Re: Spironolactone and alcohol

[Guest guest]

I doubt the doctors at NIH will believe me so maybe you should contact them!

Maybe you should contact Drs. Stowasser M, Ahmed AH, Pimenta E, PJ,

Gordon RD while you re at it, here is an extract from their current report:

" Where feasible, diuretics should be ceased at least 6 weeks and other

interfering medications at least 2 before ARR measurement, substituting

noninterfering agents (e. g., verapamil slow-release±hydralazine and prazosin or

doxazosin) were required. "

Source: http://www.ncbi.nlm.nih.gov/pubmed/22147655

Horm Metab Res. 2012 Mar;44(3):170-6. Epub 2011 Dec 6.

Factors affecting the aldosterone/renin ratio.

Stowasser M, Ahmed AH, Pimenta E, PJ, Gordon RD.

Source

Endocrine Hypertension Research Centre, University of Queensland School of

Medicine, Greenslopes and Princess -andra Hospitals, Brisbane, Australia.

> > >

> > > Alan, I would say you should be very worried, both about your liver

> > > and your blood pressure. Â Didn't your doc at least try some other BP

> > > meds?

> > > Val----- Original Message -----

> > > From: hyperaldosteronism

> > > Â

> > >

> > > I have always been a heavy drinker, or alcohol abuser if you prefer.

> > > But for the last few years I have been taking 50 mg of Spironolactone

> > > a day and I cut back dramatically on the amount I drank going days

> > > even weeks at a time without drinking at all.

> > >

> > > Recently my Doctor took my off Spiro to prepare for AVS. Within a

> > > few days, I found myself drawn back to my old practice of daily heavy

> > > drinking.

> > >

> > > Is it possible that the without the Spiro, I am drinking to self

> > > medicate the stress induced by higher Aldosterone levels. Or am I

> > > fooling myself with one of those rationalisations addicts become so

> > > good at?

> > >

> > > On separate but related issue without the Spiro my BP has obviously

> > > gone up but how high is too high? I am getting numbers like 200/77 and

> > > 198/67 - should I be worried?

> > >

> > > [1] Switch to: Text-Only [2], Daily Digest [3] • Unsubscribe [4]

> > > • Terms of Use [5] .

> > >

> > >

> > >

[Guest guest]

They do not say they do not affect the studies. They say when u must use something for BP CONTROL these are preferred. They still change the results. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Mar 25, 2012, at 18:11, <jclark24p@...> wrote:

I doubt the doctors at NIH will believe me so maybe you should contact them! Maybe you should contact Drs. Stowasser M, Ahmed AH, Pimenta E, PJ, Gordon RD while you re at it, here is an extract from their current report: "Where feasible, diuretics should be ceased at least 6 weeks and other interfering medications at least 2 before ARR measurement, substituting noninterfering agents (e. g., verapamil slow-release±hydralazine and prazosin or doxazosin) were required."

Source: http://www.ncbi.nlm.nih.gov/pubmed/22147655

Horm Metab Res. 2012 Mar;44(3):170-6. Epub 2011 Dec 6.

Factors affecting the aldosterone/renin ratio.

Stowasser M, Ahmed AH, Pimenta E, PJ, Gordon RD.

Source

Endocrine Hypertension Research Centre, University of Queensland School of Medicine, Greenslopes and Princess -andra Hospitals, Brisbane, Australia.

> > >

> > > Alan, I would say you should be very worried, both about your liver

> > > and your blood pressure. Â Didn't your doc at least try some other BP

> > > meds?

> > > Val----- Original Message -----

> > > From: hyperaldosteronism

> > > Â

> > >

> > > I have always been a heavy drinker, or alcohol abuser if you prefer.

> > > But for the last few years I have been taking 50 mg of Spironolactone

> > > a day and I cut back dramatically on the amount I drank going days

> > > even weeks at a time without drinking at all.

> > >

> > > Recently my Doctor took my off Spiro to prepare for AVS. Within a

> > > few days, I found myself drawn back to my old practice of daily heavy

> > > drinking.

> > >

> > > Is it possible that the without the Spiro, I am drinking to self

> > > medicate the stress induced by higher Aldosterone levels. Or am I

> > > fooling myself with one of those rationalisations addicts become so

> > > good at?

