Resistant hypertension

Posted , 4 users are following.

i have had hbp since i was 21 now i am 41 and still nochange i was taking 12 pills a day now its 9 but still no relief my dr and the Cardiologists cant seen to find how to get it down my heard dr sent me to another specialist to see if she could help but it remains 160/120 .They cant find whats causing it i weigh 195 exercise  but still nothing been hospitalized several times and when i get discharged its still high tried to get disability for over 13 years still get denied the disability doctors sent me to the er but still got denied .I tried to work but it made it worse since i take all that medication i had to stop taking it in the moning and afternoon so i wouldnt fall asleep on the job and couldnt take it all at night  so i found out i had heart trouble and kidney Diseasei take these meds ( montelukast 10 mg tablet,spironolactone 100 MG tablet,lisinopril 40 MG tablet,torsemide 10 MG tablet,minoxidil 10 MG tablet,chlorthalidone 25 MG tablet,carvedilol 25 MG tablet,NIFEdipine 60 MG (OSM) 24 hr tablet, VENTOLIN HFA 90 mcg/actuation inhaler budesonide-formoterol 160-4.5 mcg/actuation inhaler and potassium choride 20meq microencapsulated CR tablets  plus i have sleep apnea and sleep with a Cpap everynight 

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5 Replies

  • Posted

    That is the worst hypertension case I have seen I don't mean to scare you but would lisinopril which I take I cannot take potassium because lisinopril keeps you from losing potassium maybe the combination that you're taking is playing against each other but if you're going to doctors with a heart and kidneys I hope they're going over all these meds sounds like an awfully lot I hope you find some answers soon

  • Posted

    Antonio, I, too, am someone with resistant high blood pressure but it is mainly due to being unable to tolerate the various blood pressure medications.   I have tried about 8 different pills to date and have suffered horrendouse side effects from all but one.  Even that "one" has recently caused problems after 6 months of doubling the dose when it became obvious that my body resisted adding a second pill to the mix.  My side effects have included breathing/walking difficulties and problems with my skin, ankle/leg sweeling, salt/creatinine levels and kidney function.  My systolic pressure (the top reading) is the real problem one and is higher than your systolic, whereas my diastolic reading is generally not too bad. 

    Many of us need more than one medication to reduce our high blood pressure and the latest thinking of the doctors is to put people on two or three different blood pressure pill but each of a low dose.  It is generally when they start increasing the low doses to higher doses of any one medication that problems can arise.  However, you seem to be on a shed-load of different pills, and it makes one wonder just what interaction may be going on in your body between them all.  Certainly, many drugs for high BP can cause problems with kidney function - and I speak from experience here as I have only one kidney and several of the different BP pills have had a detrimental effect on my kidney function, having to be stopped within a short time of starting.  These include Bisoprolol and Indapamide, both of which reduced my kidney function, with one causing my sodium levels to plummet.

    You mention you now have kidney and heart issues.  Have you ever been to see a pharmacist and asked them to check all the drugs you are taking for any interaction between them, and especially which of those drugs could be contributing to your kidney/heart issues?  Here in the UK, the pharmacists are known to be far more clued up about drugs than the doctors.

    Importantly, you need to exclude all salt from your diet as far as possible.  You also need to drink lots of water daily.

    Also of importance is relaxation therapy.  Have you ever had advice to seek out such therapy?  Tai Chi, Yoga and Mindfulness can be particularly helpful. 

    • Posted

      i will ask my pharmacist and doctor to see if the meds are causing my heart and kidney problems and i too have swelling of the feet and ankles but the crazy thing is if my bd is like 190/130 or higher i feel great my body is so use to it being high and when i take my meds all my energy goes away i get dizzy sleep alot i have been on so many different meds its crazy.They think its doing better then they try to decrease  the dosage when they do that it shoots back up way in the 230/140 i have been to see specialist at the university of michigan and it still havent came down yet hopefully they can at least get it to stay some what  under controll. 

                                             THANKS FOR THE ADVICE 

                                                                

    • Posted

      You're welcome, Antonio.  Just wish I could be more helpful.  Here in the UK press, there have been a couple of mentions of research trials into new potential treatments for resistant high BP, with one of the latest being a trial about to start at one of the London hospitals which involves inserting a tiny butterfly-shaped item into the body - I believe it was the back of the neck, if I remember rightly.  Perhaps you could enquire of your doctors whether any such research trials are taking place/about to take place in your country, in which case maybe you could apply to take part.

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