Guest guest Posted February 12, 2011 Report Share Posted February 12, 2011 What are the SX of low NA? You do need to have about 500 MG a day. > > o 35/obese/PA/ex smoker/panic attacks. > Last Urine test NA and K: (jan 19 2011) > > NA: 41Mm/l ( normal 40-220 ) > K: 71.5Mm/l ( normal 71.5 ) > Volumen: 1200ml > DASH RATIO = 1.74 ( much more than 1.6 ) > > 1 81mg aspirne a day > 1 Centrum > 1 Natural herb called " milk thistle " ( for the liver they say ) > 0.5mg Rivotril BID > 30 mg Vastarel( also known as anginox, trimetazidine ) am ( started this past tuesday > 25mg spiro am > 12.mg spriro pm > > Hi I have to ask, I lowered the dose of spiro 2 days ago because my BP was very low around 110/70 so I lowered it 12.5mg so now I only take 37.5mg > > However Today all day I have been hypotense 100/60 or so, I suspected it could be the trimetazidine, but it does not report hypotension anywhere, I am dashing VERY hard, but really, today I was bradicardic and hypotense all day, no idea if I should lower the spiro dose to 25mg a day 12.5 am and 12.5pm or just 25mg am or 25mg pm. > > I have no idea why my BP is so low, and I seem to be bradicardic as well specially during the morning when I wake up and at night when I go to bed, brady is around 48 ( according to my pulseoximeter, verrified by taking a manual meassurement of the Heart rate, and also the sphyngomanometer ) > > The bradycardia is kinda normal for me at nighttime and when I wake up, but 100/60... is really not normal... any advice, should I lower the spiro or eat more salt ??? > > Thank you > > o ! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2011 Report Share Posted February 12, 2011 o 35/obese/PA/ex smoker/panic attacks.Last Urine test NA and K: (jan 19 2011)NA: 41Mm/l ( normal 40-220 )K: 71.5Mm/l ( normal 71.5 )Volumen: 1200mlDASH RATIO = 1.74 ( much more than 1.6 )EXCELLENT BY DASH RATIO YOU MEAN UK/UNA WHICH IS A GOOD TERM. I will use this. Maybe we should call it the DASH index.This will be the UK/UNaDo not know exactly what is in the other meds but info suggests you do not need themNeed to know chem names of Rivotril and vastarel.Why were these started?CE Grim MD 1 81mg aspirne a day1 Centrum1 Natural herb called "milk thistle" ( for the liver they say )0.5mg Rivotril BID30 mg Vastarel( also known as anginox, trimetazidine ) am ( started this past tuesday 25mg spiro am12.mg spriro pm Hi I have to ask, I lowered the dose of spiro 2 days ago because my BP was very low around 110/70 so I lowered it 12.5mg so now I only take 37.5mgHowever Today all day I have been hypotense 100/60 or so, I suspected it could be the trimetazidine, but it does not report hypotension anywhere, I am dashing VERY hard, but really, today I was bradicardic and hypotense all day, no idea if I should lower the spiro dose to 25mg a day 12.5 am and 12.5pm or just 25mg am or 25mg pm.I have no idea why my BP is so low, and I seem to be bradicardic as well specially during the morning when I wake up and at night when I go to bed, brady is around 48 ( according to my pulseoximeter, verrified by taking a manual meassurement of the Heart rate, and also the sphyngomanometer ) The bradycardia is kinda normal for me at nighttime and when I wake up, but 100/60... is really not normal... any advice, should I lower the spiro or eat more salt ???Thank youo ! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2011 Report Share Posted February 12, 2011 Rivotril is Clonazepan it was started like 10 years ago for anxiety/agoraphobia Vastarel is trimetazidine it was started on tuesday for dizziness, now the dizziness that I feel that I'm going to fell down is going. So the vastarel has helped. still having bps of 110/70 or less I'm kinda scared no idea what to do tonite if I should take the 12.5mg of spiro or not... And I can't seem to get a hold of the physician that sent me the vastarel, however my body knows how to deal with high bp but not with low bp as efficently so if I can't get a response from any MD today I won't take the 12.5mg of spiro I take at night. PD. I'm certain I get 500mg of sodium or more, I eat cheese, and some processed food that have sodium, very little but I do eat them. thanks ! > > > o 35/obese/PA/ex smoker/panic attacks. > > Last Urine test NA and