> > >

> > > On separate but related issue without the Spiro my BP has obviously

> > > gone up but how high is too high? I am getting numbers like 200/77 and

> > > 198/67 - should I be worried?

> > >

> > > [1] Switch to: Text-Only [2], Daily Digest [3] • Unsubscribe [4]

> > > • Terms of Use [5] .

> > >

> > >

> > >

[Guest guest]

How is that different from what I said?

> > > > >

> > > > > Alan, I would say you should be very worried, both about your liver

> > > > > and your blood pressure. Â Didn't your doc at least try some other

BP

> > > > > meds?

> > > > > Val----- Original Message -----

> > > > > From: hyperaldosteronism

> > > > > Â

> > > > >

> > > > > I have always been a heavy drinker, or alcohol abuser if you prefer.

> > > > > But for the last few years I have been taking 50 mg of Spironolactone

> > > > > a day and I cut back dramatically on the amount I drank going days

> > > > > even weeks at a time without drinking at all.

> > > > >

> > > > > Recently my Doctor took my off Spiro to prepare for AVS. Within a

> > > > > few days, I found myself drawn back to my old practice of daily heavy

> > > > > drinking.

> > > > >

> > > > > Is it possible that the without the Spiro, I am drinking to self

> > > > > medicate the stress induced by higher Aldosterone levels. Or am I

> > > > > fooling myself with one of those rationalisations addicts become so

> > > > > good at?

> > > > >

> > > > > On separate but related issue without the Spiro my BP has obviously

> > > > > gone up but how high is too high? I am getting numbers like 200/77 and

> > > > > 198/67 - should I be worried?

> > > > >

> > > > > [1] Switch to: Text-Only [2], Daily Digest [3] •

Unsubscribe [4]

> > > > > • Terms of Use [5] .

> > > > >

> > > > >

> > > > >

[Guest guest]

I guess that raises the question, what do you use in cases where BP is

uncontrolled?

> > > > >

> > > > > Alan, I would say you should be very worried, both about your liver

> > > > > and your blood pressure. Â Didn't your doc at least try some other

BP

> > > > > meds?

> > > > > Val----- Original Message -----

> > > > > From: hyperaldosteronism

> > > > > Â

> > > > >

> > > > > I have always been a heavy drinker, or alcohol abuser if you prefer.

> > > > > But for the last few years I have been taking 50 mg of Spironolactone

> > > > > a day and I cut back dramatically on the amount I drank going days

> > > > > even weeks at a time without drinking at all.

> > > > >

> > > > > Recently my Doctor took my off Spiro to prepare for AVS. Within a

> > > > > few days, I found myself drawn back to my old practice of daily heavy

> > > > > drinking.

> > > > >

> > > > > Is it possible that the without the Spiro, I am drinking to self

> > > > > medicate the stress induced by higher Aldosterone levels. Or am I

> > > > > fooling myself with one of those rationalisations addicts become so

> > > > > good at?

> > > > >

> > > > > On separate but related issue without the Spiro my BP has obviously

> > > > > gone up but how high is too high? I am getting numbers like 200/77 and

> > > > > 198/67 - should I be worried?

> > > > >

> > > > > [1] Switch to: Text-Only [2], Daily Digest [3] •

Unsubscribe [4]

> > > > > • Terms of Use [5] .

> > > > >

> > > > >

> > > > >

[Guest guest]

Reporting back as promised. I spoke to the Endocrinologist and the decision is

to add another drug - Indoramin 5mg per day and stay off the Spironolactone.

So there will be no testing the link between alcohol abuse and Spironolactone

for a few weeks. I have cut down a bit on the drinking just 10 units (bottle

of red wine) a night - well last two nights anyway.

But my BP is if anything even higher 217/79 first thing this morning before

medication - so I am hoping this Indoramin is going to make a big difference

- I am currently waiting for the prescription to work its way through the

system – it can take several days.

Thanks to Dr Grimm for the medication advice – I will pass those comments on at

my next consultation.

To answer questions –

Moxonidine

I think this is a new drug available in the UK under the trade name Physiotens

(manufactured by Abbott Healthcare). It possibly isn't available yet in

countries with stricter and therefore more lengthy approval processes.

