Re: Slight Ranting... in it for the money

[Guest guest]

Well have you priced inspra lately? They would make kilobucks I think. It btw is approved to treat HTN in general not approved to treat hyperaldo. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension

Not sure but have see it is 10% of all that have HTN have PA. Not just 10% of those with resistant HTN. It is the drug companies that would lose money.

> > > >> >> >>

> > > >> >> >> Just saw the nephrologist for the first time since starting spiro

> > > >> >last

> > > >> >> >> Wednesday. He didn't seem too concerned that my BP while on spiro

> > > >> >is

> > > >> >> >> averaging about 168/106, although prior to that (on no BP meds) my

> > > >> >> >> average was 142/92. He thinks it still needs some time to kick in.

> > > >> >> >Does

> > > >> >> >> this sound right? I haven't seen BP readings this high except back

> > > >> >> >> during my oral salt loading test, and it's got me a little worried.

> > > >> >> >>

> > > >> >> >> My most recent K, taken the day after starting spiro and cutting K

> > > >> >> >tabs

> > > >> >> >> back to 20meq/day, was 3.7. I had bloodwork done today and if it's

> > > >> >not

> > > >> >> >> up to 4 or higher, the nephro is going to have me add in another K

> > > >> >> >tab.

> > > >> >> >>

> > > >> >> >> Interesting side note: the phlebotomist told me *not* to make a

> > > >> >fist,

> > > >> >> >> and pretty much recited to me the protocol for accurate K draw

> > > >> >exactly

> > > >> >> >> as recommended here. That was a first

> > > >> >> >>

> > > >> >> >>

> > > >> >> >> -msmith1928

> > > >> >> >> Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea,

> > > >> >> >> hyperinsulinemia, hereditary fructose intolerance, lactose

> > > >> >> >intolerance,

> > > >> >> >> probable gluten intolerance. Current meds are spiro 12.5mg/dday,

> > > >> >> >> potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to

> > > >> >regulate

> > > >> >> >> polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine

> > > >> >180mg

> > > >> >> >> as needed. Low sodium, fructose- and grain-free diet. Known drug

> > > >> >> >> allergies include PCN, sulfa, tetracycline.

> > > >> >> >> 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2,

> > > >> >potassium

> > > >> >> >> <2.9 (when not taking supplements), 25mg spiro caused gynecomastia

> > > >> >> >and

> > > >> >> >> polymenorrhea. AVS showed right adrenal overproduces aldo; unable

> > > >> >to

> > > >> >> >> sample left; proceeding as if my hyperaldosteronism is bilateral.

> > > >> >> >>

> > > >> >> >

> > > >> >>

> > > >> >

> > > >>

> > > >

> > > >

> > >

> >

>

[Guest guest]

So Inspira does not treat hyperaldo?  I guess I won't be switching

after all plus it is 10 times more expensive than spiro!

 

Well have you priced inspra lately? They would make

kilobucks I think. It btw is approved to treat HTN in

general not approved to treat hyperaldo. 

Tiped sad Send form mi

iPhone ;-)

May your pressure be low!

CE Grim MD

Specializing in Difficult

Hypertension

On Jun 30, 2011, at 3:35 PM, Francis Bill SUSPECTED PA

wrote:

 

Not sure but have see it is 10% of all that have

HTN have PA. Not just 10% of those with resistant

HTN. It is the drug companies that would lose money.

> > > >> >> >>

> > > >> >> >> Just saw

the nephrologist for the first time since starting

spiro

> > > >> >last

> > > >> >> >> Wednesday.

He didn't seem too concerned that my BP while on

spiro

> > > >> >is

> > > >> >> >> averaging

about 168/106, although prior to that (on no BP

meds) my

> > > >> >> >> average

was 142/92. He thinks it still needs some time to

kick in.

> > > >> >> >Does

> > > >> >> >> this sound

right? I haven't seen BP readings this high except

back

> > > >> >> >> during my

oral salt loading test, and it's got me a little

worried.

> > > >> >> >>

> > > >> >> >> My most

recent K, taken the day after starting spiro and

cutting K

> > > >> >> >tabs

> > > >> >> >> back to

20meq/day, was 3.7. I had bloodwork done today and

if it's

> > > >> >not

> > > >> >> >> up to 4 or

higher, the nephro is going to have me add in

another K

> > > >> >> >tab.

> > > >> >> >>

> > > >> >> >>

Interesting side note: the phlebotomist told me

*not* to make a

> > > >> >fist,

> > > >> >> >> and pretty

much recited to me the protocol for accurate K draw

> > > >> >exactly

> > > >> >> >> as

recommended here. That was a first

> > > >> >> >>

> > > >> >> >>

> > > >> >> >>

-msmith1928

> > > >> >> >>

Nulliparous female, 46, 5'3", 120 lbs,

polymenorrhea,

> > > >> >> >>

hyperinsulinemia, hereditary fructose intolerance,

lactose

> > > >> >> >intolerance,

> > > >> >> >> probable

gluten intolerance. Current meds are spiro

12.5mg/dday,

> > > >> >> >> potassium

20MEQ/day, singulair 10mg, norethindrone .35mg to

> > > >> >regulate

> > > >> >> >>

polymenorrhea, cyclobenzaprine 5-10mg when needed,

fexofenadine

> > > >> >180mg

> > > >> >> >> as needed.

