Re: Reason for INSPRA Poll - and equivalent dose of SPIRONOLACTONE

[Guest guest]

Good, this is the reason we need to have a database.

May your pressure be low!

CE Grim, BS(Chem/Math), MS(Biochem), MD.

Board Certified in Internal Medicine, Geriatrics and Hypertension

Former Epidemiologic Intelligence Services Officer (Lt. Comdr.), CDC

Specializing in Difficult to Manage High Blood Pressure

Clinical Professor of Medicine, Medical College of Wisconsin

[Guest guest]

In a message dated 5/27/06 6:25:15 AM, docdodge60@... writes:

Not true im on 100 mlg of inspra aday and was on 200 mlg of spero aday 1 year ago b/p is controlled well k is 4.0 to 4.5 most the time.

Thanks Mark

Again the reason we need a good data base.

Mark is all you are taking for BP inspra?

May your pressure be low!

CE Grim, BS(Chem/Math), MS(Biochem), MD.

Board Certified in Internal Medicine, Geriatrics and Hypertension

Former Epidemiologic Intelligence Services Officer (Lt. Comdr.), CDC

Specializing in Difficult to Manage High Blood Pressure

Clinical Professor of Medicine, Medical College of Wisconsin

[Guest guest]

no i take 25 mlgs of atenolol in the am and 25 in the pm and been told i may be takin off that

Re: Reason for INSPRA Poll - and equivalent dose of SPIRONOLACTONE

In a message dated 5/27/06 6:25:15 AM, docdodge60@... writes:

Not true im on 100 mlg of inspra aday and was on 200 mlg of spero aday 1 year ago b/p is controlled well k is 4.0 to 4.5 most the time.Thanks MarkAgain the reason we need a good data base. Mark is all you are taking for BP inspra?May your pressure be low!CE Grim, BS(Chem/Math), MS(Biochem), MD.Board Certified in Internal Medicine, Geriatrics and HypertensionFormer Epidemiologic Intelligence Services Officer (Lt. Comdr.), CDCSpecializing in Difficult to Manage High Blood PressureClinical Professor of Medicine, Medical College of Wisconsin

[Guest guest]

If you are in fact able to get off atenolol, could you share the

experience with us? How fast was the taper, or what exactly was one?

Dave

On May 27, 2006, at 7:56 PM, M Dodge wrote:

> no i take 25 mlgs of atenolol in the am and 25 in the pm and been told

> i may be takin off that

>> Re: Reason for  INSPRA Poll - and

>> equivalent dose of SPIRONOLACTONE

>>

>>

>> In a message dated 5/27/06 6:25:15 AM, docdodge60@... writes:

>>

>>

>>> Not true im on 100 mlg of inspra aday and was on 200 mlg of spero

>>> aday 1 year ago b/p is controlled well k is 4.0 to 4.5 most the

>>> time.

>>> Thanks Mark

>>>

>>

>>

>> Again the reason we need a good data base. 

>>

>> Mark is all you are taking for BP inspra?

>>

>>

>>

>> May your pressure be low!

>>

>> CE Grim, BS(Chem/Math), MS(Biochem), MD.

>> Board Certified in Internal Medicine, Geriatrics and Hypertension

>> Former Epidemiologic Intelligence Services Officer (Lt. Comdr.), CDC

>> Specializing in Difficult to Manage High Blood Pressure

>> Clinical Professor of Medicine, Medical College of Wisconsin

>>

[Guest guest]

Well the dr said that i could get off this in the future that's all im sure of. its just that im on a very low dose and b/p is in the 100/50 at times

Thanks Mark

Re: Reason for INSPRA Poll - and equivalent dose of SPIRONOLACTONEIn a message dated 5/27/06 6:25:15 AM, docdodge60@... writes:

Not true im on 100 mlg of inspra aday and was on 200 mlg of spero aday 1 year ago b/p is controlled well k is 4.0 to 4.5 most the time.Thanks MarkAgain the reason we need a good data base. Mark is all you are taking for BP inspra?May your pressure be low!CE Grim, BS(Chem/Math), MS(Biochem), MD.Board Certified in Internal Medicine, Geriatrics and HypertensionFormer Epidemiologic Intelligence Services Officer (Lt. Comdr.), CDCSpecializing in Difficult to Manage High Blood PressureClinical Professor of Medicine, Medical College of Wisconsin

[Guest guest]

In a message dated 5/27/06 9:58:23 PM, dah_house@... writes:

no i take 25 mlgs of atenolol in the am and 25 in the pm and been told i may be takin off that

This may help you feel a whole lot better-if you can get tapered off it.