K: (jan 19 2011) > > > > NA: 41Mm/l ( normal 40-220 ) > > K: 71.5Mm/l ( normal 71.5 ) > > Volumen: 1200ml > > DASH RATIO = 1.74 ( much more than 1.6 ) > > > > EXCELLENT > > BY DASH RATIO YOU MEAN UK/UNA WHICH IS A GOOD TERM. I will use this. > Maybe we should call it the DASH index. > > This will be the UK/UNa > > Do not know exactly what is in the other meds but info suggests you do > not need them > > Need to know chem names of Rivotril and vastarel. > > Why were these started? > > > CE Grim MD > > > > 1 81mg aspirne a day > > 1 Centrum > > 1 Natural herb called " milk thistle " ( for the liver they say ) > > 0.5mg Rivotril BID > > 30 mg Vastarel( also known as anginox, trimetazidine ) am ( started > > this past tuesday > > 25mg spiro am > > 12.mg spriro pm > > > > Hi I have to ask, I lowered the dose of spiro 2 days ago because my > > BP was very low around 110/70 so I lowered it 12.5mg so now I only > > take 37.5mg > > > > However Today all day I have been hypotense 100/60 or so, I > > suspected it could be the trimetazidine, but it does not report > > hypotension anywhere, I am dashing VERY hard, but really, today I > > was bradicardic and hypotense all day, no idea if I should lower the > > spiro dose to 25mg a day 12.5 am and 12.5pm or just 25mg am or 25mg > > pm. > > > > I have no idea why my BP is so low, and I seem to be bradicardic as > > well specially during the morning when I wake up and at night when I > > go to bed, brady is around 48 ( according to my pulseoximeter, > > verrified by taking a manual meassurement of the Heart rate, and > > also the sphyngomanometer ) > > > > The bradycardia is kinda normal for me at nighttime and when I wake > > up, but 100/60... is really not normal... any advice, should I lower > > the spiro or eat more salt ??? > > > > Thank you > > > > o ! > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2011 Report Share Posted February 12, 2011 Can not find Vastarel on Drugs.com. Here is information from Wikipedia on it. TrimetazidineFrom Wikipedia, Trimetazidine Trimetazidine is a drug for angina pectoris, sometimes referred to by the brand name Vastarel MR. Each tablet contains 35 mg of trimetazidine. Trimetazidine is an anti-ischemic (anti-anginal) metabolic agent, which improves myocardial glucose utilization through inhibition of fatty acid metabolism. By preserving the energy metabolism in cells exposed to hypoxia or ischemia, trimetazidine prevents a decrease in intracellular adenosine triphosphate levels, thereby ensuring the proper functioning of ionic pumps and transmembranous sodium-potassium flow whilst maintaining cellular homeostasis. It also inhibits oxidation of fatty acid in blood vessels. Controlled studies in angina patients have shown that trimetazidine increases coronary flow reserve, thereby delaying the onset of ischemia associated with exercise, limits rapid swings in blood pressure without any significant variations in heart rate, significantly decreases the frequency of angina attacks, and leads to a significant decrease in the use of nitrates. It improves left ventricular function in diabetic patients with coronary heart disease. Recently, it has been shown to be effective in patients with heart failure of different etiologies (5-6). > > > > > o 35/obese/PA/ex smoker/panic attacks. > > > Last Urine test NA and K: (jan 19 2011) > > > > > > NA: 41Mm/l ( normal 40-220 ) > > > K: 71.5Mm/l ( normal 71.5 ) > > > Volumen: 1200ml > > > DASH RATIO = 1.74 ( much more than 1.6 ) > > > > > > > EXCELLENT > > > > BY DASH RATIO YOU MEAN UK/UNA WHICH IS A GOOD TERM. I will use this. > > Maybe we should call it the DASH index. > > > > This will be the UK/UNa > > > > Do not know exactly what is in the other meds but info suggests you do > > not need them > > > > Need to know chem names of Rivotril and vastarel. > > > > Why were these started? > > > > > > CE Grim MD > > > > > > 1 81mg aspirne a day > > > 1 Centrum > > > 1 Natural herb called " milk thistle " ( for the liver they say ) > > > 0.5mg Rivotril BID > > > 30 mg Vastarel( also known as anginox, trimetazidine ) am ( started > > > this past tuesday > > > 25mg spiro am > > > 12.mg spriro pm > > > > > > Hi I have to ask, I lowered the dose of spiro 2 days ago because my > > > BP was