Low sodium, fructose- and grain-free diet. Known

drug

> > > >> >> >> allergies

include PCN, sulfa, tetracycline.

> > > >> >> >> 1cm left

adrenal nodule, supine aldosterone 28.5/renin 0.2,

> > > >> >potassium

> > > >> >> >> <2.9

(when not taking supplements), 25mg spiro caused

gynecomastia

> > > >> >> >and

> > > >> >> >>

polymenorrhea. AVS showed right adrenal overproduces

aldo; unable

> > > >> >to

> > > >> >> >> sample

left; proceeding as if my hyperaldosteronism is

bilateral.

> > > >> >> >>

> > > >> >> >

> > > >> >>

> > > >> >

> > > >>

> > > >

> > > >

> > >

> >

>

[Guest guest]

It is APPROVED to treat HTN but not PA.  That doesn't mean it doesn't treat PA.  I'm on it. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Kellie So Inspira does not treat hyperaldo? I guess I won't be switching after all plus it is 10 times more expensive than spiro! Well have you priced inspra lately? They would make kilobucks I think. It btw is approved to treat HTN in general not approved to treat hyperaldo. Tiped sad Send form mi iPhone ;-)

[Guest guest]

Val, did you have any issues getting insurance to cover Inspra?

>

> Well have you priced inspra lately? They would make kilobucks I think. It btw

is approved to treat HTN in general not approved to treat hyperaldo.

>

> Tiped sad Send form mi

> iPhone ;-)

>

[Guest guest]

Don't know where you got that idea. It is likely the best Rx (with DASHing) for PA.It is just not approved to treat PA. Company believes not worth the effort$ to get it approved I guess.CE Grim MDSo Inspira does not treat hyperaldo? I guess I won't be switching after all plus it is 10 times more expensive than spiro! Well have you priced inspra lately? They would make kilobucks I think. It btw is approved to treat HTN in general not approved to treat hyperaldo. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension Not sure but have see it is 10% of all that have HTN have PA. Not just 10% of those with resistant HTN. It is the drug companies that would lose money. > > > >> >> >>> > > >> >> >> Just saw the nephrologist for the first time since starting spiro> > > >> >last> > > >> >> >> Wednesday. He didn't seem too concerned that my BP while on spiro> > > >> >is> > > >> >> >> averaging about 168/106, although prior to that (on no BP meds) my> > > >> >> >> average was 142/92. He thinks it still needs some time to kick in.> > > >> >> >Does> > > >> >> >> this sound right? I haven't seen BP readings this high except back> > > >> >> >> during my oral salt loading test, and it's got me a little worried.> > > >> >> >>> > > >> >> >> My most recent K, taken the day after starting spiro and cutting K> > > >> >> >tabs> > > >> >> >> back to 20meq/day, was 3.7. I had bloodwork done today and if it's> > > >> >not> > > >> >> >> up to 4 or higher, the nephro is going to have me add in another K> > > >> >> >tab.> > > >> >> >>> > > >> >> >> Interesting side note: the phlebotomist told me *not* to make a> > > >> >fist,> > > >> >> >> and pretty much recited to me the protocol for accurate K draw> > > >> >exactly> > > >> >> >> as recommended here. That was a first > > > >> >> >>> > > >> >> >>> > > >> >> >> -msmith1928> > > >> >> >> Nulliparous female, 46, 5'3", 120 lbs, polymenorrhea,> > > >> >> >> hyperinsulinemia, hereditary fructose intolerance, lactose> > > >> >> >intolerance,> > > >> >> >> probable gluten intolerance. Current meds are spiro 12.5mg/dday,> > > >> >> >> potassium 20MEQ/day, singulair 10mg, norethindrone .35mg to> > > >> >regulate> > > >> >> >> polymenorrhea, cyclobenzaprine 5-10mg when needed, fexofenadine> > > >> >180mg> > > >> >> >> as needed. Low sodium, fructose- and grain-free diet. Known drug> > > >> >> >> allergies include PCN, sulfa, tetracycline.> > > >> >> >> 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2,> > > >> >potassium> > > >> >> >> <2.9 (when not taking supplements), 25mg spiro caused gynecomastia> > > >> >> >and> > > >> >> >> polymenorrhea. AVS showed right adrenal overproduces aldo; unable> > > >> >to> > > >> >> >> sample left; proceeding as if my hyperaldosteronism is bilateral.> > > >> >> >>> > > >> >> >> > > >> >>> > > >> >> > > >>> > > >> > > >> > >> >>

[Guest guest]

I'm learning a whole lot about insurance companies these days!

