Janell, the labile hypertension has affected my life more than even my breast cancer. A year ago when it started after several months on AI's I ended up in ER with spikes up to 190-220. They said heart looks fine, but gave me a prescription of Hydralazine for me to start to prevent the high spikes once I reach 170 at nihgt. I'm on 3 BP drugs, and the problem keeps evolving. My recent hip replacement surgery with its drugs changed how my meds work. In the morning I'm on the low side with dizziness, so had to drop some or it's feet up, on the couch, with too low BP. Lots more meds in the afternoon and strongest at night around dinner. Some nights I get lower spikes at midnight that go right back down, and others hit over 170 & I have to take the fast-acting Hydralazine. Am working with a Nephrologist to improve my nights.
Yes, I need NSAIDS & occasional cortisone shots for my Osteoarthritis (& surgery) but now they just drive up my BP into a spike, so can't use them! Even Nasacort is out. Tylenol is all I can take now for pain. Going to do a sleep apnea test in case that's part of the problem.