Alcohol units-

One unit of alcohol is 10 ccs pure of alcohol so for example 500 ml of 5%

(ABV) beer is 2.5 units. These units are what the UK healthcare agencies use to

measure peoples drinking - i.e. recommended safe level is 21 units per week and

no more than 4 per day.

> > > > > >

> > > > > > Alan, I would say you should be very worried, both about your liver

> > > > > > and your blood pressure. Â Didn't your doc at least try some

other BP

> > > > > > meds?

> > > > > > Val----- Original Message -----

> > > > > > From: hyperaldosteronism

> > > > > > Â

> > > > > >

> > > > > > I have always been a heavy drinker, or alcohol abuser if you prefer.

> > > > > > But for the last few years I have been taking 50 mg of

Spironolactone

> > > > > > a day and I cut back dramatically on the amount I drank going days

> > > > > > even weeks at a time without drinking at all.

> > > > > >

> > > > > > Recently my Doctor took my off Spiro to prepare for AVS. Within a

> > > > > > few days, I found myself drawn back to my old practice of daily

heavy

> > > > > > drinking.

> > > > > >

> > > > > > Is it possible that the without the Spiro, I am drinking to self

> > > > > > medicate the stress induced by higher Aldosterone levels. Or am I

> > > > > > fooling myself with one of those rationalisations addicts become so

> > > > > > good at?

> > > > > >

> > > > > > On separate but related issue without the Spiro my BP has obviously

> > > > > > gone up but how high is too high? I am getting numbers like 200/77

and

> > > > > > 198/67 - should I be worried?

> > > > > >

> > > > > > [1] Switch to: Text-Only [2], Daily Digest [3] •

Unsubscribe [4]

> > > > > > • Terms of Use [5] .

> > > > > >

> > > > > >

> > > > > >

[Guest guest]

The standard after my combiAtion of combinations has failed now is to add Spironolactone. CC IS Lotrel and Ziac. But also stress that DASHing is usually as good as 1-2 meds May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Mar 27, 2012, at 5:24, Alan <alanttt3@...> wrote:

Reporting back as promised. I spoke to the Endocrinologist and the decision is to add another drug - Indoramin 5mg per day and stay off the Spironolactone. So there will be no testing the link between alcohol abuse and Spironolactone for a few weeks. I have cut down a bit on the drinking just 10 units (bottle of red wine) a night - well last two nights anyway.

But my BP is if anything even higher 217/79 first thing this morning before medication - so I am hoping this Indoramin is going to make a big difference - I am currently waiting for the prescription to work its way through the system – it can take several days.

Thanks to Dr Grimm for the medication advice – I will pass those comments on at my next consultation.

To answer questions –

Moxonidine

I think this is a new drug available in the UK under the trade name Physiotens (manufactured by Abbott Healthcare). It possibly isn't available yet in countries with stricter and therefore more lengthy approval processes.

Alcohol units-

One unit of alcohol is 10 ccs pure of alcohol so for example 500 ml of 5% (ABV) beer is 2.5 units. These units are what the UK healthcare agencies use to measure peoples drinking - i.e. recommended safe level is 21 units per week and no more than 4 per day.

> > > > > >

> > > > > > Alan, I would say you should be very worried, both about your liver

> > > > > > and your blood pressure. Â Didn't your doc at least try some other BP

> > > > > > meds?

> > > > > > Val----- Original Message -----

> > > > > > From: hyperaldosteronism

> > > > > > Â

> > > > > >

> > > > > > I have always been a heavy drinker, or alcohol abuser if you prefer.

> > > > > > But for the last few years I have been taking 50 mg of Spironolactone

> > > > > > a day and I cut back dramatically on the amount I drank going days

> > > > > > even weeks at a time without drinking at all.

> > > > > >

> > > > > > Recently my Doctor took my off Spiro to prepare for AVS. Within a

> > > > > > few days, I found myself drawn back to my old practice of daily heavy

> > > > > > drinking.

> > > > > >

> > > > > > Is it possible that the without the Spiro, I am drinking to self

> > > > > > medicate the stress induced by higher Aldosterone levels. Or am I

> > > > > > fooling myself with one of those rationalisations addicts become so

> > > > > > good at?

