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Treating Hyper Tension and high blood pressure
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An_250080 posted:
I've been treated for quite some time with lipitor and benecar HCT for hyper tension, high blood pressure, elevated cholesterol. I am experiencing some side effects from the drug usage, tingling feet and hands, ringing in the ears, some muscle loss.
It is the resent increase in BUN and CREATININE that has me concerned. Is it time to change drugs? When does one decide the side effects out way the benefits? Suggestions please.
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cardiostarusa1 responded:
Hi:

By the way, hypertension and high blood pressure are the same thing.

"Is it time to change drugs?"

Sure sounds like it.

"When does one decide the side effects outweigh the benefits?"

It is said that medicine is a science of uncertainty and an act of probability, and for many, prescription drug-therapy is a hit or miss, trial and error affair.

Side effects/adverse reactions can not be predicted or pre-determined. If/when side effects occur, this may/can diminish or disappear as the body adjusts itself to the drug, though sometimes, one will simply not be able to tolerate a certain drug (or drugs) at all, at any dose.

Factors and conditions such as age height, weight, gender, genetics and metabolism may/can come into play in determining who experiences side effects and who does not.

Pharmacogenomics, the study of the interplay between genes and drugs, helps to explain why prescription drugs have different effects in different individuals. Genetic variation in one or more genes may be the basis for a therapeutic failure or for an adverse drug reaction.

Without lowering the dosage (unless applicable), sometimes, taking a particular prescription drug at a different time of the day or taking it with food may/can improve the side effect-related situation.

Sometimes, changing to another same-class drug or taking a lower dose of the drug along with another class of drug (for a combo-action) may/can impove the side effect-related situation.

Keep ALL known modifiable risk factors for cardiovascular disease (which actually begins very early in life, even as early as in the pre-teen/teenage years) closely in-check/under control.

Best of luck down the road of life.

Take care,

CardioStar*

WebMD member (since 8/99)



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Be well-informed

Mayo Clinic

Get the most out of home blood pressure monitoring


http://www.mayoclinic.com/health/high-blood-pressure/HI00016

About com

Alternative Medicine

Natural Treatments for High Blood Pressure

http://www.altmedicine.about.com/cs/herbsvitaminsek/a/Hypertension.htm

{Not a product endosement)

RESPeRATE

FDA approved to lower blood pressure without drugs

Patient information

http://www.resperate.com/usb/welcome/index.aspx

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WebMD

Drugs A-Z

http://www.webmd.com/drugs/index-drugs.aspx

Ask A Patient

Rate a drug, side effects, comments, etc.

http://askapatient.com/rateyourmedicine.htm

iGuard


http://www.iguard.org

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Heart-Healthy Foods

AVOID foods high in saturated fat and cholesterol. CHOOSE skim or low-fat milk, low-fat yogurt and reduced-fat cheeses. Eat more fish and poultry. LIMIT servings to five to seven ounces a day. TRIM visible fat. Limit egg yolks. SUBSTITUTE two egg whites for one whole egg or use an egg-substitute. Eat more fruits and vegetables, whole grains, breads and cereals. USE LESS salt and fat. SEASON WITH herbs and spices rather than with sauces, gravies and butter

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Good to know, for the primary/secondary prevention of heart attack/brain attack

Epidemiologic studies have revealed risk factors (encompasses some new, novel or emerging) for atherosclerosis, typically affects carotid, coronary, peripheral arteries, which includes age, gender, genetics (gene deletion, malfunction or mutation) , diabetes (the highest risk factor), smoking (includes second/thirdhand), inactivity, obesity (a global epidemic, "globesity"), high blood pressure (hypertension), Low HDL (now questionable, according to recent studies) high LDL, small, dense LDL, RLP (remnant lipoprotein), high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, HDL2b, high homocysteine (now questionable), and high C-reactive protein (CRP/hs-CRP).

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Quote!

"Be a questioning patient. TALK to your DOCTOR and ASK QUESTIONS. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"

- Charles Inlander, People's Medical Society

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It's your future......be there.

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