Would you take blood pressure medication?

Posted by frenchfrank51 @frenchfrank51, Jan 6 2:16am

Hello all

This query isn't specifically about PMR or prednisone although there might be a connection somewhere. I have no idea. But this has been happening for years before I had a PMR diagnosis or started to take prednisone.

Currently and for the past few years I've had fluctuations in blood pressure levels that make no sense to me. All of my life my normal blood pressure has been 120 over 80 ( I'm 73 years old now). Until I started to feel unwell. Just generally very Ill and exhausted too. I'd check my blood pressure and it would be around 190 over 90 and I'd tell myself that must be why I feel so ill, I've developed hypertension. Then, on different occasions when I felt suddenly Ill again in exactly the same way, I'd check my blood pressure expecting it to be very high again only for it to be around 120 over 80, my normal blood pressure.

On occasions, usually when I'm asleep in bed, I wake up suddenly feeling unwell again, check my blood pressure and it's really low. Around 90 over 55.

I've explained all this to doctors many times but they come up with nothing.

Does anyone else have the same problem?

If it was consistently high I'd probably take blood pressure medication, but what do I do when it fluctuates so much and why would I feel really unwell sometimes and keep getting different readings? I can't work it out. My doctors seem clueless or totally uninterested. Perhaps someone here has had similar experiences.

Many thanks in advance for any replies.

Frank

Interested in more discussions like this? Go to the Polymyalgia Rheumatica (PMR) Support Group.

You should be seen by a cardiologist. Perhaps wearing a Holter monitor could help determine those huge changes. You west it for z24 hours/day for several days. It’s simple and gives the doc lots of info.

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@caroljeand

Prednisone has a way of causing things to not be regulated properly. My blood pressures were going extremely high after every prednisone dose until the effects of my daily prednisone dose lessened later in the day. Later in the day, my blood pressure tended to be lower.

My blood pressures were called "labile" but my blood pressures still needed to be prevented from going too high. I needed 3 blood pressure medications when I was on prednisone.

Things have stabilized during the years since I tapered off prednisone.

Off prednisone --- I don't need any blood pressure medications and they have all been discontinued. Now my body is regulating my blood pressure without additional medications.

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@dadcue
I will be hopeful that the same will be true for me. I guess if am taking the prednisone in the morning it would be good timing to take my losartan, which I have been doing.
Went to the eye doctor today and need to schedule my cataract surgery for this spring. Hope it doesn’t cause any further PMR issues.
Thanks for your input.

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