very low around 110/70 so I lowered it 12.5mg so now I only > > > take 37.5mg > > > > > > However Today all day I have been hypotense 100/60 or so, I > > > suspected it could be the trimetazidine, but it does not report > > > hypotension anywhere, I am dashing VERY hard, but really, today I > > > was bradicardic and hypotense all day, no idea if I should lower the > > > spiro dose to 25mg a day 12.5 am and 12.5pm or just 25mg am or 25mg > > > pm. > > > > > > I have no idea why my BP is so low, and I seem to be bradicardic as > > > well specially during the morning when I wake up and at night when I > > > go to bed, brady is around 48 ( according to my pulseoximeter, > > > verrified by taking a manual meassurement of the Heart rate, and > > > also the sphyngomanometer ) > > > > > > The bradycardia is kinda normal for me at nighttime and when I wake > > > up, but 100/60... is really not normal... any advice, should I lower > > > the spiro or eat more salt ??? > > > > > > Thank you > > > > > > o ! > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2011 Report Share Posted February 12, 2011 A new search did bring me to drugs.com. no information on it except you can't get it in the US > > > > > > > o 35/obese/PA/ex smoker/panic attacks. > > > > Last Urine test NA and K: (jan 19 2011) > > > > > > > > NA: 41Mm/l ( normal 40-220 ) > > > > K: 71.5Mm/l ( normal 71.5 ) > > > > Volumen: 1200ml > > > > DASH RATIO = 1.74 ( much more than 1.6 ) > > > > > > > > > > EXCELLENT > > > > > > BY DASH RATIO YOU MEAN UK/UNA WHICH IS A GOOD TERM. I will use this. > > > Maybe we should call it the DASH index. > > > > > > This will be the UK/UNa > > > > > > Do not know exactly what is in the other meds but info suggests you do > > > not need them > > > > > > Need to know chem names of Rivotril and vastarel. > > > > > > Why were these started? > > > > > > > > > CE Grim MD > > > > > > > > 1 81mg aspirne a day > > > > 1 Centrum > > > > 1 Natural herb called " milk thistle " ( for the liver they say ) > > > > 0.5mg Rivotril BID > > > > 30 mg Vastarel( also known as anginox, trimetazidine ) am ( started > > > > this past tuesday > > > > 25mg spiro am > > > > 12.mg spriro pm > > > > > > > > Hi I have to ask, I lowered the dose of spiro 2 days ago because my > > > > BP was very low around 110/70 so I lowered it 12.5mg so now I only > > > > take 37.5mg > > > > > > > > However Today all day I have been hypotense 100/60 or so, I > > > > suspected it could be the trimetazidine, but it does not report > > > > hypotension anywhere, I am dashing VERY hard, but really, today I > > > > was bradicardic and hypotense all day, no idea if I should lower the > > > > spiro dose to 25mg a day 12.5 am and 12.5pm or just 25mg am or 25mg > > > > pm. > > > > > > > > I have no idea why my BP is so low, and I seem to be bradicardic as > > > > well specially during the morning when I wake up and at night when I > > > > go to bed, brady is around 48 ( according to my pulseoximeter, > > > > verrified by taking a manual meassurement of the Heart rate, and > > > > also the sphyngomanometer ) > > > > > > > > The bradycardia is kinda normal for me at nighttime and when I wake > > > > up, but 100/60... is really not normal... any advice, should I lower > > > > the spiro or eat more salt ??? > > > > > > > > Thank you > > > > > > > > o ! > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2011 Report Share Posted February 12, 2011 There is more information about this and so do give it for dizzyness. While this information doesn't say it lowers BP it doesm have some effect on it. > > > > > > > > > o 35/obese/PA/ex smoker/panic attacks. > > > > > Last Urine test NA and K: (jan 19 2011) > > > > > > > > > > NA: 41Mm/l ( normal 40-220 ) > > > > > K: 71.5Mm/l ( normal 71.5 ) > > > > > Volumen: 1200ml > > > > > DASH RATIO = 1.74 ( much more than 1.6 ) > > > > > > > > > > > > > EXCELLENT > > > > > > > > BY DASH RATIO YOU MEAN UK/UNA WHICH IS A GOOD TERM. I will use > > this. > > > > Maybe we should call it the DASH index. > > > > > > > > This will be the UK/UNa > > > > > > > > Do not know exactly what is in the other meds but info suggests > > you do > > > > not need them > > > > > > > > Need to know chem names of Rivotril and vastarel. > > > > > > > > Why were