Eprosartan

Thank you, Mike, for your reply.  I fully agree with you as regards the ARBs and their ingredients. With effect I was referring to lowering my bP, ie no effect, or the same as Olmesartan.  Dr obviously thought that we might have more luck with Eprosartan, not so. 

And yes, of course, I am taking myself back to Dr (having given it sufficient time to kick in...), on Thursday, actually.  I fear I will end up, as quite a few times previously, with Felodipine, the calcium antagonists, which is very effective but, hélas, the side effects are more than troublesome, especially the nausea.  

As I have, to top it all up, an intolerance to thiazide diuretics (they tried them all), I am stuck. Catch 22.  

I am, by the way, religiously monitoring my bp.  

Oh, there was a time when I asked "blood pressure? What is that..." (Joking).  Años and genes.

Thanks again.

Elke

Thank you, Mike, for your reply.  I fully agree with you as regards the ARBs and their ingredients. With effect I was referring to lowering my bP, ie no effect, or the same as Olmesartan.  Dr obviously thought that we might have more luck with Eprosartan, not so. 

And yes, of course, I am taking myself back to Dr (having given it sufficient time to kick in...), on Thursday, actually.  I fear I will end up, as quite a few times previously, with Felodipine, the calcium antagonists, which is very effective but, hélas, the side effects are more than troublesome, especially the nausea.  

As I have, to top it all up, an intolerance to thiazide diuretics (they tried them all), I am stuck. Catch 22.  

I am, by the way, religiously monitoring my bp.  

Oh, there was a time when I asked "blood pressure? What is that..." (Joking).  Años and genes.

Thanks again.

Elke

I don't blame you for not wanting to do a calcium channel blocker. 

Why not suggest to your Dr. about taking an ACE, i.e. Perindopril??

...because it contains, guess what, a thiazide diuretic, "only a small amount" of course, but my system does not take it.  I really am in sort of catch 22, as one says in England.  And pretty desperate.  No diuretic, ARBs don´t do a damn thing, most ACEs contain a diuretic because it makes them more effective.  Betablocker I am taking anyway, thank heavens the side effects are bearable. If you have more useful suggestions, please do not hesitate to submit them to me.

Kind regards

Elke

As PS to my reply:  Where did you get your impressive knowledge? And I have to correct myself.  The "normal" Perindopril does not contain a diruetic;  but the one I was given, years ago, did.

Regards

Elke

Elke04062..Are you SURE ACE's contain a diuretic???? Perhaps in Britain, but not in Canada. If you get an ACE that has "plus" at the end, then very likely there's a diuretic contained. I have a friend who takes Coversyl..

just Coversyl, & there isn't a diuretic in it. Plain old Peridopril really.

ME on the other hand take Coversyl Plus HD..which indeed has a diuretic.

Elke04062...I just read your reply..where did I get the "impressive knowledge"?? I did a lot of research once I was put on BP lowering medications, & asked a lot of questions too, especially of the Pharmacist. 

IF you were to take the 'normal" perindopril, it won't have a diuretic, so by taking the Beta Blocker & the perindopril, you should be ok. Actually, the best person to ask is your Dr.

Please let us know how you get on!

Yes, I am sure, most ACEs don´t contain a diuretic, unless stated. Same a  applies to the ARBs.  Coming to the Eprosartan:  Just seen my doctor (actually very knowledgeable and caring, surprise, surprise).   So I am to continue with the Eprosartan 1 morning, 1/2 evening, and the Emconcor. II am happy and pleased that she accepts that I am intolerant to diuretics and the calcium antagonists and not one of those medics who prescribe, send you away and say "get on with it, tough, if you feel bad". She advised to only take one Felodipine if absolutely necessary, ie. when bp peaks. Have no choice, will do as I am told and hope for the best.  Years ago, a specialist"  told me that my high blood pressure was "de basa nerviosa", and so it seems.  

Actually, I think it is really really funny that you live in Canada, giving advice, whilst  I reside - not in England!!! but in Spain!.  Health Service here is,  I have to admit, very good, although of course different from England, or for ex. Germany.  You may have guessed, I am German, having lived in England for a long time, now retired in sunny Spain and experiencing the problems old age brings with it (it does not come alone, the English say.

I too have done quite a bit of research on all the stuff they prescribe being inquisitive by nature.

So, lets hope for the best.

Thank you again and best wishes,

Elke

elke04062...IF your bp should spike; & let's hope it doesn't, I wouldn't go grabbing for the Felodipine straight away. One spike doesn't mean your bp will stay elevated. If it spikes & stays that way say for a few days, then I'd be inclined to take the Felodipine. 

If you have your own bp monitor; don't take readings if you are not feeling well or upset about anything. Don't take readings either within 30min of eating, drinking coffee/tea or bathing/showering. Sit with your back supported; feet flat on the floor, & be sure the cuff is tight enough, but not too tight or too loose..& have the cuff at heart level...ON YOUR LEFT ARM. 

I'm sure you might know this information, but I'm trying to be helpful. You'd be surprised at how many people, including professionals, who don't take bp measurements properly. No wonder a lot of readings aren't accurate.

Best of luck!

Mike, thank, your info is really helpful.  Some of which I know but never really adhered to.  As I am at the end of my tether I from now on most certainly will do as advised!  I am not going to bore you with the saga of my blood pressure medication, especially the ARB/calcium antagonists part.  I think you got an idea.

Once again, I have so say that I am truly impressed by your knowledge - you are sure you are not a medic in disguise??

I shall report.

Kind regards

Elke

Hi elke04062...No..I can assure you..I am not a medic in disguise. What I am simply is a very well-read patient, & years ago my own physician told

me this. I make a point to find out as much as I can about what ails me, but don't rely a lot on the internet because I'm certainly not qualified to diagnose, & there are so many things out there that have the same symptoms. I can be like a dog with a bone..that if something bothers me, I won't let it go until I get answers. 

Yes please..keep in touch.