High blood pressure from pred.
Posted , 9 users are following.
In the last month I am having high BP readings like 159/95. Rheumo said it's from pred but go thinks not but why all of a sudden? Started on diuretic low dose- usual protocol . Hasn't worked yet. I am not overweight and BS normal.
Can anyone relate?
Took my second careful walk outside which felt wonderful even at a snail's pace.
0 likes, 31 replies
karenjaninaz
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Ardern karenjaninaz
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I started preds back in NOV 60 mg per day . my normal BP was 105/70 and climb to 160/135. pulse climbed from 50 to 80/90 my weight was 174 in Nov i am now at 198.
I have now tapered back to 10 mg and my BP is now down to 120/80.
ptolemy karenjaninaz
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EileenH karenjaninaz
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Maybe your doctor should reconsider the choice of medication?
karenjaninaz EileenH
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EileenH karenjaninaz
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No, you can't take betablockers with airway disease but there are other BP meds besides them, I just said what I'm on. Diuretics aren't usually given to relax the vascular system as far as I know - they remove excess fluid so the existing system can cope with the reduced fluid volume.
faye______00403 EileenH
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My stepson is a pharmacist and when I started on pred about 3 years
ago he was very concerned. Also not happy when I told him I was on
a diuretic HCTZ for BP,,,,,,he told me that pred leeches calcium out of your bones and the diuretic washes it away.....have you ever heard that particular concern? I stopped taking it and started plant based
calcium with vit d and k. Hard to know what to do on a regular
basis as some new side effect or problem pops up on a regular
basis......PMR BLAH!!!!! Pardon any typos....I'm scheduled
for cataract surgery on Wed. and don;'t see really well....
Nancy_O EileenH
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Do you have any sources of research that describe how PRM can affect the heart or be related to atrial fibrillation. My doctor and nurse practitioner don't seen to think there is any connection, but I would like to know if it is the prednisone or the PRM causing my symptoms.
EileenH Nancy_O
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Abstract 19559: Risk of Atrial Fibrillation is Increased in Patients with Autoimmune Vasculitis: A Population-Based Cohort StudyRowlens M Melduni; Mohammed N Nazmul; Shreyasee Amin; Bernard J Gersh; Kent R Bailey; Stephen S Cha; Leslie T Cooper; James B Seward; Hon-Chi Lee
PMR is almost certainly an autoimmune vasculitis.
Or this
Cardiac arrhythmias and conduction disturbances in autoimmune rheumatic diseases.Seferović PM1, Ristić AD, Maksimović R, Simeunović DS, Ristić GG, Radovanović G, Seferović D, Maisch B, Matucci-Cerinic M
Again, it is a rheumatic disease with autoimmune origins.
My a/f is definitely NOT due to pred, it had started long before I was given pred, but pred can also cause new-onset a/f:
"A daily dose of at least 7.5 mg of prednisone equivalents was associated with a six-fold increase in risk of new onset atrial fibrillation, Cornelis S. van der Hooft, M.D., and colleagues, of Erasmus University Medical Center reported in the May 9 issue of theArchives of Internal Medicine.
Moreover, the increased risk was "found in patients with and without asthma/COPD", the authors wrote.
There was, however, no observed increase in the risk of atrial fibrillation among patients treated with low or intermediate doses of corticosteroids."
It is commonly known that RA leads to an increased rate of a/f and I did ask a rheumy about it and did it also apply in PMR. I got the dismissive response of "The incidence is increased in the age-group anyway". That wasn't actually what I asked - I wanted to know if the rate is higher in the PMR/GCA population than in the general population - but I assume no-one has looked at the question.
Every so often I find myself spitting feathers as I hear of people (mostly who should know better) dismissing a question with "there's no connection". Tell me you don't know, that's fine, or you don't think so - but don't ever categorically rule it out unless you KNOW there is cast-iron proof.
Nancy_O EileenH
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EileenH Nancy_O
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faye______00403 karenjaninaz
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as "white coat syndrome" and that means my BP shoots up when
taken at the doctor's office. It is a royal pain in the butt.....my doctor
let's me take my pressure at home and keep a log and bring into
appointments. If you have a cuff take your pressure at home and see
if it's not okay. This started years ago and is something that I
can't control. It sounds nuts but there are a lot of white coat
patients....worth checking then at least you'd know..
karenjaninaz faye______00403
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faye______00403 karenjaninaz
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up a little when I started on pred but not signifigantly......
linda17563 faye______00403
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faye______00403 linda17563
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to sleep was very concerned even though I had a letter from my
primary doc of l7 years about my "white coat". I had a log book with months and years of readings I have taken at home and wish the medical profession could accept that there is such a problem. I'm
on two kinds of blood pressure meds but still have the same
problem.. It's such a strange business. However the cataract
surgery was very sucessful.....when I looked at TV it was like
The Wizard of Oz.....went from black and white to color. Couldn't
believe the blue tones.....one down and one to go.
EileenH faye______00403
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They happily accept "white coat syndrome" here - like alot of other things...
faye______00403 EileenH
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again. It comes on gradually. I can read without glasses at all
but will need the left eye done also. It's rather miraculous that
they can save your sight instead of going totally blind the way
it used to be before some genius came up with this surgery.
They put a lens in your eye which makes it like new again. I
will have to have reading glasses but can live with that.
As for the "white coat" I try not to let it upset me and make
things worse. My doc understands and accepts it....
Anhaga faye______00403
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EileenH faye______00403
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I'd actually LIKE to develop cataracts - the thought of only needing reading glasses is very seductive
faye______00403 Anhaga
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and the eye doc does a block of some kind on the eye. The
nurse said they give you propofol (same med that killed Michael
Jackson) after block is done they bring you out of sleep.
You are sedated somewhat but aware....everyone has always said
"you don't feel a thing" however, I did. He kept putting Lidocaine
on my eye. Not the most pleasant procedure I've ever had.
faye______00403 Anhaga
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claustrophobic or think you might panic and if so you have
the option of being put to sleep for the procedure. I didn't want
to have to go through the waking up process and hopefully just
get it over with as soon as possible. It's not bad and no one
should dread it. The whole process takes about l5 to 20 minutes
to take out the cataract and put the lens in place....
Anhaga faye______00403
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