Looking for an effective Blood Pressure regimen that does not

Posted by gerlig @gerlig, Jul 12 11:51am

... HBP regimen that does not have "dizziness" as a noticeable side effect. Currently on Lisinopril-HCTZ20-12.5 mg and Spironolactone 50 mg.?

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I use Lisinopril and Metroprolol for probably 30 years. No dizziness. I have friends older than me that use only garlic (fresh) daily with good results.

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Profile picture for islandfrog @islandfrog

I use Lisinopril and Metroprolol for probably 30 years. No dizziness. I have friends older than me that use only garlic (fresh) daily with good results.

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Thank you for responding. How much raw garlic do your friends use daily? Assume they also have no evil spirits! 😁

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Profile picture for gerlig @gerlig

No diabetes or heart problems. Will ask if switching is worth a try. Thanks! 🙌

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May I ask why the doc has you on the diuretic Spirinolactone? Do you have any kidney disease going on? What were your last two lab GFRs?

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Profile picture for islandfrog @islandfrog

I use Lisinopril and Metroprolol for probably 30 years. No dizziness. I have friends older than me that use only garlic (fresh) daily with good results.

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Both beet juice and garlic help BP.
I prefer beet juice, but garlic has a lot less calories.

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Profile picture for slarson14 @slarson14

May I ask why the doc has you on the diuretic Spirinolactone? Do you have any kidney disease going on? What were your last two lab GFRs?

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He added the Spiro to the Lisinopril to "get BP back w/in normal range". Did not question why Spiro. BP dropped from 200/100 to 145/90 in 2 days. He indicated this Spiro addition was quite normal. Whether true or not... unsure! I have never had any GFR labs. Test was never recommended.Going down a other "rabbit hole?

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@gerlig since you’re on spironolactone too which has a side effect of dizziness I believe you must have another diagnosis you’ve not shared yet. Do you know whether your BP drops when you have the dizzy spells? Your cardiologist will hopefully suss out what the specific issue is and correct it. Best of luck.

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GFR tests kidney function. It is very important as we age it declines, it can also tell a doc if you have kidney damage from, say hypertension. Hypertension is very bad for kidneys because it becomes a vicious circle.
Your kidneys help maintain your blood pressure by releasing hormones like renin, aldosterone, and angiotensin. These help balance your fluids and control blood pressure, how much fluid your system keeps or releases, etc.

Exercise and weight control should also be on the doctor's order when trying to control your BP and your BP of 210/100 is dangerous. It can still damage both your kidneys and eyesight at 145/90 in only a short time.

The 100-90 diastolic indicates either your arteries are inflexible and out of shape because you haven't kept in good shape by fast walking and weight lifting, haven't let yourself get overweight; or you have too much fluid onboard due to kidney or lung issues, or you are drinking alcohol too much. Your lungs also help keep your BP in check, via interaction with your kidneys, so it could be a lung issue - but that isn't as important as having a kidney issue in blood pressure.

The systolic of 210 or 145 can indicate too much stress (adrenaline in your system), that you have been exerting yourself via activity or smoking.

Respectfully, your BP still needs to come down to avoid damage to specifically your eyes, kidneys, and capillaries (small blood vessels); an indicator of high BP is blood shot eyes as well as pounding in your ears and increases in tinnitus.

DASH diet and exercise can save your life.

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Profile picture for slarson14 @slarson14

GFR tests kidney function. It is very important as we age it declines, it can also tell a doc if you have kidney damage from, say hypertension. Hypertension is very bad for kidneys because it becomes a vicious circle.
Your kidneys help maintain your blood pressure by releasing hormones like renin, aldosterone, and angiotensin. These help balance your fluids and control blood pressure, how much fluid your system keeps or releases, etc.

Exercise and weight control should also be on the doctor's order when trying to control your BP and your BP of 210/100 is dangerous. It can still damage both your kidneys and eyesight at 145/90 in only a short time.

The 100-90 diastolic indicates either your arteries are inflexible and out of shape because you haven't kept in good shape by fast walking and weight lifting, haven't let yourself get overweight; or you have too much fluid onboard due to kidney or lung issues, or you are drinking alcohol too much. Your lungs also help keep your BP in check, via interaction with your kidneys, so it could be a lung issue - but that isn't as important as having a kidney issue in blood pressure.

The systolic of 210 or 145 can indicate too much stress (adrenaline in your system), that you have been exerting yourself via activity or smoking.

Respectfully, your BP still needs to come down to avoid damage to specifically your eyes, kidneys, and capillaries (small blood vessels); an indicator of high BP is blood shot eyes as well as pounding in your ears and increases in tinnitus.

DASH diet and exercise can save your life.

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Thank you very much for your detailed response. Obviously, you are a well experienced health pro with valid concerns and recommendations. I will discuss GFR with my doc as well as why he added Spiro (diuretic) with Lisinopril. Cut coffee last week to see if any imbalance improvement is noted. Nothing significant to date. Again, much thanks for your attention and will keep you posted.
Go Mayo! 🙌✨️

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Profile picture for jenatsky @jenatsky

@gerlig since you’re on spironolactone too which has a side effect of dizziness I believe you must have another diagnosis you’ve not shared yet. Do you know whether your BP drops when you have the dizzy spells? Your cardiologist will hopefully suss out what the specific issue is and correct it. Best of luck.

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One of your colleagues recommended I get kidneys tested. I will pursue. Thanks for your expert advice. 🙌✨️

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Here is a comparison between the two drugs and their effects and side effects. https://www.drugs.com/compare/hydrochlorothiazide-lisinopril-vs-lisinopril and https://pmc.ncbi.nlm.nih.gov/articles/PMC8673110/. Hopefully you’ll now have some more knowledge to discuss with your doc. Some times docs get so used to prescribing a certain medication they develop an unconscious bias toward one product. What cardiac diagnosis do you have if you’re seeing a cardiologist?

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