these started? > > > > > > > > > > > > CE Grim MD > > > > > > > > > > 1 81mg aspirne a day > > > > > 1 Centrum > > > > > 1 Natural herb called " milk thistle " ( for the liver they say ) > > > > > 0.5mg Rivotril BID > > > > > 30 mg Vastarel( also known as anginox, trimetazidine ) am > > ( started > > > > > this past tuesday > > > > > 25mg spiro am > > > > > 12.mg spriro pm > > > > > > > > > > Hi I have to ask, I lowered the dose of spiro 2 days ago > > because my > > > > > BP was very low around 110/70 so I lowered it 12.5mg so now I > > only > > > > > take 37.5mg > > > > > > > > > > However Today all day I have been hypotense 100/60 or so, I > > > > > suspected it could be the trimetazidine, but it does not report > > > > > hypotension anywhere, I am dashing VERY hard, but really, > > today I > > > > > was bradicardic and hypotense all day, no idea if I should > > lower the > > > > > spiro dose to 25mg a day 12.5 am and 12.5pm or just 25mg am or > > 25mg > > > > > pm. > > > > > > > > > > I have no idea why my BP is so low, and I seem to be > > bradicardic as > > > > > well specially during the morning when I wake up and at night > > when I > > > > > go to bed, brady is around 48 ( according to my pulseoximeter, > > > > > verrified by taking a manual meassurement of the Heart rate, and > > > > > also the sphyngomanometer ) > > > > > > > > > > The bradycardia is kinda normal for me at nighttime and when I > > wake > > > > > up, but 100/60... is really not normal... any advice, should I > > lower > > > > > the spiro or eat more salt ??? > > > > > > > > > > Thank you > > > > > > > > > > o ! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2011 Report Share Posted February 12, 2011 For the trimetazidine also form wikipedia ( seems that you forgot to paste the last part ) Trimetazidine is usually prescribed as a long-term treatment of angina pectoris, and in some countries (including France) for tinnitus and dizziness. It is taken twice a day. Trimetazidine has high safety and tolerability profile. It has no known drug interactions. I'm only supposed to take it for 30 days, to help with the dizziness. but I have to say I would be really scared to just stop the spiro, gonna lower it it to 25mg 12.5 am 12.5 pm to see how it works.. and yes I have dashed A LOT. remember I even make my own low sodium high potassium bread, the homemade V8 juice, we do not add any salt to any food, we home-prepare everything but the cheese. so nothing uses salt here.. nothing... > > > > > > > o 35/obese/PA/ex smoker/panic attacks. > > > > Last Urine test NA and K: (jan 19 2011) > > > > > > > > NA: 41Mm/l ( normal 40-220 ) > > > > K: 71.5Mm/l ( normal 71.5 ) > > > > Volumen: 1200ml > > > > DASH RATIO = 1.74 ( much more than 1.6 ) > > > > > > > > > > EXCELLENT > > > > > > BY DASH RATIO YOU MEAN UK/UNA WHICH IS A GOOD TERM. I will use this. > > > Maybe we should call it the DASH index. > > > > > > This will be the UK/UNa > > > > > > Do not know exactly what is in the other meds but info suggests > > you do > > > not need them > > > > > > Need to know chem names of Rivotril and vastarel. > > > > > > Why were these started? > > > > > > > > > CE Grim MD > > > > > > > > 1 81mg aspirne a day > > > > 1 Centrum > > > > 1 Natural herb called " milk thistle " ( for the liver they say ) > > > > 0.5mg Rivotril BID > > > > 30 mg Vastarel( also known as anginox, trimetazidine ) am > > ( started > > > > this past tuesday > > > > 25mg spiro am > > > > 12.mg spriro pm > > > > > > > > Hi I have to ask, I lowered the dose of spiro 2 days ago because > > my > > > > BP was very low around 110/70 so I lowered it 12.5mg so now I only > > > > take 37.5mg > > > > > > > > However Today all day I have been hypotense 100/60 or so, I > > > > suspected it could be the trimetazidine, but it does not report > > > > hypotension anywhere, I am dashing VERY hard, but really, today I > > > > was bradicardic and hypotense all day, no idea if I should lower > > the > > > > spiro dose to 25mg a day 12.5 am and 12.5pm or just 25mg am or > > 25mg > > > > pm. > > > > > > > > I have no idea why my BP is so low, and I seem to be bradicardic > > as > > > > well specially during the morning when I wake up and at night > > when I > > > > go to bed, brady is around 