2 months ago my Losartan 50 mg was reduced to 25 mg much to my delight as I hate taking pills.

Posted , 11 users are following.

I'd been on Losartan for 10 months and before that a Ramipril equivalent dose, in all I've been on meds for 17 months.  For many months my average readings were around 122/70 with many way below that figure and only very rarely anything over 140 [systolic]. After the reduction I monitored my BP carefully twice a day and all seemed fine with just a slight rise, to be expected with a lower dose. Then I went away for a lovely holiday for 3 weeks and was horrified on my return to find the BP has risen sharply. Oddly the same thing happened last year on my return from holiday. I find I have wildly fluctuating readings and the diastolic is way too high too, i think. 138/86 was average over just 2 days but there have been readings of 189/97 on occasion. I don't smoke, add salt to my food and am considered thin. I also walk at least half an hour daily. I need another prescription so do i ask for a repeat and wait and see if things settle down or would it be wise to ask for a GP appt and expect an increase in meds?  I'm not due for a check up for another 4 months.

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  • Posted

    If i was you i would make an appt and go and see your doctor just to be on the safe side i recently moved doctors and when the nurse did my health check my blood pressure was high 158 /108 which is the worst ive seen it i was on medication and the dosage has been changed my previous doctor hadnt checked my blood pressure for over 9 months let us know how you get on 
  • Posted

    Were it me I would ask for an early appointment with my GP before you ask for a repeat prescription - 4 months is too long to wait to discuss the raised BP with your GP
  • Posted

    Jane, it does seem unusual for BP go increase following an enjoyable holiday.  Although you say you don't add salt to your food, any food eaten on holiday would have had added salt, and did you perhaps have more alcohol than usual?  Or it could simply be that your BP is not maintained on the recent reduction to 50mg of Losartan.  I am on Losartan 50mg and it isn't controlling my BP sufficiently but can't have the increased dose owing to blood test results.  I definitely agree with Gill - don't wait for your next check-up or put in a repeat prescription without getting your GP's advice first.  Do keep in touch and let us know how you get on..and good luck.
    • Posted

      I more than likely did all of those things on holiday. I was staying with my daughter in France and we consumed wine by the bucket load and loads of cheese and all those salami type sausages, all stuffed with salt which usually I don't do at all. All very relaxed though... However as you say it could also be the reduced dose of Losartan, or indeed all of those things. I was controlling it all so well before and now I don't know where it's going. I do wonder whether had I not adopted the acknowledged life style changes when initially diagnosed [cutting out salt, vastly reducing alcohol, losing weight and exercising more] it might  all have been much worse. Who knows! 

      It the swings that bother me really and also some of the high diastolic numbers which I'm told are more serious that the systolic although not sure if that is right. i mainly take readings before breakfast and before bed and to go from systolic numbers like 180 then down to 100 a short while later is alarming.Likewise with the diastolic, numbers in the 60's and next time in the 90's. Puzzling.

      I reluctantly thin a GPs appt is inevitable, assuming I can get one !!

    • Posted

      My fluctuating readings are broadly similar to yours.

      The consultant I saw recently at the Hypertension Referral Clinic is of the opinion that fluctuations are not dangerous though much I have read says otherwise. Talking of home readings he said that you can never take your BP to often!

    • Posted

      And there i was of the opinion that you CAN take your BP too often!  When you think about it though a 24 hr monitor takes it every half hour, at least during waking hours.
    • Posted

      What do you do when you have the 24 hour monitor? Do you take it easy that day, go about as normal or try to be more enegetic than usual?

      Last year they they said that my BP was much reduced from previous times.

      The day before having the monitor fitted I had injured my knee and could not bear my weight on it. The following morning I had to have the catheter fitted after my prostate operation removed. We took a taxi to the hospital and my wife wheeled me to urology. We then had  three hours to sit around until time to get the monitor fitted. Home by taxi and not moving around much and the same next day. My wife took the monitor back for me. My BP average was 134/74, I wonder why?

       

    • Posted

      normally you should be as normally. However in this case any pain and srtess should have meant was as if normal even though less if see what mean
    • Posted

      Mention it to them though if haven't incase want to do again.
    • Posted

      I've only ever had a 24 hr monitor once and the experience is one I wouldn't willingly repeat! That was when I had the NHS health check and the BP was 163/90, or was it 96? I had the monitor at the surgery about 3 weeks later. It was good to have had it but I had a very sleepless night. During the day I was told to just do whatever I normally would do. Easier said than done! I was very annoyed when told to see the dr and he said I wouldn't be able to sort it without medication. I determined to give it a try anyway but he was right unfortunately. I shall never get used to being on long term medication. Simply hate it.
    • Posted

      I don't sleep well at the best of times and the monitor disturbs it even more.

      I am to have another one soon. 