> > > > > >

> > > > > > On separate but related issue without the Spiro my BP has obviously

> > > > > > gone up but how high is too high? I am getting numbers like 200/77 and

> > > > > > 198/67 - should I be worried?

> > > > > >

> > > > > > [1] Switch to: Text-Only [2], Daily Digest [3] • Unsubscribe [4]

> > > > > > • Terms of Use [5] .

> > > > > >

> > > > > >

> > > > > >

[Guest guest]

Correction the new drug is Amlodipine ( 5mg per day) not Indoramin as I

mistakenly said in my previous post - sorry I misheard over the phone.

> > > > > > > >

> > > > > > > > Alan, I would say you should be very worried, both about your

liver

> > > > > > > > and your blood pressure. ÃÆ'‚ Didn't your doc at least

try some other BP

> > > > > > > > meds?

> > > > > > > > Val----- Original Message -----

> > > > > > > > From: hyperaldosteronism

> > > > > > > > ÃÆ'‚

> > > > > > > >

> > > > > > > > I have always been a heavy drinker, or alcohol abuser if you

prefer.

> > > > > > > > But for the last few years I have been taking 50 mg of

Spironolactone

> > > > > > > > a day and I cut back dramatically on the amount I drank going

days

> > > > > > > > even weeks at a time without drinking at all.

> > > > > > > >

> > > > > > > > Recently my Doctor took my off Spiro to prepare for AVS. Within

a

> > > > > > > > few days, I found myself drawn back to my old practice of daily

heavy

> > > > > > > > drinking.

> > > > > > > >

> > > > > > > > Is it possible that the without the Spiro, I am drinking to self

> > > > > > > > medicate the stress induced by higher Aldosterone levels. Or am

I

> > > > > > > > fooling myself with one of those rationalisations addicts become

so

> > > > > > > > good at?

> > > > > > > >

> > > > > > > > On separate but related issue without the Spiro my BP has

obviously

> > > > > > > > gone up but how high is too high? I am getting numbers like

200/77 and

> > > > > > > > 198/67 - should I be worried?

> > > > > > > >

> > > > > > > > [1] Switch to: Text-Only [2], Daily Digest [3]

ÃÆ'¢â‚¬Â¢ Unsubscribe [4]

> > > > > > > > ÃÆ'¢â‚¬Â¢ Terms of Use [5] .

> > > > > > > >

> > > > > > > >

> > > > > > > >

[Guest guest]

What did your endo say about DASH and alcohol?  You are at stroke level with your blood pressure.Val ----- Original Message -----> On Mar 27, 2012, at 5:24, Alan <alanttt3@...> wrote: 

> > Reporting back as promised. I spoke to the Endocrinologist and the decision is to add another drug - Indoramin 5mg per day and stay off the Spironolactone. So there will be no testing the link between alcohol abuse and Spironolactone for a few weeks. I have cut down a bit on the drinking just 10 units (bottle of red wine) a night - well last two nights anyway.

> >

> > But my BP is if anything even higher 217/79 first thing this morning before medication - so I am hoping this Indoramin is going to make a big difference - I am currently waiting for the prescription to work its way through the system â" it can take several days.

> >

> > Thanks to Dr Grimm for the medication advice â" I will pass those comments on at my next consultation.

> >

> > To answer questions â"

> >

> > Moxonidine

> >

> > I think this is a new drug available in the UK under the trade name Physiotens (manufactured by Abbott Healthcare). It possibly isn't available yet in countries with stricter and therefore more lengthy approval processes.

> >

> > Alcohol units-

> >

> > One unit of alcohol is 10 ccs pure of alcohol so for example 500 ml of 5% (ABV) beer is 2.5 units. These units are what the UK healthcare agencies use to measure peoples drinking - i.e. recommended safe level is 21 units per week and no more than 4 per day.

Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use

.