May your pressure be low!

CE Grim, BS(Chem/Math), MS(Biochem), MD.

Board Certified in Internal Medicine, Geriatrics and Hypertension

Former Epidemiologic Intelligence Services Officer (Lt. Comdr.), CDC

Specializing in Difficult to Manage High Blood Pressure

Clinical Professor of Medicine, Medical College of Wisconsin

[Guest guest]

In a message dated 5/28/06 7:34:53 AM, dah_house@... writes:

Well the dr said that i could get off this in the future that's all im sure of. its just that im on a very low dose and b/p is in the 100/50 at times

Thanks Mark

What is your heart rate?

Here is what I would recommend to your Dr. as the BP does seem to be getting lower that I like to see if one is not feeling well.

Get at least 1 good week of BPs and heart rate every day by you at home. If less than 135 then begin tapering.

Then cut the pills in 1/2 and take 1/2 bid for 2 weeks watching BP and heart rate. If not change then cuf the evenind dose for 2 weeks. If BP still less than 135/85 then stop it all and follow

BP and heart rate for 1 month. If BP still <135 then you are home free. Keep DASHing as well.

Bounce this off your Dr. as he knows all your details.

May your pressure be low!

CE Grim, BS(Chem/Math), MS(Biochem), MD.

Board Certified in Internal Medicine, Geriatrics and Hypertension

Former Epidemiologic Intelligence Services Officer (Lt. Comdr.), CDC

Specializing in Difficult to Manage High Blood Pressure

Clinical Professor of Medicine, Medical College of Wisconsin

[Guest guest]

I meant to sat what was done. If it is planned, maybe you could share

it then.

100/50 seems low. Is is considered so for your case?

Dave

On May 28, 2006, at 5:29 AM, M Dodge wrote:

> Well the dr said that i could get off this in the future that's all im

> sure of. its just that im on a very low dose and b/p is in the 100/50

> at times

> Thanks Mark

>> Re: Reason for  INSPRA Poll - and

>> equivalent dose of SPIRONOLACTONE

>>

>> If you are in fact able to get off atenolol, could you share the

>> experience with us? How fast was the taper, or what exactly was one?

>>

>> Dave

>>

[Guest guest]

My heart rate is in the 75 to 85 range and on the tred mill it maxes at 145 after 5 min and dont get over 159

Thanks

Mark

Re: Reason for INSPRA Poll - and equivalent dose of SPIRONOLACTONE

In a message dated 5/28/06 7:34:53 AM, dah_house@... writes:

Well the dr said that i could get off this in the future that's all im sure of. its just that im on a very low dose and b/p is in the 100/50 at timesThanks MarkWhat is your heart rate?Here is what I would recommend to your Dr. as the BP does seem to be getting lower that I like to see if one is not feeling well.Get at least 1 good week of BPs and heart rate every day by you at home. If less than 135 then begin tapering.Then cut the pills in 1/2 and take 1/2 bid for 2 weeks watching BP and heart rate. If not change then cuf the evenind dose for 2 weeks. If BP still less than 135/85 then stop it all and follow BP and heart rate for 1 month. If BP still <135 then you are home free. Keep DASHing as well. Bounce this off your Dr. as he knows all your details.May your pressure be low!CE Grim, BS(Chem/Math), MS(Biochem), MD.Board Certified in Internal Medicine, Geriatrics and HypertensionFormer Epidemiologic Intelligence Services Officer (Lt. Comdr.), CDCSpecializing in Difficult to Manage High Blood PressureClinical Professor of Medicine, Medical College of Wisconsin

[Guest guest]

Good you do not appear to have a lot of Beta blockade as your heart rate is not slow. Tapering it can be as I outlined for your Dr.

May your pressure be low!

CE Grim, BS(Chem/Math), MS(Biochem), MD.

Board Certified in Internal Medicine, Geriatrics and Hypertension

Former Epidemiologic Intelligence Services Officer (Lt. Comdr.), CDC

Specializing in Difficult to Manage High Blood Pressure

Clinical Professor of Medicine, Medical College of Wisconsin