48 ( according to my pulseoximeter, > > > > verrified by taking a manual meassurement of the Heart rate, and > > > > also the sphyngomanometer ) > > > > > > > > The bradycardia is kinda normal for me at nighttime and when I > > wake > > > > up, but 100/60... is really not normal... any advice, should I > > lower > > > > the spiro or eat more salt ??? > > > > > > > > Thank you > > > > > > > > o ! > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2011 Report Share Posted February 12, 2011 For the trimetazidine also form wikipedia ( seems that you forgot to paste the last part ) Trimetazidine is usually prescribed as a long-term treatment of angina pectoris, and in some countries (including France) for tinnitus and dizziness. It is taken twice a day. Trimetazidine has high safety and tolerability profile. It has no known drug interactions. I'm only supposed to take it for 30 days, to help with the dizziness. but I have to say I would be really scared to just stop the spiro, gonna lower it it to 25mg 12.5 am 12.5 pm to see how it works.. and yes I have dashed A LOT. remember I even make my own low sodium high potassium bread, the homemade V8 juice, we do not add any salt to any food, we home-prepare everything but the cheese. so nothing uses salt here.. nothing... > > > > > > > o 35/obese/PA/ex smoker/panic attacks. > > > > Last Urine test NA and K: (jan 19 2011) > > > > > > > > NA: 41Mm/l ( normal 40-220 ) > > > > K: 71.5Mm/l ( normal 71.5 ) > > > > Volumen: 1200ml > > > > DASH RATIO = 1.74 ( much more than 1.6 ) > > > > > > > > > > EXCELLENT > > > > > > BY DASH RATIO YOU MEAN UK/UNA WHICH IS A GOOD TERM. I will use this. > > > Maybe we should call it the DASH index. > > > > > > This will be the UK/UNa > > > > > > Do not know exactly what is in the other meds but info suggests > > you do > > > not need them > > > > > > Need to know chem names of Rivotril and vastarel. > > > > > > Why were these started? > > > > > > > > > CE Grim MD > > > > > > > > 1 81mg aspirne a day > > > > 1 Centrum > > > > 1 Natural herb called " milk thistle " ( for the liver they say ) > > > > 0.5mg Rivotril BID > > > > 30 mg Vastarel( also known as anginox, trimetazidine ) am > > ( started > > > > this past tuesday > > > > 25mg spiro am > > > > 12.mg spriro pm > > > > > > > > Hi I have to ask, I lowered the dose of spiro 2 days ago because > > my > > > > BP was very low around 110/70 so I lowered it 12.5mg so now I only > > > > take 37.5mg > > > > > > > > However Today all day I have been hypotense 100/60 or so, I > > > > suspected it could be the trimetazidine, but it does not report > > > > hypotension anywhere, I am dashing VERY hard, but really, today I > > > > was bradicardic and hypotense all day, no idea if I should lower > > the > > > > spiro dose to 25mg a day 12.5 am and 12.5pm or just 25mg am or > > 25mg > > > > pm. > > > > > > > > I have no idea why my BP is so low, and I seem to be bradicardic > > as > > > > well specially during the morning when I wake up and at night > > when I > > > > go to bed, brady is around 48 ( according to my pulseoximeter, > > > > verrified by taking a manual meassurement of the Heart rate, and > > > > also the sphyngomanometer ) > > > > > > > > The bradycardia is kinda normal for me at nighttime and when I > > wake > > > > up, but 100/60... is really not normal... any advice, should I > > lower > > > > the spiro or eat more salt ??? > > > > > > > > Thank you > > > > > > > > o ! > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 13, 2011 Report Share Posted February 13, 2011 w and Dr Grimm. First of all I'll read the Bravo article to see how things go, now based on what W posted if Trimetazidine affects the Na/K pump maybe it can potentiate the effect of spiro. If this is true, then I would say a research is in order, if a patient has kidney damage, and is on high doses of spiro and their BP is still high, then maybe Trimetazidine could regulate the pressure without damaging the kidneys even more. Maybe at this moment what's going on with me isn't ideal, because yes I have dashed like crazy, but I have also seen the huge decrease in BP with the trimetazidine. So really it would be interesting to study, people that can't up the dose of spiro ( high K or bad kidneys ) add