[Guest guest]

I was just noting that their comment that "noninterferring" agents is not correct.hydralazine 20.Br J Clin Pharmacol. 1979 Jul;8(1):49-51.Sympathetic reflex responses during treatment of essential hypertension with hydrallazine and oxprenolol.Davies IB, Sever PS, Rosenthal T.Abstract1. The short term effects of hydrallazine, oxprenolol and oxprenolol plus hydrallazine were studied in five patients with essential hypertension. 2. The increase in pulse rate caused by hydrallazine was prevented by combined treatment with oxprenolol, which also lowered the high plasma noradrenaline levels, associated with the use of hydrallazine. 3. Plasma renin activity was higher in the supine and standing positions with hydrallazine than with oxprenolol alone and with the patients standing this high reninlevel was prevented by simultaneous treatment with oxprenolol. With the patients supine, combination of oxprenolol with hydrallazine resulted in a mean plasma renin activity which was less than half that with hydrallazine alone, although this difference was not statistically significant. 4. The combination of oxprenolol with hydrallazine did not lower the blood pressure further, but reduced the increased sympathetic activity which occurred with hydrallazine alone.On Mar 26, 2012, at 3:53 AM, wrote: How is that different from what I said? > > > > > > > > > > Alan, I would say you should be very worried, both about your liver > > > > > and your blood pressure.  Didn't your doc at least try some other BP > > > > > meds? > > > > > Val----- Original Message ----- > > > > > From: hyperaldosteronism > > > > >  > > > > > > > > > > I have always been a heavy drinker, or alcohol abuser if you prefer. > > > > > But for the last few years I have been taking 50 mg of Spironolactone > > > > > a day and I cut back dramatically on the amount I drank going days > > > > > even weeks at a time without drinking at all. > > > > > > > > > > Recently my Doctor took my off Spiro to prepare for AVS. Within a > > > > > few days, I found myself drawn back to my old practice of daily heavy > > > > > drinking. > > > > > > > > > > Is it possible that the without the Spiro, I am drinking to self > > > > > medicate the stress induced by higher Aldosterone levels. Or am I > > > > > fooling myself with one of those rationalisations addicts become so > > > > > good at? > > > > > > > > > > On separate but related issue without the Spiro my BP has obviously > > > > > gone up but how high is too high? I am getting numbers like 200/77 and > > > > > 198/67 - should I be worried? > > > > > > > > > > [1] Switch to: Text-Only [2], Daily Digest [3] • Unsubscribe [4] > > > > > • Terms of Use [5] . > > > > > > > > > > > > > > >

[Guest guest]

n the old days we stopped everything for at least 2 weeks in those with drug resistant HTN. We found that in most the BP did not up much and even decreased in some. Did this in about 700 with severe HTN and never had a complication.Today would do the same thing but use home BPs to monitor. If BP got over 180/120 or pts became symptomatic, headache or SOB or chest pains I would test at that time and put back on meds. CE Grim MDOn Mar 26, 2012, at 3:56 AM, wrote: I guess that raises the question, what do you use in cases where BP is uncontrolled? > > > > > > > > > > Alan, I would say you should be very worried, both about your liver > > > > > and your blood pressure.  Didn't your doc at least try some other BP > > > > > meds? > > > > > Val----- Original Message ----- > > > > > From: hyperaldosteronism > > > > >  > > > > > > > > > > I have always been a heavy drinker, or alcohol abuser if you prefer. > > > > > But for the last few years I have been taking 50 mg of Spironolactone > > > > > a day and I cut back dramatically on the amount I drank going days > > > > > even weeks at a time without drinking at all. > > > > > > > > > > Recently my Doctor took my off Spiro to prepare for AVS. Within a > > > > > few days, I found myself drawn back to my old practice of daily heavy > > > > > drinking. > > > > > > > > > > Is it possible that the without the Spiro, I am drinking to self > > > > > medicate the stress induced by higher Aldosterone levels. Or am I > > > > > fooling myself with one of those rationalisations addicts become so > > > > > good at? > > > > > > > > > > On separate but related issue without the Spiro my BP has obviously > > > > > gone up but how high is too high? I am getting numbers like 200/77 and > > > > > 198/67 - should I be worried? > > > > > > > > > > [1] Switch to: Text-Only [2], Daily Digest [3] • Unsubscribe [4] > > > > > • Terms of Use [5] . > > > > > > > > > > > > > > >

[Guest guest]

I'm not going to spend a lot of time on a 33 year old study of 5! I just

repeated what NIH instructed me to do. When I did a Pubmed for hydralazine and

hyperaldosteronism the Stowasser etal study came up. I didn't argue with either

source, I simply took it as " expert advice " . Maybe they should simply say it is

best to eliminate ALL BP med., however if it is going to cause you to have a MI

or stroke we have found that verapamil and hydralazine affect an AVS the least!