Kellie Sent from my Samsung Epicâ„¢ 4G

Clarence Grim wrote:

>Don't know where you got that idea. It is likely the best Rx (with

>DASHing) for PA.

>

>It is just not approved to treat PA. Company believes not worth the

>effort$ to get it approved I guess.

>

>

>CE Grim MD

>

>

>> So Inspira does not treat hyperaldo? I guess I won't be switching

>> after all plus it is 10 times more expensive than spiro!

>>

>>

>>

>>>

>>> Well have you priced inspra lately? They would make kilobucks I

>>> think. It btw is approved to treat HTN in general not approved to

>>> treat hyperaldo.

>>>

>>> Tiped sad Send form mi

>>> iPhone ;-)

>>>

>>> May your pressure be low!

>>>

>>> CE Grim MD

>>> Specializing in Difficult

>>> Hypertension

>>>

>>> On Jun 30, 2011, at 3:35 PM, Francis Bill SUSPECTED PA

<georgewbill@...

>>> > wrote:

>>>

>>>>

>>>> Not sure but have see it is 10% of all that have HTN have PA. Not

>>>> just 10% of those with resistant HTN. It is the drug companies

>>>> that would lose money.

>>>>

>>>>

>>>> > > > >> >> >>

>>>> > > > >> >> >> Just saw the nephrologist for the first time since

>>>> starting spiro

>>>> > > > >> >last

>>>> > > > >> >> >> Wednesday. He didn't seem too concerned that my BP

>>>> while on spiro

>>>> > > > >> >is

>>>> > > > >> >> >> averaging about 168/106, although prior to that (on

>>>> no BP meds) my

>>>> > > > >> >> >> average was 142/92. He thinks it still needs some

>>>> time to kick in.

>>>> > > > >> >> >Does

>>>> > > > >> >> >> this sound right? I haven't seen BP readings this

>>>> high except back

>>>> > > > >> >> >> during my oral salt loading test, and it's got me a

>>>> little worried.

>>>> > > > >> >> >>

>>>> > > > >> >> >> My most recent K, taken the day after starting

>>>> spiro and cutting K

>>>> > > > >> >> >tabs

>>>> > > > >> >> >> back to 20meq/day, was 3.7. I had bloodwork done

>>>> today and if it's

>>>> > > > >> >not

>>>> > > > >> >> >> up to 4 or higher, the nephro is going to have me

>>>> add in another K

>>>> > > > >> >> >tab.

>>>> > > > >> >> >>

>>>> > > > >> >> >> Interesting side note: the phlebotomist told me

>>>> *not* to make a

>>>> > > > >> >fist,

>>>> > > > >> >> >> and pretty much recited to me the protocol for

>>>> accurate K draw

>>>> > > > >> >exactly

>>>> > > > >> >> >> as recommended here. That was a first

>>>> > > > >> >> >>

>>>> > > > >> >> >>

>>>> > > > >> >> >> -msmith1928

>>>> > > > >> >> >> Nulliparous female, 46, 5'3 " , 120 lbs, polymenorrhea,

>>>> > > > >> >> >> hyperinsulinemia, hereditary fructose intolerance,

>>>> lactose

>>>> > > > >> >> >intolerance,

>>>> > > > >> >> >> probable gluten intolerance. Current meds are spiro

>>>> 12.5mg/dday,

>>>> > > > >> >> >> potassium 20MEQ/day, singulair 10mg, norethindrone .

>>>> 35mg to

>>>> > > > >> >regulate

>>>> > > > >> >> >> polymenorrhea, cyclobenzaprine 5-10mg when needed,

>>>> fexofenadine

>>>> > > > >> >180mg

>>>> > > > >> >> >> as needed. Low sodium, fructose- and grain-free

>>>> diet. Known drug

>>>> > > > >> >> >> allergies include PCN, sulfa, tetracycline.

>>>> > > > >> >> >> 1cm left adrenal nodule, supine aldosterone 28.5/

>>>> renin 0.2,

>>>> > > > >> >potassium

>>>> > > > >> >> >> <2.9 (when not taking supplements), 25mg spiro

>>>> caused gynecomastia

>>>> > > > >> >> >and

>>>> > > > >> >> >> polymenorrhea. AVS showed right adrenal

>>>> overproduces aldo; unable

>>>> > > > >> >to

>>>> > > > >> >> >> sample left; proceeding as if my hyperaldosteronism

>>>> is bilateral.

>>>> > > > >> >> >>

>>>> > > > >> >> >

>>>> > > > >> >>

>>>> > > > >> >

>>>> > > > >>

>>>> > > > >

>>>> > > > >

>>>> > > >

>>>> > >

>>>> >

>>>>

>>>>

>>

>>

>>

>