Guest guest Posted November 1, 2011 Report Share Posted November 1, 2011 You need to find the right Combo for you. 25 is a low dose. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension mssmith - so glad to hear of your good results! It gives me hope. Natlia - if I have my BP under control with 25mg spiro, would the other symptoms (maybe) improve with an increase to 50mg? It never occurred to me to take more. Thanks everyone, Lynda Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 1, 2011 Report Share Posted November 1, 2011 Good again the right combo for the right man!May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension When I increased spiro the only result I got was diarreha. Went back to 25mg bid and found the solution by lowering my salt (NA). - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > mssmith - so glad to hear of your good results! It gives me hope. > > Natlia - if I have my BP under control with 25mg spiro, would the other symptoms (maybe) improve with an increase to 50mg? It never occurred to me to take more. > > Thanks everyone, > Lynda > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 1, 2011 Report Share Posted November 1, 2011 I didn't lose anything until I went on IV Rocephin. I'd been on spiro/eplerenone for nearly two years; low sodium for several years. By 2007, I started having paralysis after a salty meal. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim Excellent the goal is to find the right combo an to master it so u sont have to think about it every day and it looks like you have. Keep up the good work. I have had pts lose 70 lbs on DASH. May your pressure be low! CE Grim MS, MDSpecializing in DifficultHypertension I am still on 75 mg eperlenone (compared to 150 mg spiro before I started Lyme treatment). My cortisol is also high so I imagine my aldosterone is still high as well. My BP is running 124/71 (down from 210/120). My K is about 4.2. I eat low salt but don't keep a record and don't do strict control like I used to do. I cannot stand the taste of much salt anymore but if I do eat some, like Chinese, I don't stress about it and my BP stays fine. After trying every weight loss program ever invented, I have lost 40 pounds since on Lyme treatment. BTW, for you DASHers, when I was at Mayo Clnic in 2008, my urine sodium was " too low to quantitate. " Young MD said he'd never seen sodium so low. Val_______________________________________________________________________________________________________Female, hypothyroidism, hyperparathyroidism, hyperaldosterone (all endocrine, BTW), and Lyme + HTN that have responded very well to IV antibiotics; breast cancer caught early and probably cured. Fro m: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence GrimVal so have you been able to stop spiro and no longer DASH and BP and K are at goal with Lyme Rx?CE Grim MD lyndahnaz, I have had all those symptoms and they did not resolve with spiro/eplerenone. I have Lyme disease, Babesia and Bartonella for which I am receiving treatment. I expect to now live. Two years ago , I was trying to write final letters to my children.Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of lyndahnazCurrent Symptoms:Cramping of my legs and feet (comes and goes)Extreme (!) fatigue - probably my most bothersome symptomShortness of breath (comes and goes)Palpitations/chest pain (comes and goes)Sweating for no particular reason (comes and goes)Headaches (frequent migraines)Muscle aches - especially after I do any kind of manual labor (yard work, housework)Thirsty no matter how much water I drinkFrequent (!) urination all day - I would get up 3-4 times a t night but I try not to disturb the householdBlurred vision (comes and goes)Brain Fog/Too many 'senior' momentsTinnitus - extreme (but don't know if this is related to PA)Current meds:Evamist (1.53 mg Estradiol: HRT spray)25mg Spironolactone Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 1, 2011 Report Share Posted November 1, 2011 Are there any books on rice diet, that you can recommend or good websites?Many thanks,Natalia To: hyperaldosteronism Sent: Monday, October 31, 2011 10:55 PMSubject: Re: Re: Suspect PA but no Dx Sorry it is 1500 mg. Good pick up. But if that does not get BP to goal then need to step it down to at least the rice diet which is 250 mg. A week or two at a time.CE Grim MD Dr Grim, I thought the goal was 1500mg not 500mg? Phyllis Yes u have many Sx of PA DUE to low K. Any better when Spiro started? I recommend starting to DASH NOW AND START 1 cup low Na v-8 a day. At least. You may start to feel better in a few days. Read sodium content of everything u eat or drink. Goal is less thN 500 mg a day. May your pressure be low! CE Grim MS, MD Specializing in Difficult Hypertension I don't have current lab results but this was early 2011 when I was feeling horrible even though I had my BP under control with HCTZ: Sodium 141 135 - 145 mmol/L Potassium 3.2 3.5 - 5.2 mmol/L CO2 26 19 - 31 mmol/L Globulin 1.7 2.0 - 3.7 g/dL Alb/Glob Ratio 2.6 1.00 - 2.0 Calcium 9.2 8.4 - 10.6 mg/dL Hemoglobin 13.7 11.5 - 16.0 g/dL Glucose 66 65 - 99 mg/dL Urea Nitrogen 21 8 - 25 mg/dL Creatinine .87 .60 - 1.40 mg/dL GFR Estimated >60 >60 mL/min/l.73m2 Current Symptoms: Cramping of my legs and feet (comes and goes) Extreme (!) fatigue - probably my most bothersome symptom Shortness of breath (comes and goes) Palpitations/chest pain (comes and goes) Sweating for no particular reason (comes and goes) Headaches (frequent migraines) Muscle aches - especially after I do any kind of manual labor (yard work, housework) Thirsty no matter how much water I drink Frequent (!) urination all day - I would