Guest guest Posted August 22, 2011 Report Share Posted August 22, 2011 Are they doing urine tests also? Will be interesting to see where your body thinks you are. You once asked where my BP was before Spiro and it was high 160s/87-90. Dr. G. will probably chime in but you may want to go to medline and check side effects and overdose info. Hopefully your body will adjust quickly and you will see positivw results soon. - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/69 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD. Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > I went for my follow-up last Thursday and the Dr. upped my Spiro to 100 mg. a day. (50 mg. twice daily). I am going to see him again this Thursday and I am having blood work done for Na, K and creatinine the day before so that he will have the results when I see him. > > I am seeing a small decrease in my BP. Today it was 148/91. Back on July 31st (the day before I started 50 mg. Spiro a day my BP was 183/122. The day before I was increased to 100 mg. the BP was 150/106. > > I am DASHing also. > > I have been having some side effects i.e. diarrhea, irritability, feeling a little nausea and not as relaxed as I usually am. > > I am getting a lot more cramps in my fingers and toes and certain muscles in my legs. I suffered from very bad cramps in my fingers and toes after I had my thyroid removed. I was told that the surgeon did not remove any of my parathyroid glands but I think there must have been some damage because if I don't take enough calcium then I get the cramps. > > However, since being on the Spiro I have noticed them getting worse again. > > I am drinking the low sodium V8 juice. I am wondering where magnesium fits into the entire picture of PA. Should the Dr. be checking the magnesium blood levels also? > > How long should I stay on 100 mg. before the Dr. ups the medication further. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2011 Report Share Posted August 22, 2011 No he has not ordered urine tests. I did ask for one and he didn'tthink it was necessary right now, but he does want the blood tests.Your diastolic prior to Spiro at 87/90 would have been a wonderfulreading for me and I don't think my Dr. would have considered it as significantly high....however, the 160 systolic would be.The only reason I have not been checking on the side effects ofSpiro is because I did not want to be influenced by what I read.Sometimes, if you know of a side effect ahead of time, you just might manifest it.However, through reading various e-mails, I have found out whata few of them are.I see that you are taking Metoprolol. This was one of the very firstBP meds I was put on many, many years ago. I took it for quite a while but it gave me severe nightmares and did very little asfar as reducing my BP.It is still early days for me and I am looking forward to seeing greatimprovement as the weeks and months go by. Are they doing urine tests also? Will be interesting to see where your body thinks you are. You once asked where my BP was before Spiro and it was high 160s/87-90. Dr. G. will probably chime in but you may want to go to medline and check side effects and overdose info. Hopefully your body will adjust quickly and you will see positivw results soon. - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/69 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD. Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > I went for my follow-up last Thursday and the Dr. upped my Spiro to 100 mg. a day. (50 mg. twice daily). I am going to see him again this Thursday and I am having blood work done for Na, K and creatinine the day before so that he will have the results when I see him. > > I am seeing a small decrease in my BP. Today it was 148/91. Back on July 31st (the day before I started 50 mg. Spiro a day my BP was 183/122. The day before I was increased to 100 mg. the BP was 150/106. > > I am DASHing also. > > I have been having some side effects i.e. diarrhea, irritability, feeling a little nausea and not as relaxed as I usually am. > > I am getting a lot more cramps in my fingers and toes and certain muscles in my legs. I suffered from very bad cramps in my fingers and toes after I had my thyroid removed. I was told that the surgeon did not remove any of my parathyroid glands but I think there must have been some damage because if I don't take enough calcium then I get the cramps. > > However, since being on the Spiro I have noticed them getting worse again. > > I am drinking the low sodium V8 juice. I am wondering where magnesium fits into the entire picture of PA. Should the Dr. be checking the magnesium blood levels also? > > How long should I stay on 100 mg. before the Dr. ups the medication further. > -- Jan ShimanoHealth & Wellness Advocate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2011 Report Share Posted August 22, 2011 Whenever you want to know about side effects of a med go to studies in which the side effects were compared to what was seen in the placebo group.Do not become a cyberchordriac.I guess your Dr has not recommended low salt diets in many. If he does not check the urine Na he has not way of knowing if the patient is following his recommendations. The next step is to add BP drugs. That is like recommending weight loss but not measuring weight.CE Grim MD No he has not ordered urine tests. I did ask for one and he didn'tthink it was necessary right now, but he does want the blood tests.Your diastolic prior to Spiro at 87/90 would have been a wonderfulreading for me and I don't think my Dr. would have considered it as significantly high....however, the 160 systolic would be.The only reason I have not been checking on the side