trimetazidine, and see if they have my same effect. For now I'm gonna go with 25mg of Spiro ( 12.5 am / 12.5 pm ) because at least today I woke up with a BP of 98/57 and well I have to try this to see if it works. Thank you all > > > > > > > > > > > > > o 35/obese/PA/ex smoker/panic attacks. > > > > > > > Last Urine test NA and K: (jan 19 2011) > > > > > > > > > > > > > > NA: 41Mm/l ( normal 40-220 ) > > > > > > > K: 71.5Mm/l ( normal 71.5 ) > > > > > > > Volumen: 1200ml > > > > > > > DASH RATIO = 1.74 ( much more than 1.6 ) > > > > > > > > > > > > > > > > > > > EXCELLENT > > > > > > > > > > > > BY DASH RATIO YOU MEAN UK/UNA WHICH IS A GOOD TERM. I will use > > > this. > > > > > > Maybe we should call it the DASH index. > > > > > > > > > > > > This will be the UK/UNa > > > > > > > > > > > > Do not know exactly what is in the other meds but info suggests > > > > > you do > > > > > > not need them > > > > > > > > > > > > Need to know chem names of Rivotril and vastarel. > > > > > > > > > > > > Why were these started? > > > > > > > > > > > > > > > > > > CE Grim MD > > > > > > > > > > > > > > 1 81mg aspirne a day > > > > > > > 1 Centrum > > > > > > > 1 Natural herb called " milk thistle " ( for the liver they > > > say ) > > > > > > > 0.5mg Rivotril BID > > > > > > > 30 mg Vastarel( also known as anginox, trimetazidine ) am > > > > > ( started > > > > > > > this past tuesday > > > > > > > 25mg spiro am > > > > > > > 12.mg spriro pm > > > > > > > > > > > > > > Hi I have to ask, I lowered the dose of spiro 2 days ago > > > because > > > > > my > > > > > > > BP was very low around 110/70 so I lowered it 12.5mg so now > > > I only > > > > > > > take 37.5mg > > > > > > > > > > > > > > However Today all day I have been hypotense 100/60 or so, I > > > > > > > suspected it could be the trimetazidine, but it does not > > > report > > > > > > > hypotension anywhere, I am dashing VERY hard, but really, > > > today I > > > > > > > was bradicardic and hypotense all day, no idea if I should > > > lower > > > > > the > > > > > > > spiro dose to 25mg a day 12.5 am and 12.5pm or just 25mg am or > > > > > 25mg > > > > > > > pm. > > > > > > > > > > > > > > I have no idea why my BP is so low, and I seem to be > > > bradicardic > > > > > as > > > > > > > well specially during the morning when I wake up and at night > > > > > when I > > > > > > > go to bed, brady is around 48 ( according to my pulseoximeter, > > > > > > > verrified by taking a manual meassurement of the Heart rate, > > > and > > > > > > > also the sphyngomanometer ) > > > > > > > > > > > > > > The bradycardia is kinda normal for me at nighttime and when I > > > > > wake > > > > > > > up, but 100/60... is really not normal... any advice, should I > > > > > lower > > > > > > > the spiro or eat more salt ??? > > > > > > > > > > > > > > Thank you > > > > > > > > > > > > > > o ! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 13, 2011 Report Share Posted February 13, 2011 I think if you haven't had blood K checked within the last month might want to get it done. It is possable to over do the K. Do you know how much K to eat a day? > > > > > > > > > > > > > > > o 35/obese/PA/ex smoker/panic attacks. > > > > > > > > Last Urine test NA and K: (jan 19 2011) > > > > > > > > > > > > > > > > NA: 41Mm/l ( normal 40-220 ) > > > > > > > > K: 71.5Mm/l ( normal 71.5 ) > > > > > > > > Volumen: 1200ml > > > > > > > > DASH RATIO = 1.74 ( much more than 1.6 ) > > > > > > > > > > > > > > > > > > > > > > EXCELLENT > > > > > > > > > > > > > > BY DASH RATIO YOU MEAN UK/UNA WHICH IS A GOOD TERM. I will use > > > > this. > > > > > > > Maybe we should call it the DASH index. > > > > > > > > > > > > > > This will be the UK/UNa > > > > > > > > > > > > > > Do not know exactly what is in the other meds but info suggests > > > > > > you do > > > > > > > not need them > > > > > > > > > > > > > > Need to know chem names of Rivotril and vastarel. > > > > > > > > > > > > > > Why were these started? > > > > > > > > > > > > > > > > > > > > > CE Grim MD > > > > > > > > > > > > > > > > 1 81mg aspirne a day > > > > > > > > 1 Centrum > > > > > > > > 1 Natural herb called " milk thistle " ( for the liver they > > > > say ) > > > > > > > > 0.5mg Rivotril BID > > > > > > > > 30 mg Vastarel( also