blocker?

Cold/Sinus meds: Hello, I have had many patients ask me the same question but they usually only have hypertension. With your additional unstable cardiac dysrhythmia, i would recommend you to avoid using any otc medications without first discussing these possible medications with your cardiologist. Otc suggestions like even a saline nasal wash can induce a new dysrhythmia. ...Read more

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Does chronic hypertension cause serious problems in older age like stroke etc. Even after taking medication? How to prevent it?

Does chronic hypertension cause serious problems in older age like stroke etc. Even after taking medication? How to prevent it?

Depends: Taking medicines can decrease the risk of stroke in the future, but not 100% preventive. Another point to remember, the patient will need regular follow-up with a doctor to make sure the medications are controlling the blood pressure. ...Read more

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Dr. Alvin Lin
316 doctors shared insights

Impotence (Definition)

Impotence = pattern of inability ...Read more