I played around with my borderline readings with doctors saying white coats made my blood pressure rise, or telling them to check the other arm, and so forth. This went on for years.
Lisinopril is excreted via kidneys and patients with reduced renal function require a dose reduction. Without knowing your condition I would say your doctor is giving you some sound advice and I would follow it.
No. Im not a big eater. Did enjoy a rib roast I made.
Glad you are still with us!
The first of the ACE inhibitors was captopril and the chronic cough was a problem. Enalapril and Lisinopril were designed to reduce the adverse effect of cough, but still cause the AE. Maybe try an ACE II inhibitor like valsartan.
I think there is a recall on Valsartan as it is associated with various cancers, so I would be wary of recommending that drug. Are you a physician?
Bananas are great but don't ever try to bring them on a boat that is going out fishing.
No I am not a physician but rather a PhD toxicologist who worked for Merck for 25 years and continue to consult. My specialty is occupational and environmental toxicology to support pharmaceutical manufacturing. Valsartan was recalled due to identification of an impurity called nitroso dimethylamine (NMBA) at very low levels. It is a known mutagen and suspect human carcinogen and it was introduced into the active ingredient during its manufacture. All companies manufacturing sartans (valsartan, losartan, irbesartan) did voluntary recalls until they could demonstrate that the NMBA impurity levels were below a safe level established by FDA and other drug regulatory agencies. There was no emergency recall, no one died and there was no "association with any cancers". As a matter of course the FDA recommended that you continue to take your medicine until your doctor could recommend an alternative. Unfortunately the recall was enough for the lawyers to start their ad campaign for class action lawsuits. So if you've taken any one of these antihypertensives and you've been diagnosed with cancer of the liver, pancreas, esophagus, stomach, colorectum or bowel or if you've had liver failure, there are class actions you can join. I didn't meant to recommend one drug over another, that is for you and your doctor to decide, but there are many hypertensives with different mechanisms of action. The most important thing is if you see consistent elevated blood pressure to see your doctor and get it taken care of.
Thanks for the update! I personally would not recommend any drug for a patient unless I have seen and examined them, with appropriate lab tests and ECG. I am surprised that so many people here recommend specific drugs. I think if one knows about certain meds like you do, it is great to explain the effects, side effects, and indications for such. It must be very exciting to be a toxicologist.
It is an interesting time indeed. I haven't done much with the vaccines, but have evaluated a number of different therapies for contract manufacturing labs producing actives for clinical trials. I also had to evaluate hydroxychloroquine for a client scaling up manufacture. I am not excited at how this federal administration has marginalized science however, and I cannot heap enough praise on doctors, nurses, EMTs, fire and rescue and other workers pressing on through all of this!
Glad you are feeling better, and you can always come on the BY for stress relief
. Seriously though a lot of us are joining you in the stress department. Its very difficult to find relaxation.
That doesn't work too well when you're a father.
If you are not sure of how the meds interact with each other, please consult not pnly your doctor, but also, your pharmacist. Based on their clinical knowledge of years of chemistry-based training in pharmacology, they are the ones who know this area. Also, they have access to pharmacology databases to know the properties of and the interactions with a combination of meds. Of course, listen to your doctor.Glad you are feeling better, and you can always come on the BY for stress relief
Be well,
Ed