known as anginox, trimetazidine ) am > > > > > > ( started > > > > > > > > this past tuesday > > > > > > > > 25mg spiro am > > > > > > > > 12.mg spriro pm > > > > > > > > > > > > > > > > Hi I have to ask, I lowered the dose of spiro 2 days ago > > > > because > > > > > > my > > > > > > > > BP was very low around 110/70 so I lowered it 12.5mg so now > > > > I only > > > > > > > > take 37.5mg > > > > > > > > > > > > > > > > However Today all day I have been hypotense 100/60 or so, I > > > > > > > > suspected it could be the trimetazidine, but it does not > > > > report > > > > > > > > hypotension anywhere, I am dashing VERY hard, but really, > > > > today I > > > > > > > > was bradicardic and hypotense all day, no idea if I should > > > > lower > > > > > > the > > > > > > > > spiro dose to 25mg a day 12.5 am and 12.5pm or just 25mg am or > > > > > > 25mg > > > > > > > > pm. > > > > > > > > > > > > > > > > I have no idea why my BP is so low, and I seem to be > > > > bradicardic > > > > > > as > > > > > > > > well specially during the morning when I wake up and at night > > > > > > when I > > > > > > > > go to bed, brady is around 48 ( according to my pulseoximeter, > > > > > > > > verrified by taking a manual meassurement of the Heart rate, > > > > and > > > > > > > > also the sphyngomanometer ) > > > > > > > > > > > > > > > > The bradycardia is kinda normal for me at nighttime and when I > > > > > > wake > > > > > > > > up, but 100/60... is really not normal... any advice, should I > > > > > > lower > > > > > > > > the spiro or eat more salt ??? > > > > > > > > > > > > > > > > Thank you > > > > > > > > > > > > > > > > o ! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 13, 2011 Report Share Posted February 13, 2011 As a vasodilator wouldn't this lower BP? > > > > > > > > > > > > > > > > > o 35/obese/PA/ex smoker/panic attacks. > > > > > > > > > Last Urine test NA and K: (jan 19 2011) > > > > > > > > > > > > > > > > > > NA: 41Mm/l ( normal 40-220 ) > > > > > > > > > K: 71.5Mm/l ( normal 71.5 ) > > > > > > > > > Volumen: 1200ml > > > > > > > > > DASH RATIO = 1.74 ( much more than 1.6 ) > > > > > > > > > > > > > > > > > > > > > > > > > EXCELLENT > > > > > > > > > > > > > > > > BY DASH RATIO YOU MEAN UK/UNA WHICH IS A GOOD TERM. I > > will use > > > > > this. > > > > > > > > Maybe we should call it the DASH index. > > > > > > > > > > > > > > > > This will be the UK/UNa > > > > > > > > > > > > > > > > Do not know exactly what is in the other meds but info > > suggests > > > > > > > you do > > > > > > > > not need them > > > > > > > > > > > > > > > > Need to know chem names of Rivotril and vastarel. > > > > > > > > > > > > > > > > Why were these started? > > > > > > > > > > > > > > > > > > > > > > > > CE Grim MD > > > > > > > > > > > > > > > > > > 1 81mg aspirne a day > > > > > > > > > 1 Centrum > > > > > > > > > 1 Natural herb called " milk thistle " ( for the liver > > they > > > > > say ) > > > > > > > > > 0.5mg Rivotril BID > > > > > > > > > 30 mg Vastarel( also known as anginox, trimetazidine ) > > am > > > > > > > ( started > > > > > > > > > this past tuesday > > > > > > > > > 25mg spiro am > > > > > > > > > 12.mg spriro pm > > > > > > > > > > > > > > > > > > Hi I have to ask, I lowered the dose of spiro 2 days ago > > > > > because > > > > > > > my > > > > > > > > > BP was very low around 110/70 so I lowered it 12.5mg > > so now > > > > > I only > > > > > > > > > take 37.5mg > > > > > > > > > > > > > > > > > > However Today all day I have been hypotense 100/60 or > > so, I > > > > > > > > > suspected it could be the trimetazidine, but it does not > > > > > report > > > > > > > > > hypotension anywhere, I am dashing VERY hard, but > > really, > > > > > today I > > > > > > > > > was bradicardic and hypotense all day, no idea if I > > should > > > > > lower > > > > > > > the > > > > > > > > > spiro dose to 25mg a day 12.5 am and 12.5pm or just > > 25mg am or > > > > > > > 25mg > > > > > > > > > pm. > > > > > > > > > > > > > > > > > > I have no idea why my BP is so low, and I seem to be > > > > > bradicardic > > > > > > > as > > > > > > > > > well specially during the morning when I wake up and > > at night > > > > > > > when I > > > > > > > > > go to bed, brady is around 48 ( according