Difficulty finding a blood pressure med I can tolerate

Posted by lsquared1004 @lsquared1004, Dec 8 5:55pm

Hello all. I'm dealing with mild dilation of aortic root (3.7
cm) and ascending aorta (4.2 cm). For several months been bouncing from one blood pressure to another. I'm very sensitive to medications and all I have tried make me feel awful.

We started with 25 mg of Metoprolol. My hands and ankles became swollen, I was tired and despondent. Then I was put on 25 mg of Losartan. That gave me awful headaches, lower body pain (hips, knees, feet, back) and I felt like I was walking in quicksand. Switched to 40 mg of Valsartan and the lower body pain was excruciating. Next was 25 mg of Spironolactone. My potassium went crazy and had horrible pain.

I'm now staring at a bottle of Lisinopril 5 mg and I'm terrified to try it. The potential side effects sound horrible.

Anyone else had challenges finding a good BP med? I don't have high blood pressure but, as you all know, they still want you on something. I'm really at a loss for what to do.

Any of you on Lisinopril with no side effects?

Thanks!

Interested in more discussions like this? Go to the Aortic Aneurysms Support Group.

Hi… I have a 4.2 cm sending you an aneurysm and a 3.5 cm root. My cardiovascular surgeon and I titrated down losartan to a very low pill cutting 6.25 mg. At first we tried 12.5 mg but I had chemical and drug sensitivities to so 6.25 keeps my blood pressure around 110/70 and I walk every day for like 30 minutes and I think that helps keep it down too. I don’t know if you were in the same situation. My blood pressure wasn’t particularly high to begin with, but does get high when I get stressed in which case someone on here recommended breathing in for four seconds,holding for four seconds, and breathing out before seconds and put your body into a rest and digest mode if you do it for five times and lower your blood pressure and helps trick your body into thinking it’s relaxed. It is super important to keep our blood pressure down so I hope maybe some of this advice might help you but please continue to work with your Doctor🤗

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And my above text that supposed to say ascending aortic Root, I was using my text microphone

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I recommend looking into taking like 200 mg of Ubiquinol each day. Check the studies and decide for yourself. It’s a natural way to help further lower BP.

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@degarden_girl

I had problems taking Metoprolol but it was so long ago that I can't remember specifically what the issue was. My cardio suggested I take a half tablet, which I did and which worked well. Once I got used to the drug I was switched to the full tablet and no problems. I also take losartan 25 mgs, without problems.

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Responded to wrong person

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@lsquared1004

Hi Lara. Not sure if your questions was directed at me. My blood pressure is pretty normal usually around 115/76. I will have fluctuations going up around 125/85. But my blood pressure isn't usually sitting there. Still, they want me on a bp med because of the dilations.
I've never heard of metanephrine levels. What would that tell a doctor and how would that influence medication choice?

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Was your Metoprolol 25mg 2x a day or 12.5 x2 a day? 25mg is the lowest tablet on the market, but they can be broken in half and even have a notch to do so. Given your normal BP, that may be something to consider because it has some other benefits for the heart. The down side for me is the lowering of heart. My heart rate tends to be low which is why I am on the 12.5 morning and night and 20mg Olmesartan per day to bring it the rest of the way down. If you ever have open heart surgery or have a heart attack, you will likely need metoprolol because there isn't a substitute with all of its benefits.

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@degarden_girl

I had problems taking Metoprolol but it was so long ago that I can't remember specifically what the issue was. My cardio suggested I take a half tablet, which I did and which worked well. Once I got used to the drug I was switched to the full tablet and no problems. I also take losartan 25 mgs, without problems.

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Sadly, that didn't work for me. Half a pill still caused depression-like symptoms.

Also, it worked too well on BP, since mine isn't always elevated.

It is tricky to figure this stuff out.

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I take 100mg. of Losartan daily. This seems to be a higher dose than many of you are on. I didn't realize mine was so much higher. I'm happy if my BP is 120/80, but now I'm not sure that's all that great. When I'm stressed, it can go up into the 150s. I also take a bunch of other meds. for cholesterol and depression. Potassium also. I have a 4.2 AAA and I'm 78, soon to be 79. All of this seems very bizarre to me.

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I, too, have lots of difficulty with side effects of medications. My arch measurement is 4.6 cm and so far I have
not started any BP meds. In clinic my BPs are always higher, so I take them regularly at home. I run about 110-118 systolic and 65-70s diastolic. So far my doctor hasn't prescribed any BP med for me. I could probably take a statin as my LDL is a little high, but HDL is very good and triglycerides in normal range so I haven't started on one so far. Will do a followup echo in March to see if the measurement is staying the same; if so, will just carry on as is I think. I am almost 72 and there is a lot to be said for quality of life too (not being miserable every single day because of med side effects). I did find with much trial and error with my thyroid med that I do much much better on a liquid prep than a solid. (I have to pay more and have my doctor authorize for me but it is SO worth it. I can take the med with minimal side effects). I believe I have allergies/sensitivities to the fillers in meds. You may want to ask your doctor for a BP med with a liquid preparation? and see how your body responds? Enalapril, an ACE inhibitor, like lisinopril, comes in liquid preparation I believe. Perhaps that will work for you? wishing you all the best. Keep us posted on your progress 🙂

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