effects ofSpiro is because I did not want to be influenced by what I read.Sometimes, if you know of a side effect ahead of time, you just might manifest it.However, through reading various e-mails, I have found out whata few of them are.I see that you are taking Metoprolol. This was one of the very firstBP meds I was put on many, many years ago. I took it for quite a while but it gave me severe nightmares and did very little asfar as reducing my BP.It is still early days for me and I am looking forward to seeing greatimprovement as the weeks and months go by. Are they doing urine tests also? Will be interesting to see where your body thinks you are. You once asked where my BP was before Spiro and it was high 160s/87-90. Dr. G. will probably chime in but you may want to go to medline and check side effects and overdose info. Hopefully your body will adjust quickly and you will see positivw results soon. - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/69 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD. Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > I went for my follow-up last Thursday and the Dr. upped my Spiro to 100 mg. a day. (50 mg. twice daily). I am going to see him again this Thursday and I am having blood work done for Na, K and creatinine the day before so that he will have the results when I see him. > > I am seeing a small decrease in my BP. Today it was 148/91. Back on July 31st (the day before I started 50 mg. Spiro a day my BP was 183/122. The day before I was increased to 100 mg. the BP was 150/106. > > I am DASHing also. > > I have been having some side effects i.e. diarrhea, irritability, feeling a little nausea and not as relaxed as I usually am. > > I am getting a lot more cramps in my fingers and toes and certain muscles in my legs. I suffered from very bad cramps in my fingers and toes after I had my thyroid removed. I was told that the surgeon did not remove any of my parathyroid glands but I think there must have been some damage because if I don't take enough calcium then I get the cramps. > > However, since being on the Spiro I have noticed them getting worse again. > > I am drinking the low sodium V8 juice. I am wondering where magnesium fits into the entire picture of PA. Should the Dr. be checking the magnesium blood levels also? > > How long should I stay on 100 mg. before the Dr. ups the medication further. > -- Jan ShimanoHealth & Wellness Advocate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2011 Report Share Posted August 22, 2011 Thanks Dr. Grim:I will bring up the subject of a regular urine test with the Dr.on Thursday.Also, in your opinion, what would be the first BP med. toadd to the Spiro? I know that various types will have no effect on lowering the BP. I will check out the studies on side effects comparing the group taking the Spiro and the group on a placebo.How does the blood Na differ from the urine Na? Whenever you want to know about side effects of a med go to studies in which the side effects were compared to what was seen in the placebo group.Do not become a cyberchordriac. I guess your Dr has not recommended low salt diets in many. If he does not check the urine Na he has not way of knowing if the patient is following his recommendations. The next step is to add BP drugs. That is like recommending weight loss but not measuring weight.CE Grim MD No he has not ordered urine tests. I did ask for one and he didn'tthink it was necessary right now, but he does want the blood tests. Your diastolic prior to Spiro at 87/90 would have been a wonderfulreading for me and I don't think my Dr. would have considered it as significantly high....however, the 160 systolic would be.The only reason I have not been checking on the side effects of Spiro is because I did not want to be influenced by what I read.Sometimes, if you know of a side effect ahead of time, you just might manifest it.However, through reading various e-mails, I have found out what a few of them are.I see that you are taking Metoprolol. This was one of the very firstBP meds I was put on many, many years ago. I took it for quite a while but it gave me severe nightmares and did very little as far as reducing my BP.It is still early days for me and I am looking forward to seeing greatimprovement as the weeks and months go by. Are they doing urine tests also? Will be interesting to see where your body thinks you are. You once asked where my BP was before Spiro and it was high 160s/87-90. Dr. G. will probably chime in but you may want to go to medline and check side effects and overdose info. Hopefully your body will adjust quickly and you will see positivw results soon. - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/69 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD. Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > I went for my follow-up last Thursday and the Dr. upped my Spiro to 100 mg. a day. (50 mg. twice daily). I am going to see him again this Thursday and I am having blood work done for Na, K and creatinine the day before so that he will have the results when I see him. > > I am seeing a small decrease in my BP. Today it was 148/91. Back on July 31st (the day before I started 50 mg. Spiro a day my BP was 183/122. The day before I was increased to 100 mg. the BP was 150/106. > > I am DASHing also. > > I have been having some side effects i.e. diarrhea, irritability, feeling a little nausea and not as relaxed as I usually am. > > I am getting a lot more cramps in my fingers and toes and certain muscles in my legs. I suffered from very bad cramps in my fingers and toes after I had my thyroid removed. I was told that the surgeon did not remove any of my parathyroid glands but I think there must