get up 3-4 times at night but I try not to disturb the household Blurred vision (comes and goes) Brain Fog/Too many 'senior' moments Tinnitus - extreme (but don't know if this is related to PA) Current meds: Evamist (1.53 mg Estradiol: HRT spray) 25mg Spironolactone Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 1, 2011 Report Share Posted November 1, 2011 Lynda,I would try to dash and to increase spiro a little bit, let's say to 37.5. And see if you BP is not going too low. One time, when I was hospitalized, doctors increased my eplerenone from 50 mg to 150 mg, but my BP became lower than normal only in 1.5 month. If it happens, you can always decrease it a little bit. But don't do it drastically, just very small changes. Dash should help with symptoms, but it takes some time. said that aldo is kept in our body about 10 months:-) And always keep watching labels on everything that you buy and eat. For example, today I finally found a label on my favorite smoked turkey wings, it said 1590 mg sodium in 85 g. Now I eventually know why did I feel so badly so often. Smoked turkey wings not for me anymore!!!Good luck, Lynda, you are in a right place, everything is going to be much better!Natalia To: hyperaldosteronism Sent: Tuesday, November 1, 2011 8:46 AMSubject: Re: Suspect PA but no Dx mssmith - so glad to hear of your good results! It gives me hope. Natlia - if I have my BP under control with 25mg spiro, would the other symptoms (maybe) improve with an increase to 50mg? It never occurred to me to take more. Thanks everyone, Lynda Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 1, 2011 Report Share Posted November 1, 2011 I need to correct the statement attributed to me. I said it took 10 months for ME to get PA totally under control after BP became controlled. My aldosterone was never out of range but my renin was extremely low, 0.1! After reading the Stowasser article in our files I wondered about circulating aldo but have never seen any professional speculate on the situation or duration! I suspect my situation was compounded by excess NA. - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > Lynda, > > I would try to dash and to increase spiro a little bit, let's say to 37.5. And see if you BP is not going too low. One time, when I was hospitalized, doctors increased my eplerenone from 50 mg to 150 mg, but my BP became lower than normal only in 1.5 month. If it happens, you can always decrease it a little bit. But don't do it drastically, just very small changes. Dash should help with symptoms, but it takes some time. said that aldo is kept in our body about 10 months:-) > And always keep watching labels on everything that you buy and eat. For example, today I finally found a label on my favorite smoked turkey wings, it said 1590 mg sodium in 85 g. NowI eventually know why did I feel so badly so often. Smoked turkey wings not for me anymore!!! > > > Good luck, Lynda, you are in a right place, everything is going to be much better! > > Natalia > >  > > > ________________________________ > > To: hyperaldosteronism > Sent: Tuesday, November 1, 2011 8:46 AM > Subject: Re: Suspect PA but no Dx > > >  > mssmith - so glad to hear of your good results! It gives me hope. > > Natlia - if I have my BP under control with 25mg spiro, would the other symptoms (maybe) improve with an increase to 50mg? It never occurred to me to take more. > > Thanks everyone, > Lynda > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 1, 2011 Report Share Posted November 1, 2011 Sorry. I misunderstood that. But it's almost correct :-) To: hyperaldosteronism Sent: Tuesday, November 1, 2011 5:11 PMSubject: Re: Suspect PA but no Dx I need to correct the statement attributed to me. I said it took 10 months for ME to get PA totally under control after BP became controlled. My aldosterone was never out of range but my renin was extremely low, 0.1! After reading the Stowasser article in our files I wondered about circulating aldo but have never seen any professional speculate on the situation or duration! I suspect my situation was compounded by excess NA. - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60 Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD. Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG. > > Lynda, > > I would try to dash and to increase spiro a little bit, let's say to 37.5. And see if you BP is not going too low. One time, when I was hospitalized, doctors increased my eplerenone from 50 mg to 150 mg, but my BP became lower than normal only in 1.5 month. If it happens, you can always decrease it a little bit. But don't do it drastically, just very small changes. Dash should help with symptoms, but it takes some time. said that aldo is kept in our body about 10 months:-) > And always keep watching labels on everything that you buy and eat. For example, today I finally found a label on my favorite smoked turkey wings, it said 1590 mg sodium in 85 g. NowI eventually know why did I feel so badly so often. Smoked turkey wings not for me anymore!!! > > > Good luck, Lynda, you are in a right place, everything is going to be much better! > > Natalia > >  > > > ________________________________ > > To: hyperaldosteronism > Sent: Tuesday, November 1, 2011 8:46 AM > Subject: Re: Suspect PA but no Dx > > >  > mssmith - so glad to hear of your good results! It gives me hope. > > Natlia - if I have my BP under control with 25mg spiro, would the other symptoms (maybe) improve with an increase to 50mg? It never occurred to me to take more. > > Thanks everyone, > Lynda > Quote Link to comment Share on other sites More sharing options...
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