> > > > > > >

> > > > > > > Alan, I would say you should be very worried, both about

> > your liver

> > > > > > > and your blood pressure. Â Didn't your doc at least

> > try some other BP

> > > > > > > meds?

> > > > > > > Val----- Original Message -----

> > > > > > > From: hyperaldosteronism

> > > > > > > Â

> > > > > > >

> > > > > > > I have always been a heavy drinker, or alcohol abuser if

> > you prefer.

> > > > > > > But for the last few years I have been taking 50 mg of

> > Spironolactone

> > > > > > > a day and I cut back dramatically on the amount I drank

> > going days

> > > > > > > even weeks at a time without drinking at all.

> > > > > > >

> > > > > > > Recently my Doctor took my off Spiro to prepare for AVS.

> > Within a

> > > > > > > few days, I found myself drawn back to my old practice of

> > daily heavy

> > > > > > > drinking.

> > > > > > >

> > > > > > > Is it possible that the without the Spiro, I am drinking

> > to self

> > > > > > > medicate the stress induced by higher Aldosterone levels.

> > Or am I

> > > > > > > fooling myself with one of those rationalisations addicts

> > become so

> > > > > > > good at?

> > > > > > >

> > > > > > > On separate but related issue without the Spiro my BP has

> > obviously

> > > > > > > gone up but how high is too high? I am getting numbers

> > like 200/77 and

> > > > > > > 198/67 - should I be worried?

> > > > > > >

> > > > > > > [1] Switch to: Text-Only [2], Daily Digest [3] âââ

> > €šÂ¬Ã‚¢ Unsubscribe [4]

> > > > > > > • Terms of Use [5] .

> > > > > > >

> > > > > > >

> > > > > > >

[Guest guest]

I guess my PCP has less tolerance for extreme HBP. When I got into the 190+/90+

range she started to get nervous. (Of course she knows how I look lugging an

oxygen tank and that I've already had a TIA along with a few other conditions.)

I apprecite her erring on the side of caution! Maybe it's different when you

watch a PTN go from bad to real good and then back to bad! (There also may be

difference if it is your first case or your 700th!)

> > > > > > >

> > > > > > > Alan, I would say you should be very worried, both about

> > your liver

> > > > > > > and your blood pressure. Â Didn't your doc at least

> > try some other BP

> > > > > > > meds?

> > > > > > > Val----- Original Message -----

> > > > > > > From: hyperaldosteronism

> > > > > > > Â

> > > > > > >

> > > > > > > I have always been a heavy drinker, or alcohol abuser if

> > you prefer.

> > > > > > > But for the last few years I have been taking 50 mg of

> > Spironolactone

> > > > > > > a day and I cut back dramatically on the amount I drank

> > going days

> > > > > > > even weeks at a time without drinking at all.

> > > > > > >

> > > > > > > Recently my Doctor took my off Spiro to prepare for AVS.

> > Within a

> > > > > > > few days, I found myself drawn back to my old practice of

> > daily heavy

> > > > > > > drinking.

> > > > > > >

> > > > > > > Is it possible that the without the Spiro, I am drinking

> > to self

> > > > > > > medicate the stress induced by higher Aldosterone levels.

> > Or am I

> > > > > > > fooling myself with one of those rationalisations addicts

> > become so

> > > > > > > good at?

> > > > > > >

> > > > > > > On separate but related issue without the Spiro my BP has

> > obviously

> > > > > > > gone up but how high is too high? I am getting numbers

> > like 200/77 and

> > > > > > > 198/67 - should I be worried?

> > > > > > >

> > > > > > > [1] Switch to: Text-Only [2], Daily Digest [3] âââ

> > €šÂ¬Ã‚¢ Unsubscribe [4]

> > > > > > > • Terms of Use [5] .

