Is there an alternative to taking a diuretic for high blood pressure?

Posted by tadueo @tadueo, May 27, 2023

I presently take Lisinopril, Amlodipine and the diuretic, Furosemide, for my high blood pressure. The diuretic causes my colon to dry out giving me chronic constipation that requires taking powerful laxatives.
Is there something other than another diuretic that I can substitute?
I've tried taking the diuretic every other day instead of every day but that caused my ankles and feet to swell up like ballons so I had to go back to daily.
tadueo

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@tadueo I know furosemide can cause some unwanted side effects. Have you spoken to your doctor about the dosage you take? Sometimes we need to change it up a bit.

And, our diet plays a big part in fluid retention. Watching the sodium levels of food, is important. Also, our exercise everyday can be a factor. Good luck on getting a resolution to this problem! Will you let me know what you find out?
Ginger

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Ginger,
Thanks for your reply. I'll let you know what I find.
I do an exercise routine I was prescribed by a physical therapist. I use only "No Salt" salt and only "low sodium" or "reduced sodium" foods in processed foods.
I take enough diuretics that I've been thinking of moving all my furniture into the bathroom.
I'm hoping there's another solution to high BP besides diuretics but haven't found any so far.
Tadueo.

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I don't know but would recommend that you speak to your doctor and do a google search...good luck !

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@tadueo

Ginger,
Thanks for your reply. I'll let you know what I find.
I do an exercise routine I was prescribed by a physical therapist. I use only "No Salt" salt and only "low sodium" or "reduced sodium" foods in processed foods.
I take enough diuretics that I've been thinking of moving all my furniture into the bathroom.
I'm hoping there's another solution to high BP besides diuretics but haven't found any so far.
Tadueo.

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Try not to eat any processed foods; Also, don't use low or reduced sodium foods, as they still contain salt. Try to cook from scratch using only Whole Foods. There is enough sodium in food. You do not need any additional added sodium, except in exceptional circumstances (e.i. heavy exercise in hot weather.)

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Casey,
Thanks.
I see my Doc Tuesday. So far no substitutes.
Tadueo

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Can you try a different diuretic like chlorthalidone?

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I'll ask my Doc.
Thanks.

tadueo

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Hi, @tadueo. I'm a long-term hypertensionite who has been hooked on diuretics for 50 years, but not on Furosemide (Lasix). That's the drug that's given to more racing horses than any other, and it put me in the emergency room with a severe shortage of potassium in my blood 30 years ago. Since then, I have been on one or another diuretic every day -- sometimes at difference dosages from month to month. At present, my diuretics are Amiloride (potassium-sparing) and Eplerenone (also potassium-sparing and often reserved for people with overactive adrenal glands). In both cases, the drugs are somewhat exotic as aimed at uncommon metabolic conditions, and their dosages are derived optimally over time with persistent attention from a team of physicians/specialists that include a nephrologist, a cardiologist, and an endocrinologist. My treatment recipe may not suit you at all, which leads me to emphasize the crucial importance of working it up with the active almost-weekly help of a dedicated medical team. In my case, the three specialties I mentioned have been present in seven physicians, four of whom were replaced as we searched for reliable treatment plans. Troublesome as that may seem, it has been effective in getting my hypertension stabilized. Martin

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Hi Martin
Wow! That's an impressive story.
My team consists of a cardiologist, gastroenterologist and a pulmonologist.
I'll have my Doc check my potassium level Tuesday.
The good news is that my vitals are in the range of a 30 year old and I'm 90. The main problem I have is that any diuretic dries out my colon and results in chronic constipation. Haven't found a substitute so far.
Thanks for the info.
tadueo

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I may have missed background ... how old, sex, physical condition like obesity, glucose and A1C levels, etc.

My broad understanding is that if you are overweight, you BP suffers. If you are fat, it becomes a major issue that meds might not be able to resolve.

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