I need an opinion. I am an avid runner 68 yerars old. Been running for over 40 years. My doctor recently upped my Telmisartan BP meds from 40mg to 80mg along with the addition of 25mg of Hydrachlorithiazide simply because the additional 40mgs of telmisartan didn't lower my BP to an acceptable range. Now my readings are great however, for years I have always taken my meds in the morning. Now he's instructed me to take the BP meds at night. As active a person as I am does this make sense. So much of what I've read on line suggests this is not an exact concluusion. It states a lot depends on your life style. It also talks about dipping and people ovwer 55 and why it may be better to take it at night. I just would like an opinion from someone who works in that field. Thanks.
I’m not familiar with the meds you are taking…but I take BP meds in the evening as well
Sounds like a good idea. smh
First line for HTN is ACE/ARB as you are doing.
Second line would be a Ca Channel Blocker like amlopidine, so I would add that before a diuretic.
Agree with Ron, you want no part of HCTZ. It will leave you dehydrated and hypokalemic.
Also agree with taking in AM, not PM.
Is your doc a runner? Seriously, I would recommend only seeing docs who are runners. You can find them as medical directors of local races.
Good luck!
patients have a problem with
Potassium at low dose most
Do not and this is easy to check
There is data that risk of stroke
correlated with over night BP.
There are 3 first line drugs for HTM
diuretics arb calcium channel blockers
all are safe if monitored
Sounds like a good idea. smh
You mean a football message board that has doctors on it.
The change is usually made to reduce symptoms. It doesn't sound like that is a problem for you.
I agree that advice on the internet is often worth as much as you are paying for it. But I do have the credentials you were looking for ...
Stay well
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for medical advice.
Sounds like a good idea. smh
You mean a football message board that has doctors on it.
Doctor might give some info, but would never give treatment advice without a visit
I take a small amount in the evening.
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for medical advice.
Sounds like a good idea. smh
You mean a football message board that has doctors on it.
Anyone can say they are a doctor on a message board.
I’ve had plenty of health things pop up over the years and since most of them my friends/family haven’t gone through, I researched online for opinions. Never once did I go do what the random guy online said to do without consulting with a doc first.
The OP asked for an opinion, not a diagnosis and treatment plan.
2. Anybody who spends decades watching the Giants is more likely to have high blood pressure and cardiac problems than any other subgroup of people I can imagine.
I’ve had plenty of health things pop up over the years and since most of them my friends/family haven’t gone through, I researched online for opinions. Never once did I go do what the random guy online said to do without consulting with a doc first.
The OP asked for an opinion, not a diagnosis and treatment plan.
He specifically asked for advice from a cardiologist. That’s a different scenario than what you’re describing.
The primary endpoint (a composite of cardiovascular death, non-fatal heart attack, and non-fatal stroke) was not different (the hazard ratio, with 1 being no difference, was 0.95 with a 95% confidence interval 0.83 to 1.10; a confidence interval that includes 1 is not statistically significant by definition). There were no subgroups that suggested benefit of one strategy over another.
You can find smaller and less rigorous trials that suggest that evening administration might be better, but this one is much larger and more definitive, at least as far as I am concerned.
FWIW diuretics are usually given in the morning since people don't like to be up all night peeing. In this trial, patients were asked to try to take diuretics at night, but could change to the morning if they had nocturia. 5% of patients did that.
2. Anybody who spends decades watching the Giants is more likely to have high blood pressure and cardiac problems than any other subgroup of people I can imagine.
Genius!
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the OP was looking to share his experience and see how it sounded compared to others that might have gone through it (or have treated it). No where does he say he’s going to do what the guy on BBI said instead of his doctor.
I’ve had plenty of health things pop up over the years and since most of them my friends/family haven’t gone through, I researched online for opinions. Never once did I go do what the random guy online said to do without consulting with a doc first.
The OP asked for an opinion, not a diagnosis and treatment plan.
He specifically asked for advice from a cardiologist. That’s a different scenario than what you’re describing.
“I just would like an opinion from someone who works in that field. Thanks”
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In comment 16025616 PEEJ said:
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for medical advice.
Sounds like a good idea. smh
You mean a football message board that has doctors on it.
Doctor might give some info, but would never give treatment advice without a visit
FWIW diuretics are usually given in the morning since people don't like to be up all night peeing. In this trial, patients were asked to try to take diuretics at night, but could change to the morning if they had nocturia. 5% of patients did that.
This. I’d ask your doctor if it’s OK to take Telmisartan in the evening and the Hydrachlorithiazide in the morning.
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In comment 16025748 UConn4523 said:
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the OP was looking to share his experience and see how it sounded compared to others that might have gone through it (or have treated it). No where does he say he’s going to do what the guy on BBI said instead of his doctor.
I’ve had plenty of health things pop up over the years and since most of them my friends/family haven’t gone through, I researched online for opinions. Never once did I go do what the random guy online said to do without consulting with a doc first.
The OP asked for an opinion, not a diagnosis and treatment plan.
He specifically asked for advice from a cardiologist. That’s a different scenario than what you’re describing.
“I just would like an opinion from someone who works in that field. Thanks”
“To any cardiologist out there”. Again much different than just asking people who may have had similar experiences.
Anyone can claim they are a cardiologist on message board.
I blew my back out years ago and posted on it here. Got some good advice that I discussed with many docs throughout my treatment process. Some interesting ideas that I never considered simply by asking a question. Common sense suggests I don’t just do it on a whim, and I didn’t.
Its good to hear what others are doing so that you can come back and ask questions to your providor. MY Dr. asks me the same questions every 6 months as if it the 1st time we met...pretty scary since he prescribes my meds.
I blew my back out years ago and posted on it here. Got some good advice that I discussed with many docs throughout my treatment process. Some interesting ideas that I never considered simply by asking a question. Common sense suggests I don’t just do it on a whim, and I didn’t.
And you continue to ignore the part where he specifically is asking for advice from cardiologists.
“Or have treated it”
So have any of the responses come from a cardiologist or from someone who has treated it?
My bad for my half of the argument.
In regard to high blood pressure, my GP prescribed diuretic. I took them for a week and lost four pounds in water weight. Given that i bike ride and run, it did not seem like a good idea.
Good thing I did because it turns out I have afib and dehydration is one of the main triggers that sets it off.
I also have APCs (early heart beat) and was told by two different cardiologists that they were "benign" and "nothing to worry about." I finally went to the electro-physiologist and he told me that the APCs are likely triggering my afib.
So, with the complexity of medicine today and the role of insurance companies determining treatment protocols, I think consulting as many sources as possible is a good idea.
I also think the BBI community is likely to give you much better and informed answers than other online groups, where you don't know who the posters are and what agendas they have. A lot of crusaders out there who really have no idea what they are talking about.