Mayo Clinic Connect
has anyone dealt with resistant hypertension?
Hypertension: Did we speak about Lisinopril and its use with Tenormin ….
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@mikefox909, you asked what I think of that cardiologist’s comments on beta blockers, Omega 3, and CoQ10. I won’t comment on the three substances, but I will say that there are just as many cardiologists who DON’T KNOW what they are taking about when it comes to hypertension as there are those who DO. As respects blood pressure, I have found that any advice I receive from any cardiologist must be second-guessed by either another cardiologist or a nephrologist (who is treating my hypertension). I’d suggest that you have a long discussion with that cardiologist AND with another cardiologist or a nephrologist on the questions you raise.
Thank you very much for your response. I have been thinking about a secondopinion eventually. I know there are a lot of physicians out there withtheir take on people’s personal health. I know as individual’s we need tolook out for our own well being because unfortunately not too many peoplereally care. I like your advise. My work insurance is pretty good as longas we remain within our physicians network. I will be looking out for agood nephrologist as well to see his opinion on the medications I am takingright now and their long term effects on the kidneys. Thx, appreciate it.
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Yes – How did you fare … appears from your comments ypu are fighting a type of ‘resistant’ Hyper-Tension … does anyone (of course, including yourself) use LISINOPRIL with TENORMIN … side-effects vs. stability? Continue with exploring safe avenues ..
Was your last message above meant for me, @jacko? My hypertension is for sure resistant, but probably not in a classically defined way. I’ve been treated for it for 20 years and have used a wide range of popular medications, including Lisinopril and Tenormin (Atenolol), recently at the same time. My Lisinopril dose (once a day, maximum 40mg) is taken before going to bed. My nephrologist says it has helped both my hypertension and my chronic kidney disease.
Tenormin is a beta blocker that was not for me because it would slow down my already low normal pulse rate of 50 bpm. However, A-fib changed that two years ago, lightening compressions of my heart muscles and speeding my pulse rate up to between 80 and 90 bpm (not hazardously high, I know). That left room in my pulse rate for a beta blocker, and I’m now on Carvedilol (Coreg) 25mg twice a day.
Those two medications are just fine for me, although we’re still fooling around with dosages, raising them to get better control of my BP. I also take Amiloride, a potassium-sparing diuretic (10 mg twice a day). Together, the three keep my BP under control, although a little high — high enough so new nurses look askance whenever they take my BP.
Side effects have not caused me any anxiety or particular discomfort, although my taste and smell are not as acute as before and I have short bouts with sexual dysfunction. Is any of this applicable to your concerns?
Is 175mg of Lopressor daily and still have uncontrolled blood pressure. I was told by my endocrinologist that thyroid medication is the culprit. Anyone else have this problem? I have Hashimoto’s and take 100 mg Trisoint and 35 mg Cytomel. I appreciate this forum and the participants with so much knowledge in many areas!
Liked by Colleen Young, Connect Director
@patreats5674, I think you would be interested in reading and taking part in this new discussion about thyroid and underlying conditions that @johnwburns just started.
Subclinical Hypothyroidism https://connect.mayoclinic.org/discussion/subclinical-hypothyroidism/
Is 105/65. Normal blood pressure ?
If you are asymptomatic, as in not tired or having a tendency to faint, it great.
Welcome to Connect, Kathy. Let me introduce you to a few members here dealing with hypertension. Please meet @predictable, @contender1 @mikefox909 @martishka @nadine66 and @teatime.
@llecrup how are currently managing your hypertension? We look forward to getting to know a bit more about you.
The very SPRINT study lowered the systolic target to 120 but it has not been established as the de facto standard of care yet.
Thanks. I should have named the discussion something like “Thyroid disease’s impact on other conditions” but I thought that that scope was too ambitious. Maybe I’ll start another one.
35 mcg (not mg) is a lot of cytomel. Cytomel is 4:1 to levothyroxine so you are effectively taking 240 mcgs of T4. The average dose of T4 is 1.6 mcg/kilogram so I’d say you may be pushing the high end. If that is the case, controlling your BP with a high thyroid replacement load could be futile.
I can change the title of the other discussion if you like.
Yes, I thin you responded to some of my earlier inquires … Thanks!
Hello John, Thank you so much for your reply and good information. I don’t know how to reply on the site. I hope I am not bombarding you with emails or if you are even getting them.Thank you again
Your welcome. You found me.
Just find a discussion and open it. My comments will show along with others. Or click on my handle and you’ll see my comments.
I’m still learning this thing myself.
Another thing I’m wondering is why your doc put you on Tirosint since its so expensive. Do you have major absorption issues? Seems especially odd that its paired with so much Cytomel. Studies are suggesting that there are a minority of thyroid patients who need T3 to feel right but most do alright with levothyroxine if dosed properly. Things will influence that like your age and general health. Is your thyroid completely gone, as in ablated or removed?
Here’s a calculator that’s in beta mode but you might find it interesting.
One key term here is “lean body weight”, Explained under “Ideal Body Weight”. In other words the 1.6 or 1.7 mcg per kilogram replacement rule of thumb doesn’t apply to your actual weight and someone who is very overweight should not be taking a huge replacement rose of thyroid.
Sure, cast a wider net. Thanks.
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