Related Questions

Dr switched me from Benicar (olmesartan) hct 20/12.5 to lisinopril hctz 20/12.5. Also take metoprolol 50mg 2x day and klorcon10 1x day. Bp is 81/49p48. No symptoms?

Hypotension. You know have low bp. Your pulse rate is also on the low side. Like you asked, symptoms? Talk to your doctor but for some hint: hctz (hydrochlorothiazide) is a diuretic and can lose k. Lisinopril keep k in, and for some cause cough. Metoprolol slows down the pulse. You and your doctor decide what is being treated and what is being prevented and what side effects are being avoided. That is the principle of treatment. Read more...
Over medication . You may not need that much meds -- i would recommend that you get for yourself an automatic arm BP machine and start recording your BP every morning for the next 2 weeks then report to your doctor. Read more...
Low. This is a bit low number. May want to check with doc as well as making surer home BP machine accurate. Read more...

Taking Benicar (olmesartan) 40/ hct 12.5 but my potassium is 3.0 as the diuretic is causing potassium loss. Any other meds to control htn & replace hctz diuretic?

Potassium sparing. Potassium sparing diuretics such as Amiloride are a a good alternative. Discuss with your physician. Read more...
Low potassium levels. Your low potassium (k) could be worsened by magnesium (m) loss due to hct. Your k won't be normal unless the m is repleted. At your age, with a history of cardiac disease, you may have some chronic kidney disease. Hct won't work if you've <50% of your kidney function left. If your BP isn't controlled on your meds, ask your doc to rx Furosemide (f) as a diuretic. F causes urine loss of m and k too. Read more...

Doctor wanted to use 25mg spironolactone to counter effect potassium lose by hct in ben/hct. I wonder why not use Benicar (olmesartan) without hctz. How effective.?

Potassium loss? Spironolactone (s) can increase potassium (k) levels. K loss by diuretics (d) can be caused by 2 factors. D's waste both k and magnesium (m) in the urine. If a patient has a low m, the k will not be corrected until the m level is restored to normal. S cannot increase the m level at all. Using Benicar (olmesartan) with no diuretic may not be enough to reduce your BP to goal. Discuss this with your physician. Read more...
Spironolactone. Can reverse the loss of potassium due to hctz. Hctz is used to increase the potency of blood pressure lowering with the benicar, (olmesartan) which can also be achieved by increasing the dose of Benicar (olmesartan) without hctz, if possible. I do not use hctz at all, as most of my patients have diabetes, and hctz can increase Insulin resistance, blood sugar, and lipids. Talk w/your doctor. Read more...
A good option. Benicar (olmesartan) ; hctz work so well together that the combination tablet was formulated. Potassium levels are often sustained with this combination but some folks lose too much potassium even with this low dose of hctz. An alternative to spironolactone is potassium but it can irritate the stomach. Also spironolactone itself can help lower blood pressure. Read more...