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ANYONE KNOW ABOUT BLOOD PRESSURE MEDICINE?
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damondj posted:
I am diabetic and my Doctor had me on ZIAC 2.5/6.25 for 18 years. My BP was always at 120/70 or better BUT he decided to change me over to an ACE INHIBITOR call LISINOPRIL 10mg. Now after 4 days on it my BP is 148/91 and my resting pulse is 122. I called him and he said the LISINOPRIL is better for diabetics. I told him why mess with perfection. His response was I could break the LISINOLPRIL in half and take the ZIAC with it. Isn't this defeating the purpose of going off the ZIAC if its bad for diabetics? Wouldn't this drive my BP too low? Anyone know anything about this as it is causing me concern.. my doctor has a habit of over dosing my medication as he put me on 80 mg of Zocor when my cholesterol was 165 with 20 mg of ZOCOR. I am wondering about the change over to LISINOLPRIL when my pressure was perfect. I know one is an ACE INHIBITOR and the other a BETA BLOCKER but should I take both together?
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laura2gemini2 responded:
Just because lisinopril is good for diabetics doesnt mean ziac is bad. Lisinopril, as well as other ACE's and ARB's protect the fine blood vessels of the kidneys and heart. Ace inhibitors and beta blockers have different ways of lowering blood pressure, but as to taking them together I would suggest talking to a pharmacist. They really are knowledgable about what meds can be taken together (and which ones shouldnt).

Since you just switched types of blood pressure meds, it may take some time to be regulated on the new meds. Your doctor probably started you on a low dose and will slowly increase it until you achieve the blood pressure you should be at.
 
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damondj replied to laura2gemini2's response:
The doctor says they can be taken together but still cannot understand why he 'messed with perfection' after 18 years of great readings... and I am not sure if taking them together will bring the BP down to low...
 
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phototaker responded:
I really can't answer your question, but I've been taking Lisinopril for over 3 years now with no problems. One thing you should know about Lisinopril is there is a possibility of coughing after you take it for years. My pharmacist did tell me that. The coughing I have now has to do with my asthma symptoms. I hope someone can help you with your question.

My doctor also INSISTS that I stay on 80 mg. of Zocor. I feel it's too high. My LDL was 107 this time, but my trigs. were great.
My total cholesterol was below fine, too. She wants my LDL under 100 for diabetics.
 
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DavidHueben replied to damondj's response:
Damondj:

That is the question you should pose to your doctor.

David
Red meat is not bad for you. Now blue-green meat, that's bad for you! -Tommy Smothers
 
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damondj replied to DavidHueben's response:
What question is that?
 
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DavidHueben replied to damondj's response:
Damon:

I believe you asked why your doctor switched you to Lisinopril, and if it was OK to take both the Ziac and Lisinopril concurrently.

Those questions should be posed to your doctor to get his/her rationale and advice.

David
Red meat is not bad for you. Now blue-green meat, that's bad for you! -Tommy Smothers
 
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krhudson replied to DavidHueben's response:
David, his Drs. reason was that Lisinipril is better for Diabetics and Damon thinks since it was not broke why change it? He was fine and now he is adjusting to a new med and that is frustrating for him. Do you think that was a good enough reason to change his meds? Does that possibly mean that Ziac is no longer recommended for a Diabetic? Or is the Dr. possibly just getting him to a more updated med?

Damon, ask the Dr. all the questions above and ask the pharmacy if these 2 mix well. You can also google and get answers about these meds or go on to web md and in the search area say medication or drugs.

In google you can say Lisinopril and Diabetes and check the benefits of the Drug for Diabetes and in search you can probably even say drug interactions and come up with sights where you can see how these 2 work together and call to confirm with the pharmacist. I did that with Doxicycline and Calcuim supplements, then I called the pharmacy and he agreed as did my Dr. that orders my Doxicycline that the 2 are fine as long as taken 2 hours apart etc...

kr hudson
 
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An_202612 responded:
damondj: Change your doctor.
 