to my > > pulseoximeter, > > > > > > > > > verrified by taking a manual meassurement of the Heart > > rate, > > > > > and > > > > > > > > > also the sphyngomanometer ) > > > > > > > > > > > > > > > > > > The bradycardia is kinda normal for me at nighttime > > and when I > > > > > > > wake > > > > > > > > > up, but 100/60... is really not normal... any advice, > > should I > > > > > > > lower > > > > > > > > > the spiro or eat more salt ??? > > > > > > > > > > > > > > > > > > Thank you > > > > > > > > > > > > > > > > > > o ! > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 13, 2011 Report Share Posted February 13, 2011 Ok today I did not take the trimetazidine and I'm at 25mg of spiro, my bp is 127/80 sounds good... I'm gonna talk to my physician tomorrow to see what to to with the trimetazidine and the spiro, thank you all SO SO MUCH !!!!!! > > o 35/obese/PA/ex smoker/panic attacks. > Last Urine test NA and K: (jan 19 2011) > > NA: 41Mm/l ( normal 40-220 ) > K: 71.5Mm/l ( normal 71.5 ) > Volumen: 1200ml > DASH RATIO = 1.74 ( much more than 1.6 ) > > 1 81mg aspirne a day > 1 Centrum > 1 Natural herb called " milk thistle " ( for the liver they say ) > 0.5mg Rivotril BID > 30 mg Vastarel( also known as anginox, trimetazidine ) am ( started this past tuesday > 25mg spiro am > 12.mg spriro pm > > Hi I have to ask, I lowered the dose of spiro 2 days ago because my BP was very low around 110/70 so I lowered it 12.5mg so now I only take 37.5mg > > However Today all day I have been hypotense 100/60 or so, I suspected it could be the trimetazidine, but it does not report hypotension anywhere, I am dashing VERY hard, but really, today I was bradicardic and hypotense all day, no idea if I should lower the spiro dose to 25mg a day 12.5 am and 12.5pm or just 25mg am or 25mg pm. > > I have no idea why my BP is so low, and I seem to be bradicardic as well specially during the morning when I wake up and at night when I go to bed, brady is around 48 ( according to my pulseoximeter, verrified by taking a manual meassurement of the Heart rate, and also the sphyngomanometer ) > > The bradycardia is kinda normal for me at nighttime and when I wake up, but 100/60... is really not normal... any advice, should I lower the spiro or eat more salt ??? > > Thank you > > o ! > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 14, 2011 Report Share Posted February 14, 2011 Diagnosed at Mayo with " resistant hypertension with inappropriate Aldo " in 2006. Aldo was testing borderline high, last time checked was normal (14) range =<21, Last renin 1.6 no range given,this was much higher than previous, which was always almost non-existant -- of note, was dehydrated. Calcium has been repeatedly borderline high, also have chronic renal insufficency. On Spiro 50 mg 2xday, Lisinopril 100 mg and diltiazam 30 mg 4xday. also diagnosed with Hyeradrenergic Autonomic Dysfunction. I also suffer periods of extremely low bp, but alternating with really high bp. It gets low enough that I have a hard time staying conscious. During those times, I salt load. Then go the other way when it is high. A real pain in the rear. I am heading for a routine checkup at Mayo tomorrow am. I see a neurologist specialising in auto dys, Dr. -- hypertension and nephrology and a GI doc for my chronic vomiting. I am still fainting, still vomiting and still have chronic daily headache and migraines. I haven't posted for quite awhile cuz now they are thinking I do not have issues with aldo. Sure did in the past, even off all my bp meds. I was on 300 mg Spiro prior to my kidney failure -- now am thinking that this, along with the high bps, was probably cause? Will ask when I see him... Thanks for eveyone on this board, and Val, thanks for your kind email. Really don't think I have lymes, though. We are a lymes hotspot and they do know how to test properly. One of my sons was diagnosed with it...and I Have friends who had it as well. All doing well after antibiotics. I even tried a trial of antibiotics just to see if I would feel any better, no go. Thanks again!! Anyone think of anything I should ask Mayo docs, just let me know. Kim in MN Quote Link to comment Share on other sites More sharing options...
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