have been some damage because if I don't take enough calcium then I get the cramps. > > However, since being on the Spiro I have noticed them getting worse again. > > I am drinking the low sodium V8 juice. I am wondering where magnesium fits into the entire picture of PA. Should the Dr. be checking the magnesium blood levels also? > > How long should I stay on 100 mg. before the Dr. ups the medication further. > -- Jan ShimanoHealth & Wellness Advocate -- Jan ShimanoHealth & Wellness Advocate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2011 Report Share Posted August 22, 2011 Thanks Dr. Grim:I will bring up the subject of a regular urine test with the Dr.on Thursday.Also, in your opinion, what would be the first BP med. toadd to the Spiro? I know that various types will have no effect on lowering the BP. I will check out the studies on side effects comparing the group taking the Spiro and the group on a placebo.How does the blood Na differ from the urine Na? Whenever you want to know about side effects of a med go to studies in which the side effects were compared to what was seen in the placebo group.Do not become a cyberchordriac. I guess your Dr has not recommended low salt diets in many. If he does not check the urine Na he has not way of knowing if the patient is following his recommendations. The next step is to add BP drugs. That is like recommending weight loss but not measuring weight.CE Grim MD No he has not ordered urine tests. I did ask for one and he didn'tthink it was necessary right now, but he does want the blood tests. Your diastolic prior to Spiro at 87/90 would have been a wonderfulreading for me and I don't think my Dr. would have considered it as significantly high....however, the 160 systolic would be.The only reason I have not been checking on the side effects of Spiro is because I did not want to be influenced by what I read.Sometimes, if you know of a side effect ahead of time, you just might manifest it.However, through reading various e-mails, I have found out what a few of them are.I see that you are taking Metoprolol. This was one of the very firstBP meds I was put on many, many years ago. I took it for quite a while but it gave me severe nightmares and did very little as far as reducing my BP.It is still early days for me and I am looking forward to seeing greatimprovement as the weeks and months go by. Are they doing urine tests also? Will be interesting to see where your body thinks you are. You once asked where my BP was before Spiro and it was high 160s/87-90. Dr. G. will probably chime in but you may want to go to medline and check side effects and overdose info. Hopefully your body will adjust quickly and you will see positivw results soon. - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/69 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD. Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > I went for my follow-up last Thursday and the Dr. upped my Spiro to 100 mg. a day. (50 mg. twice daily). I am going to see him again this Thursday and I am having blood work done for Na, K and creatinine the day before so that he will have the results when I see him. > > I am seeing a small decrease in my BP. Today it was 148/91. Back on July 31st (the day before I started 50 mg. Spiro a day my BP was 183/122. The day before I was increased to 100 mg. the BP was 150/106. > > I am DASHing also. > > I have been having some side effects i.e. diarrhea, irritability, feeling a little nausea and not as relaxed as I usually am. > > I am getting a lot more cramps in my fingers and toes and certain muscles in my legs. I suffered from very bad cramps in my fingers and toes after I had my thyroid removed. I was told that the surgeon did not remove any of my parathyroid glands but I think there must have been some damage because if I don't take enough calcium then I get the cramps. > > However, since being on the Spiro I have noticed them getting worse again. > > I am drinking the low sodium V8 juice. I am wondering where magnesium fits into the entire picture of PA. Should the Dr. be checking the magnesium blood levels also? > > How long should I stay on 100 mg. before the Dr. ups the medication further. > -- Jan ShimanoHealth & Wellness Advocate -- Jan ShimanoHealth & Wellness Advocate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2011 Report Share Posted August 22, 2011 Jan, some of the symptoms you describe are merely an anoyance (providing you have a good book and remain close to a facility). Others are listed further down under the catagory, " If you experience any of the following symptoms, call your doctor immediately: " If you don't want to read the symptoms yourself for fear of becoming a " cyberchondriac " , just do me a favor and call your doctor in the morning and read your original quote to her/him! I never have had a doctor tell me all to look out for and I understand the drug companies may err on the side of caution to lessen lawsuits but there must be a reason, no matter how small, that they list them! Remember, I am the one who had an adrenal adenoma seen in a ct-scan 6+ yrs and in a lab report 3 1/2 yrs before anyone bothered to tell me " because it was no big deal " . I ask questions now and tell them if they give me the wrong answer! (And BTW, it could have been a " big deal " if LVH had of progressed much further!) I'll leave that there and simply wish you good luck! Your doctor might have been real happy with a diastolic pressure of 87-90 but remember, I have DM2 so my goal is 130/80! (And my doctor is real happy at 123/73!) - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/69 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD. Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > I went for my follow-up last Thursday and the Dr. upped my Spiro > > to 100 mg. a day. (50 mg. twice daily). I am going to see him again > > this Thursday and I am having blood work done for Na, K and > > creatinine the day before so that he will have the results when I > > see him. > > > > > > I am seeing a small decrease in my BP. Today it was 148/91. Back > > on July 31st (the day before I started 50 mg. Spiro a day my BP was > > 183/122. The day before I was increased to 100 mg. the BP was 150/106. > > > > > > I am DASHing also. > > > > > > I have been having some side effects i.e. diarrhea, irritability, > > feeling a little nausea and not as relaxed as I usually am. > > > > > > I am getting a lot more cramps in my fingers and toes and certain > > muscles in my legs. I suffered from very bad cramps in my fingers > > and toes after I had my thyroid removed. I was told that the surgeon > > did not remove any of my parathyroid glands but I think there must > > have been some damage because if I don't take enough calcium then I > > get the cramps. > > > > > > However, since being on the Spiro I have noticed them getting > > worse again. > > > > > > I am drinking the low sodium V8 juice. I am wondering where > > magnesium fits into the entire picture of PA. Should the Dr. be > > checking the magnesium blood levels also? > > > > > > How long should I stay on 100 mg. before the Dr. ups the > > medication further. > > > > > > > > > > > > > > > -- > > > > Jan Shimano > > Health & Wellness Advocate > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2011 Report Share Posted August 22, 2011 Dr. Grim, I feel you are doing us a big disservice with your answer for us to do our own research on drug side effects. If that's the way it should be why don't we just research, DX and self-medicate! And to imply we will become " cyberchondriac " will just cause some to stifel their thoughts and the whole group will lose valuable input. If we are going to help each other, we need to see the whole picture and that is why I tend to say whatever in HE_ _ I want! The best example I can use right now was my LVH correction and your explaination of how the system works from HTN to the lungs. I hope other's took that to heart, pun intended, and realized other symptoms this might have an effect on! (Had I been bashful or stifelled I would just have gone on to my doctor, exclaimed " oh wow " and we both would believe in magic!) As to where and why I look up meds. I go to Medline Plus because that is where MyhealtheVet takes me when I want to look up a med, an action they encourage! - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/69 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD. Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > I went for my follow-up last Thursday and the Dr. upped my Spiro > > to 100 mg. a day. (50 mg. twice daily). I am going to see him again > > this Thursday and I am having blood work done for Na, K and > > creatinine the day before so that he will have the results when I > > see him. > > > > > > I am seeing a small decrease in my BP. Today it was 148/91. Back > > on July 31st (the day before I started 50 mg. Spiro a day my BP was > > 183/122. The day before I was increased to 100 mg. the BP was 150/106. > > > > > > I am DASHing also. > > > > > > I have been having some side effects i.e. diarrhea, irritability, > > feeling a little nausea and not as relaxed as I usually am. > > > > > > I am getting a lot more cramps in my fingers and toes and certain > > muscles in my legs. I suffered from very bad cramps in my fingers > > and toes after I had my thyroid removed. I was told that the surgeon > > did not remove any of my parathyroid glands but I think there must > > have been some damage because if I don't take enough calcium then I > > get the cramps. > > > > > > However, since being on the Spiro I have noticed them getting > > worse again. > > > > > > I am drinking the low sodium V8 juice. I am wondering where > > magnesium fits into the entire picture of PA. Should the Dr. be > > checking the magnesium blood levels also? > > > > > > How long should I stay on 100 mg. before the Dr. ups the > > medication further. > > > > > > > > > > > > > > > -- > > > > Jan Shimano > > Health & Wellness Advocate > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2011 Report Share Posted August 22, 2011 Dr. Grim, I feel you are doing us a big disservice with your answer for us to do our own research on drug side effects. If that's the way it should be why don't we just research, DX and self-medicate! And to imply we will become " cyberchondriac " will just cause some to stifel their thoughts and the whole group will lose valuable input. If we are going to help each other, we need to see the whole picture and that is why I tend to say whatever in HE_ _ I want! The best example I can use right now was my LVH correction and your explaination of how the system works from HTN to the lungs. I hope other's took that to heart, pun intended, and realized other symptoms this might have an effect on! (Had I been bashful or stifelled I would just have gone on to my doctor, exclaimed " oh wow " and we both would believe in magic!) As to where and why I look up meds. I go to Medline Plus because that is where MyhealtheVet takes me when I want to look up a med, an action they encourage! - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/69 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD. Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > I went for my follow-up last Thursday and the Dr. upped my Spiro > > to 100 mg. a day. (50 mg. twice daily). I am going to see him again > > this Thursday and I am having blood work done for Na, K and > > creatinine the day before so that he will have the results when I > > see him. > > > > > > I am seeing a small decrease in my BP. Today it was 148/91. Back > > on July 31st (the day before I started 50 mg. Spiro a day my BP was > > 183/122. The day before I was increased to 100 mg. the BP was 150/106. > > > > > > I am DASHing also. > > > > > > I have been having some side effects i.e. diarrhea, irritability, > > feeling a little nausea and not as relaxed as I usually am. > > > > > > I am getting a lot more cramps in my fingers and toes and certain > > muscles in my legs. I suffered from very bad cramps in my fingers > > and toes after I had my thyroid removed. I was told that the surgeon > > did not remove any of my parathyroid glands but I think there must > > have been some damage because if I don't take enough calcium then I > > get the cramps. > > > > > > However, since being on the Spiro I have noticed them getting > > worse again. > > > > > > I am drinking the low sodium V8 juice. I am wondering where > > magnesium fits into the entire picture of PA. Should the Dr. be > > checking the magnesium blood levels also? > > > > > > How long should I stay on 100 mg. before the Dr. ups the > > medication further. > > > > > > > > > > > > > > > -- > > > > Jan Shimano > > Health & Wellness Advocate > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2011 Report Share Posted August 22, 2011 Not all side effects are listed on medline pluse or drugs.com. If you really want to know about drugs get a copy of the Physician's Desk Reference. An other book is " The Essential Guide To Prescription Drugs " By J Rybacki Pharm.D and W Long MD. > > > > > > > > I went for my follow-up last Thursday and the Dr. upped my Spiro > > > to 100 mg. a day. (50 mg. twice daily). I am going to see him again > > > this Thursday and I am having blood work done for Na, K and > > > creatinine the day before so that he will have the results when I > > > see him. > > > > > > > > I am seeing a small decrease in my BP. Today it was 148/91. Back > > > on July 31st (the day before I started 50 mg. Spiro a day my BP was > > > 183/122. The day before I was increased to 100 mg. the BP was 150/106. > > > > > > > > I am DASHing also. > > > > > > > > I have been having some side effects i.e. diarrhea, irritability, > > > feeling a little nausea and not as relaxed as I usually am. > > > > > > > > I am getting a lot more cramps in my fingers and toes and certain > > > muscles in my legs. I suffered from very bad cramps in my fingers > > > and toes after I had my thyroid removed. I was told that the surgeon > > > did not remove any of my parathyroid glands but I think there must > > > have been some damage because if I don't take enough calcium then I > > > get the cramps. > > > > > > > > However, since being on the Spiro I have noticed them getting > > > worse again. > > > > > > > > I am drinking the low sodium V8 juice. I am wondering where > > > magnesium fits into the entire picture of PA. Should the Dr. be > > > checking the magnesium blood levels also? > > > > > > > > How long should I stay on 100 mg. before the Dr. ups the > > > medication further. > > > > > > > > > > > > > > > > > > > > > > -- > > > > > > Jan Shimano > > > Health & Wellness Advocate > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2011 Report Share Posted August 22, 2011 Medline Plus is probably accurate enough for my purpose. I always know where it is and they will update it for me so it will be more current without me having to spend extra $$$! > > > > > > > > > > I went for my follow-up last Thursday and the Dr. upped my Spiro > > > > to 100 mg. a day. (50 mg. twice daily). I am going to see him again > > > > this Thursday and I am having blood work done for Na, K and > > > > creatinine the day before so that he will have the results when I > > > > see him. > > > > > > > > > > I am seeing a small decrease in my BP. Today it was 148/91. Back > > > > on July 31st (the day before I started 50 mg. Spiro a day my BP was > > > > 183/122. The day before I was increased to 100 mg. the BP was 150/106. > > > > > > > > > > I am DASHing also. > > > > > > > > > > I have been having some side effects i.e. diarrhea, irritability, > > > > feeling a little nausea and not as relaxed as I usually am. > > > > > > > > > > I am getting a lot more cramps in my fingers and toes and certain > > > > muscles in my legs. I suffered from very bad cramps in my fingers > > > > and toes after I had my thyroid removed. I was told that the surgeon > > > > did not remove any of my parathyroid glands but I think there must > > > > have been some damage because if I don't take enough calcium then I > > > > get the cramps. > > > > > > > > > > However, since being on the Spiro I have noticed them getting > > > > worse again. > > > > > > > > > > I am drinking the low sodium V8 juice. I am wondering where > > > > magnesium fits into the entire picture of PA. Should the Dr. be > > > > checking the magnesium blood levels also? > > > > > > > > > > How long should I stay on 100 mg. before the Dr. ups the > > > > medication further. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > -- > > > > > > > > Jan Shimano > > > > Health & Wellness Advocate > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2011 Report Share Posted August 22, 2011 I just reread your post and see you mentioned metoprolol and if you didn't catch my posts under beta blockers, I think it is a leftover from the 7 BP meds I was on. I expect the removal was an oversight and its use in PA is probably between nil and very limited (I'm not a Dr. so I may have that wrong but I saw your question to Dr. Grim and I'm pretty sure that is not the answer!) Actually it probably won't be an ACEI or ARB either since they don't work w/low renin. I won't guess further although the HTN Primer gave me some ideas - don't want to be practicing w/o a license! - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/69 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD. Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > I went for my follow-up last Thursday and the Dr. upped my Spiro > > > > > to 100 mg. a day. (50 mg. twice daily). I am going to see him again > > > > > this Thursday and I am having blood work done for Na, K and > > > > > creatinine the day before so that he will have the results when I > > > > > see him. > > > > > > > > > > > > I am seeing a small decrease in my BP. Today it was 148/91. Back > > > > > on July 31st (the day before I started 50 mg. Spiro a day my BP was > > > > > 183/122. The day before I was increased to 100 mg. the BP was 150/106. > > > > > > > > > > > > I am DASHing also. > > > > > > > > > > > > I have been having some side effects i.e. diarrhea, irritability, > > > > > feeling a little nausea and not as relaxed as I usually am. > > > > > > > > > > > > I am getting a lot more cramps in my fingers and toes and certain > > > > > muscles in my legs. I suffered from very bad cramps in my fingers > > > > > and toes after I had my thyroid removed. I was told that the surgeon > > > > > did not remove any of my parathyroid glands but I think there must > > > > > have been some damage because if I don't take enough calcium then I > > > > > get the cramps. > > > > > > > > > > > > However, since being on the Spiro I have noticed them getting > > > > > worse again. > > > > > > > > > > > > I am drinking the low sodium V8 juice. I am wondering where > > > > > magnesium fits into the entire picture of PA. Should the Dr. be > > > > > checking the magnesium blood levels also? > > > > > > > > > > > > How long should I stay on 100 mg. before the Dr. ups the > > > > > medication further. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > -- > > > > > > > > > > Jan Shimano > > > > > Health & Wellness Advocate > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2011 Report Share Posted August 22, 2011 Thanks . I have ordered the Hypertension Primer from Amazon and expectto get it within two weeks. I am looking forward to becoming more educated.I don't want my Dr. to put me on a BP med. that is not going to work for folks with PA. Perhaps Dr. Grim can tell us the family of BP meds. that would bethe most appropriate and then I can casually mention it to the Dr. I know thatthey definitely don't like to be told what to do, as you can hardly blame them. I just reread your post and see you mentioned metoprolol and if you didn't catch my posts under beta blockers, I think it is a leftover from the 7 BP meds I was on. I expect the removal was an oversight and its use in PA is probably between nil and very limited (I'm not a Dr. so I may have that wrong but I saw your question to Dr. Grim and I'm pretty sure that is not the answer!) Actually it probably won't be an ACEI or ARB either since they don't work w/low renin. I won't guess further although the HTN Primer gave me some ideas - don't want to be practicing w/o a license! - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/69 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD. Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > I went for my follow-up last Thursday and the Dr. upped my Spiro > > > > > to 100 mg. a day. (50 mg. twice daily). I am going to see him again > > > > > this Thursday and I am having blood work done for Na, K and > > > > > creatinine the day before so that he will have the results when I > > > > > see him. > > > > > > > > > > > > I am seeing a small decrease in my BP. Today it was 148/91. Back > > > > > on July 31st (the day before I started 50 mg. Spiro a day my BP was > > > > > 183/122. The day before I was increased to 100 mg. the BP was 150/106. > > > > > > > > > > > > I am DASHing also. > > > > > > > > > > > > I have been having some side effects i.e. diarrhea, irritability, > > > > > feeling a little nausea and not as relaxed as I usually am. > > > > > > > > > > > > I am getting a lot more cramps in my fingers and toes and certain > > > > > muscles in my legs. I suffered from very bad cramps in my fingers > > > > > and toes after I had my thyroid removed. I was told that the surgeon > > > > > did not remove any of my parathyroid glands but I think there must > > > > > have been some damage because if I don't take enough calcium then I > > > > > get the cramps. > > > > > > > > > > > > However, since being on the Spiro I have noticed them getting > > > > > worse again. > > > > > > > > > > > > I am drinking the low sodium V8 juice. I am wondering where > > > > > magnesium fits into the entire picture of PA. Should the Dr. be > > > > > checking the magnesium blood levels also? > > > > > > > > > > > > How long should I stay on 100 mg. before the Dr. ups the > > > > > medication further. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > -- > > > > > > > > > > Jan Shimano > > > > > Health & Wellness Advocate > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > -- Jan ShimanoHealth & Wellness Advocate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2011 Report Share Posted August 22, 2011 Since many with PA have heart rate problems and beta blockers somewhat control them and for non PA they lower B/P. Mostlikey given by DR that think PA is something they think they will never see. > > > > > > > > > > > > > > I went for my follow-up last Thursday and the Dr. upped my Spiro > > > > > > to 100 mg. a day. (50 mg. twice daily). I am going to see him again > > > > > > this Thursday and I am having blood work done for Na, K and > > > > > > creatinine the day before so that he will have the results when I > > > > > > see him. > > > > > > > > > > > > > > I am seeing a small decrease in my BP. Today it was 148/91. Back > > > > > > on July 31st (the day before I started 50 mg. Spiro a day my BP was > > > > > > 183/122. The day before I was increased to 100 mg. the BP was 150/106. > > > > > > > > > > > > > > I am DASHing also. > > > > > > > > > > > > > > I have been having some side effects i.e. diarrhea, irritability, > > > > > > feeling a little nausea and not as relaxed as I usually am. > > > > > > > > > > > > > > I am getting a lot more cramps in my fingers and toes and certain > > > > > > muscles in my legs. I suffered from very bad cramps in my fingers > > > > > > and toes after I had my thyroid removed. I was told that the surgeon > > > > > > did not remove any of my parathyroid glands but I think there must > > > > > > have been some damage because if I don't take enough calcium then I > > > > > > get the cramps. > > > > > > > > > > > > > > However, since being on the Spiro I have noticed them getting > > > > > > worse again. > > > > > > > > > > > > > > I am drinking the low sodium V8 juice. I am wondering where > > > > > > magnesium fits into the entire picture of PA. Should the Dr. be > > > > > > checking the magnesium blood levels also? > > > > > > > > > > > > > > How long should I stay on 100 mg. before the Dr. ups the > > > > > > medication further. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > -- > > > > > > > > > > > > Jan Shimano > > > > > > Health & Wellness Advocate > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2011 Report Share Posted August 22, 2011 Just take your new HTN Primer in opened to chapter C167, lay it on his desk and ask him when was the last time he read that one! (If he wants to know what other drugs, open it to page 566 1/3 of the way down in second column labeled, " Other Drugs " ! If he gets messing around with your drugs make sure he keeps an eye on your K level! (Mine was checking every 2 weeks when the Neprologist had her adding an ACEI before I pointed out that it wouldn't work! How much experience does your doctor have in treating PA? I'm treated by doctors at the local Veterans Hospital (VA) and have ment very few that really knew much about it (maybe 2 Neprologhists out of 4 and 1 Endrocologist.) Many of the specialists rotate between the VA and a local teaching hospital (Darmouth in Hanover NH). It's unbelievable how little they know and they all want to treat you as if you have regular HTN which does not work! I was lucky that I have a PCP who believes me and Dr. Grim through me and wants to learn. I really think she is almost as excited as I as things come into control! (She has been my PCP so she has shared my frustrations and knows how emotional one can get when nothing works and the weight keeps going on. I finally told her, as I was approaching 320 lbs, that I would " would wring the next young whipper snapper's neck if they mentioned weight loss! " ) She can't believe that I have lost ~25 lbs, BP is under goal for DM2 (75% of people w/DM2 can't hit goal), need for suppl. oxygen is gone and mood & attitude! In fact she asked my permission to keep me on a 2mo recall so she " can continue to be my #1 Cheerleader!) That's her quote, I would probably be on a 6mo recall normally! And by the way, I do blame them if they don't know and don't want to be told if I have valid information that will further my treatment! I may not have their medical experience but I bet they don't have my troubles shooting and researching capabilities using a computer including a 27 year professional career! I guess the bottom line is I am not a Lab Rat and this is not a new path - follow the rules and we will get this thing licked! I won't rant any more but I never had time for programmers that guessed how to write or diagnose a program and I don't have time for doctors who don't follow the rules and seek assistance if needed, not to say that there aren't times they may have to try different things but they had better have tried the standard procedures first! - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/69 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD. Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > I went for my follow-up last Thursday and the Dr. upped my > > Spiro > > > > > > > to 100 mg. a day. (50 mg. twice daily). I am going to see him > > again > > > > > > > this Thursday and I am having blood work done for Na, K and > > > > > > > creatinine the day before so that he will have the results when I > > > > > > > > > see him. > > > > > > > > > > > > > > > > I am seeing a small decrease in my BP. Today it was 148/91. > > Back > > > > > > > on July 31st (the day before I started 50 mg. Spiro a day my BP > > was > > > > > > > 183/122. The day before I was increased to 100 mg. the BP was > > 150/106. > > > > > > > > > > > > > > > > I am DASHing also. > > > > > > > > > > > > > > > > I have been having some side effects i.e. diarrhea, > > irritability, > > > > > > > feeling a little nausea and not as relaxed as I usually am. > > > > > > > > > > > > > > > > I am getting a lot more cramps in my fingers and toes and > > certain > > > > > > > muscles in my legs. I suffered from very bad cramps in my fingers > > > > > > > > > and toes after I had my thyroid removed. I was told that the > > surgeon > > > > > > > did not remove any of my parathyroid glands but I think there > > must > > > > > > > have been some damage because if I don't take enough calcium then > > I > > > > > > > get the cramps. > > > > > > > > > > > > > > > > However, since being on the Spiro I have noticed them getting > > > > > > > worse again. > > > > > > > > > > > > > > > > I am drinking the low sodium V8 juice. I am wondering where > > > > > > > magnesium fits into the entire picture of PA. Should the Dr. be > > > > > > > checking the magnesium blood levels also? > > > > > > > > > > > > > > > > How long should I stay on 100 mg. before the Dr. ups the > > > > > > > medication further. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > -- > > > > > > > > > > > > > > Jan Shimano > > > > > > > Health & Wellness Advocate > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > -- > > Jan Shimano > Health & Wellness Advocate > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 22, 2011 Report Share Posted August 22, 2011 Francis, run on out to www.answers.com/topic/beta-blocker and then come back and tell me if you feel the same. If you want to really have fun include these SXs: DM2, CKD Stage 3, COPD (emphysema) in addition to PA. I would prefer they KNOW instead of THINK! Sorry if I appear insensitive but it is my ticker they are messing with! - 64 yo morb. ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank & testicle pain. I have decided against an adrenalectomy at this time since Meds. are working so well. Current BP(last week ave): 123/69 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2. and PTSD. Meds: Duloxetine hcl 80 MG, Mirtazapine 15 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > > > > > > > > > > > > > > > I went for my follow-up last Thursday and the Dr. upped my Spiro > > > > > > > to 100 mg. a day. (50 mg. twice daily). I am going to see him again > > > > > > > this Thursday and I am having blood work done for Na, K and > > > > > > > creatinine the day before so that he will have the results when I > > > > > > > see him. > > > > > > > > > > > > > > > > I am seeing a small decrease in my BP. Today it was 148/91. Back > > > > > > > on July 31st (the day before I started 50 mg. Spiro a day my BP was > > > > > > > 183/122. The day before I was increased to 100 mg. the BP was 150/106. > > > > > > > > > > > > > > > > I am DASHing also. > > > > > > > > > > > > > > > > I have been having some side effects i.e. diarrhea, irritability, > > > > > > > feeling a little nausea and not as relaxed as I usually am. > > > > > > > > > > > > > > > > I am getting a lot more cramps in my fingers and toes and certain > > > > > > > muscles in my legs. I suffered from very bad cramps in my fingers > > > > > > > and toes after I had my thyroid removed. I was told that the surgeon > > > > > > > did not remove any of my parathyroid glands but I think there must > > > > > > > have been some damage because if I don't take enough calcium then I > > > > > > > get the cramps. > > > > > > > > > > > > > > > > However, since being on the Spiro I have noticed them getting > > > > > > > worse again. > > > > > > > > > > > > > > > > I am drinking the low sodium V8 juice. I am wondering where > > > > > > > magnesium fits into the entire picture of PA. Should the Dr. be > > > > > > > checking the magnesium blood levels also? > > > > > > > > > > > > > > > > How long should I stay on 100 mg. before the Dr. ups the > > > > > > > medication further. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > -- > > > > > > > > > > > > > > Jan Shimano > > > > > > > Health & Wellness Advocate > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2011 Report Share Posted August 23, 2011 I think at least in my case and many others If Dr dosen't think about PA and SX we are given meds that cause more harm then good. I am sure BB have there place in treatment of heart related problems. Just not in someone with possable PA. > > > > > > > > > > > > > > > > > > I went for my follow-up last Thursday and the Dr. upped my Spiro > > > > > > > > to 100 mg. a day. (50 mg. twice daily). I am going to see him again > > > > > > > > this Thursday and I am having blood work done for Na, K and > > > > > > > > creatinine the day before so that he will have the results when I > > > > > > > > see him. > > > > > > > > > > > > > > > > > > I am seeing a small decrease in my BP. Today it was 148/91. Back > > > > > > > > on July 31st (the day before I started 50 mg. Spiro a day my BP was > > > > > > > > 183/122. The day before I was increased to 100 mg. the BP was 150/106. > > > > > > > > > > > > > > > > > > I am DASHing also. > > > > > > > > > > > > > > > > > > I have been having some side effects i.e. diarrhea, irritability, > > > > > > > > feeling a little nausea and not as relaxed as I usually am. > > > > > > > > > > > > > > > > > > I am getting a lot more cramps in my fingers and toes and certain > > > > > > > > muscles in my legs. I suffered from very bad cramps in my fingers > > > > > > > > and toes after I had my thyroid removed. I was told that the surgeon > > > > > > > > did not remove any of my parathyroid glands but I think there must > > > > > > > > have been some damage because if I don't take enough calcium then I > > > > > > > > get the cramps. > > > > > > > > > > > > > > > > > > However, since being on the Spiro I have noticed them getting > > > > > > > > worse again. > > > > > > > > > > > > > > > > > > I am drinking the low sodium V8 juice. I am wondering where > > > > > > > > magnesium fits into the entire picture of PA. Should the Dr. be > > > > > > > > checking the magnesium blood levels also? > > > > > > > > > > > > > > > > > > How long should I stay on 100 mg. before the Dr. ups the > > > > > > > > medication further. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > -- > > > > > > > > > > > > > > > > Jan Shimano > > > > > > > > Health & Wellness Advocate > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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