> > > > > > >

> > > > > > >

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[Guest guest]

That makes more sense and expect is what they mean.You want to follow their rules as they have also been doing this for a long time.On Mar 28, 2012, at 4:57 PM, wrote: I'm not going to spend a lot of time on a 33 year old study of 5! I just repeated what NIH instructed me to do. When I did a Pubmed for hydralazine and hyperaldosteronism the Stowasser etal study came up. I didn't argue with either source, I simply took it as "expert advice". Maybe they should simply say it is best to eliminate ALL BP med., however if it is going to cause you to have a MI or stroke we have found that verapamil and hydralazine affect an AVS the least! > > > > > > > > > > > > > > Alan, I would say you should be very worried, both about > > your liver > > > > > > > and your blood pressure.  Didn't your doc at least > > try some other BP > > > > > > > meds? > > > > > > > Val----- Original Message ----- > > > > > > > From: hyperaldosteronism > > > > > > >  > > > > > > > > > > > > > > I have always been a heavy drinker, or alcohol abuser if > > you prefer. > > > > > > > But for the last few years I have been taking 50 mg of > > Spironolactone > > > > > > > a day and I cut back dramatically on the amount I drank > > going days > > > > > > > even weeks at a time without drinking at all. > > > > > > > > > > > > > > Recently my Doctor took my off Spiro to prepare for AVS. > > Within a > > > > > > > few days, I found myself drawn back to my old practice of > > daily heavy > > > > > > > drinking. > > > > > > > > > > > > > > Is it possible that the without the Spiro, I am drinking > > to self > > > > > > > medicate the stress induced by higher Aldosterone levels. > > Or am I > > > > > > > fooling myself with one of those rationalisations addicts > > become so > > > > > > > good at? > > > > > > > > > > > > > > On separate but related issue without the Spiro my BP has > > obviously > > > > > > > gone up but how high is too high? I am getting numbers > > like 200/77 and > > > > > > > 198/67 - should I be worried? > > > > > > > > > > > > > > [1] Switch to: Text-Only [2], Daily Digest [3] âââ > > €šÂ¬Ã‚¢ Unsubscribe [4] > > > > > > > • Terms of Use [5] . > > > > > > > > > > > > > > > > > > > > >

[Guest guest]

She is showing good judgement and knows you best. CE Grim MDOn Mar 28, 2012, at 5:17 PM, wrote: I guess my PCP has less tolerance for extreme HBP. When I got into the 190+/90+ range she started to get nervous. (Of course she knows how I look lugging an oxygen tank and that I've already had a TIA along with a few other conditions.) I apprecite her erring on the side of caution! Maybe it's different when you watch a PTN go from bad to real good and then back to bad! (There also may be difference if it is your first case or your 700th!) > > > > > > > > > > > > > > Alan, I would say you should be very worried, both about > > your liver > > > > > > > and your blood pressure.  Didn't your doc at least > > try some other BP > > > > > > > meds? > > > > > > > Val----- Original Message ----- > > > > > > > From: hyperaldosteronism > > > > > > >  > > > > > > > > > > > > > > I have always been a heavy drinker, or alcohol abuser if > > you prefer. > > > > > > > But for the last few years I have been taking 50 mg of > > Spironolactone > > > > > > > a day and I cut back dramatically on the amount I drank > > going days > > > > > > > even weeks at a time without drinking at all. > > > > > > > > > > > > > > Recently my Doctor took my off Spiro to prepare for AVS. > > Within a > > > > > > > few days, I found myself drawn back to my old practice of > > daily heavy > > > > > > > drinking. > > > > > > > > > > > > > > Is it possible that the without the Spiro, I am drinking > > to self > > > > > > > medicate the stress induced by higher Aldosterone levels. > > Or am I > > > > > > > fooling myself with one of those rationalisations addicts > > become so > > > > > > > good at? > > > > > > > > > > > > > > On separate but related issue without the Spiro my BP has > > obviously > > > > > > > gone up but how high is too high? I am getting numbers > > like 200/77 and > > > > > > > 198/67 - should I be worried? > > > > > > > > > > > > > > [1] Switch to: Text-Only [2], Daily Digest [3] âââ > > €šÂ¬Ã‚¢ Unsubscribe [4] > > > > > > > • Terms of Use [5] . > > > > > > > > > > > > > > > > > > > > >