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damondj replied to An_202612's response:
In all honesty... and this is a tough one.. I would love to change my doctor but he is the only one that will prescribe me zanax which I've been on for 16 years. I went to about ten doctors before him about anxiety and they would give me nothing. This doctor aided me in solving my anxiety probems so I really can't leave him. He called me today after I emailed him with my questions and he told me to take BOTH the ziac and lisinopril together. I asked him if the Ziac was so bad for diabetics why put me back on it along with the new medicine and would it drop my BP... he said just break the Lisinopril in half if my BP drops too low. I'll be on vacation next week without any way of checking my BP so this really has me confused. He said I can not go back on ZIAC again without taking the LISINOPRIL even though my BP was 120 over 70 on ZIAC.... Any doctors out there with knowledge of these things... or others that mix BP meds together??
 
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auriga1 replied to damondj's response:
Damondj, ask your pharmacist. They are very knowledgeable in what meds can and cannot be used together.

I think (remember, I'm not a doctor) your doctor may want to wean you off the Ziac. Ziac itself is a combination pill of bisoprolol and hydrochlorothiazide (electrolyte and water balance.) Ziac elevates plasma renin (enzyme produced by your kidneys) and should be used with caution in persons with diabetes and pre-diabetes. Sometimes this medication can cause your kidneys to secrete excessive renin. Renin plays a major role in regulating blood pressure (thus your normal readings) but can stress the kidneys.

Ask your doctor if his goal is to wean you off the Ziac.
 
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krhudson replied to auriga1's response:
maybe the Dr. wants to keep the water balance by keeping him on Ziac? I know someone that is on 2 since one plays as duretic? Wish I could chime in better.

Damond, make sure when you are on vacation if you have a car and are near a city, to stop at a pharmacy or grocier that has the blood pressure machine. I do that a lot when I am at Albertsons. This way your mind will be at ease about this while gone.

krhudson
 
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krhudson replied to damondj's response:
damond, why would the other Drs not prescribe you Zanax?

Make sure this Dr. aided you rather than not being careful enough. I have not checked Zanax and Diabetes on-line and hope you have.

I would think Zanax, and correct me if I am wrong, is not for long term use? Have you tried other ways to relieve anxiety with activity etc... ? Most of us have anxiety as a result of stress to a certain point and I am sure some are on meds for an over abundance of it but a good Dr. would show you other ways first to control anxiety before just prescribing and I think that is why you had to go to 10 Drs.to get the answer you wanted to hear.

Not sure Zanax is a good thing for Diabetics. Let me know if I am all wet and your Dr. is monitering it closely. I just think your reason for picking this Dr. is not good if you are only with him for the Zanax.

I would change Dr.s and take the prescription with you and have another reputable Dr. give you a physical and decide if Zanax is still right for you.

Seems like you are having communication errors with this Dr. on things that really matter.

krhudson
 
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damondj replied to krhudson's response:
Went on Valium back in 1978 for anxiety but that doctor passed away in 1996 and I tried to wean myself off them but I had all of my muscles tighten up and my immune system was thrown out of whack. I had all kinds of problems with sciatica and ear infections... lost 50 pounds... 187 to 137 in 4 months. No doctor would give me Valium which is basically a muscle relantant... but this doctor would. He has since replaced it with zanax... The good thing about my getting sick was I found out I had Diabetes, high cholesterol and high BP... he gave me my first blood test ever. He has me maxxed on diabetes medicine and cholesterol meds but this change from ziac to lisinopril has me perplexed as it was perfect. In our last conversation he did say ziac was bad for diabetics but then told me to start taking it again with the lisinopril... if its bad, why put me back on it and double my dosage. Also my zocor is 80 mg with cholesterol at just 113 and he won't lower the dosage.... he insists he is doing it "to keep me alive"....
 
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nwsmom replied to phototaker's response:
Photo, the ACE cough can occur almost immediately. It can be wracking, the kind of cough where people come up to you and say "Are you okay?", and in between spasms you nod, and sort of mumble, "yeh". Supposedly some of the ACEs are less prone to cause it, but we tried most of them, and I coughed my way through each trial. Didn't do any good for my BP, either. Had to switch to ARB, which doesn't bother me. Don't know if it does any good, either!


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