  • Posted

    Hi Jane, if in doubt I would always either go, or telephone your doctor. Your readings don't sound too bad when I have read some other people's on this website. Mine vary immensly. I have been on 50mg Losartan for about 3 weeks now after trying enalapril, almopodine + water tab, then ramapril all of which made me feel so unwell, & didn't bring my readings down acceptably either. Since being on Losartan I still get some high readings, & still don't seem to have reached an acceptable average yet. Can u remember how long it took for losartan to bring your readings down? as I'm away for 3 months my gp gave me enough tablets to double up dosage if I can't reach an average reading of 145/90. He admitted they don't really know why it varies so much & that's why they aim for an average, so I think we can expect really highs & lows at times. You sound very like myself in lifestyle & I hate taking pills also, I've been om meds since middle of March.

    Anyway, hope you ring your gp & put your mind at rest. A friend of mine has been on 100mg losartan for quite a number of years & seems fine. I think we have to try not to worry too much about the occasional high reading. Hope you are reassured soon. best wishes Sue

    • Posted

      I have taken 100mg of Losartan for years apart from odd changes for a month or so. After initial lightheadedness (is that a word) the only noticeable side effect is a slight itching but it has not done much for my BP highs. 

      This past week I have taken it at night instead of morning. My readings are no less in the morning but still come down to acceptable levels as the day progresses.

    • Posted

      Interesting that you take it at night, perhaps I should try that. Would it make any difference though.  When I took a 50mg dose of Losartan I also had periods of light headedness, that was the principal reason the dose was reduced I think, that and the fact that there were so many very low readings.
    • Posted

      I do think an email or call to the dr is  on the cards, albeit reluctantly. I have been on Losartan 50mg for a year now with no side effects. Before that I was on Ramipril which gave me the predictable cough. The Losartan 50 mg was the equivalent dose. Interesting you have a goal of an average of 145/90.  I was given 135/85 as being the limit..

      It's the swings of high and low that bother me.  I really hate being on medication !mad

    • Posted

      Hi Derek, what was result of scan on your kidneys?

       

    • Posted

      I have previously tried all the options night/morning. half at night half in morning. When I was taking verapamil as well I tried switching dosages around without much effect.

      Last night before taking the losartan my BP was 133/65 43. This morning my  BP averaged 186/87 42 and was 154/84 61 this evening at 6.30.      

    • Posted

      I am still waiting on the MRI scan it was only suggested two weeks ago.

      I previousy had a kidney X-Ray in January of last year when trying to get on to the now 'on hold' renal denervation trials program for hypertension that did not show any problem.

      When I have an ultrasound scan on my aortic aneurysm it also shows up my kidneys. A few years ago I was told that I had a non harmfull Bosniak Type 1 cyst. This year the report said several kidney cysts without any explanation that the hypertension centre want more information on.

      When I had a follow up after that the aneurysm  consultant did not have my notes or a copy of the scan and said that they are probably harmless.

       I was told in 2003 that I also have a lot of cysts on my liver that were said to harmless but the hypertension specialist says that some types of liver cysts can affect BP. Time will tell.

    • Posted

      Derek, as far as cysts on the liver are concerned, I would be inclined to go along with the comments you had in 2003.  My reason for saying this is that during an ultrasound  several years ago I was told that I had a small cyst on my liver and a gallstone.  At a recent repeat ultrasound, nothing was mentioned so I referred to the earlier findings and the technician responded  "well they're not there now"!
    • Posted

      Derek, do you take three readings each time with two or three minutes between each reading and then record the average of the last two readings?  My renal consultant has asked me to just record the averages for him.  What amazes me is that each reading within those 6 or so minutes can vary wildly!
    • Posted

      With regular ultrasound scans since no one has ever mentioned them.

      The first scan was done by a doctor the ones since by a series multinational technicians. I think from what is on the screen that just the part showing the aorta is all that goes to the consultant rather than other areas they have gone over.

      I was once diagnosed with a duodenal ulcer when having a barium swallow X-Ray and treated for it. When I had another barium X-Ray with similar symptoms I did not have an ulcer and the doctor doing it said that I had not previously had an ulcer as there was no sign of its scar. Who does one believe?

    • Posted

      I do in the morning when it is high but not at other times when it is average or low.
    • Posted

      Weird, Derek.  I think I'd be inclined to believe the one that gave me the news that it was all clear!!!
    • Posted

      I ceased to believe anyone after our daughter was told that she was constipated and had piles after an inadequate examination and three months later was found to have colon cancer that had spread to her liver.
    • Posted

      Hi Derek,

      I think ~I mentioned before, a friend of mine has a daughter who has recently finished medical training & now works in operating theatre. When she mentioned to her that I seemed to be having trouble with fluctuating readings & not getting consistent acceptable readings whilst on various medications she suggested that from what she had learnt & experienced, benign growths on the kidneys could be the reason, one example she quoted was a woman had been unsuccessful on meds for 3 years with the above symptoms & not responding to the meds, when they scanned her kidneys she had these benign growths which once removed reinstated her healthy BP readings. I mentioned this to one of the gps' I saw at our surgery & she said that is usually only the case in young women????? & it was rare, that was the end of that!! the mind boggles. Maybe it's rare because most cases are not investigated enough & so they go unkown therefore making it RARE. I do believe beetroot & celery may help, as for 2 days on the trot recently I had quite a bit of both in my salads & the following 2 days I had identical readings of 131/76 P80 & P83,  A couple of days later 3 rdgs on same day were 96/69 P87, 3 hrs later 186/61 P89 & 5 mins later 166/75 P89. The next day was 110/73 P78???? I must admit I'm trying not to get too hung up, if after a year my BP's not sorted I will consider a private consultation, hopefully where it won't be trial & error for months on end. Good luck to everybody.

    • Posted

      Oh Derek, I'm so sorry,can't imagine what you must feel like after that.
    • Posted

      The consultant I am seeing is a renal one and has quite a few theories, possibly narrowed arteries in the kidneys. Earlier bllood tests, X-Ray and scans elsewhere should have truled much out but he does not trust cardiologists to interpret results as he does:-)

      Trouble is his hypertension clinic is only one afternoon a week and his appointments are long and thorough so he does not see that many patients. My next appointment is not until mid January.

      A locum I saw once said that everyones BP fluctuates throughout the day. He got a healthy nurse to take her own BP often throughout the day and she was amazed her her fluctuations.

      When I had a couple of days in hospital for my prostate operation several of the quite young nurses taking my BP said that they had high readings themselves... that they were ignoring.

      In my grandmothers day doctors believed that a persons systolic BP was 100 plus their age. Perhaps they were right

    • Posted

      It's the case of girls of that age don't get colon cancer. That year in the 16 to 22 age group there were two cases. The other was a nurse at a Nottingham hospital.

      She did actually have a colon polyp when she was six. Nowadays she would would have had regular checkups after that.

    • Posted

      Really sorry about your daughter Derek.

      Re. in your grandmother's day - I've heard that said before but my GP said once that fewer people died of cardiac failure these days and she didn't really know why that was. Maybe because more people are picked up with hypertension than was once the case? Diabetes too. Was this always picked up as early as it could have been I wonder. Obviously I'm talking of type 2 but in my grandmother's day type 2 was known as an old persons disease although that is not the case today. You win some and lose some. 

      What does amaze me these days is how little the drs actually DO know. You constantly read of them admitting that 'little is known on ....' etc.  Trouble is you then get the bossy, arrogant ones [Sir Rory Collins and his statins springs to mind !!] who sweep any criticism away insisting only they are right. If they shout loudly enough then people will believe them.

    • Posted

      When I was a kid (I'm 80 now) the only ones we heard of with diabetes were Type 1 and they all seemed to me to look the same, pale, fair and short sighted. Obviously the killer diseases were different in my grandmothers day and tended to kill people at an early age and poverty killed a lot more.  Perhaps that weeding out left the strong to breed and live to a good age. My grandmother evidently had a sickly sister who died in her 20's but the rest lived into their 80's.

      I doubt if many people were checked for diabetes or hypertension again those we knew with high blood pressure seemed to be a type, stout and red of face.

      Perhaps doctors know less because they have more to cover now and are not taught some subjects in depth. People complain now that doctors are afraid to touch them or examine them and modern nurses are taught more theory and little in the way of hands on .

      On statins my GP says of a cardiologist at our local hospital, He would put statins in the water supply if he could. I stopped statins because of muscle pain.

      After going into AF after my having my aortic valve replaced the surgeon said that I could stop amiodarone and warfarin six months after a sucessfull cardioversion and go back to aspirin. The cardiologist threw up his hands in horror and asked if I wanted to have a stroke.

       

    • Posted

      Terrible for you and your family to go through such an experience, Derek. 

      I have a lovely elderly neighbour who has just been diagnosed with bowel cancer.  She asked the consultant if it was connected to the polyp which was diagnosed some years ago but which she didn't hear anything more about.  The consultant said there was nothing in her notes about a polyp!!!  Makes us wonder if that's where the cancer started.

    • Posted

      It is, they can take over ten years to become cancerous.

      With our daughter, a finger like thing poked out of her bottom when she went to the toilet. We were on holiday and took her to the local A&E. By then they said that it had popped back in. When she was admitted to hospital after we got home they did a colonoscopy to remove it but could not find it so said that it must have detached itself, I still don't know if they can dtacth themselves or if they missed it. Presumably others then  formed over the next fifteen years but she had no symptoms until one day she passed wind and some blood.

      She went straight to her GP who sent her to A&E who gave her an appointment for three days later. They did a sigmoidoscopy but did not find anything apart from piles as the tumor was just beyond its sight. More visits to GP and another hospital visit six weeks after passing more and more blood and in pain. They (rudely) told her as before, constipation and piles.

      Five weeks later in desperation her husband took her to another A&E who immediately knew what it was and admitted her two days later

       

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