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And you should add that things got better with DASHING (if they did) but no one has tried spiro to see if it improves BP. If it does not then clearly no mineralocorticoid HTN. If it does then stay on it or try eplerenone if boobie problem occurs would be my recommendation.But is doing well at the present time would sit tight.Have team test urine Na, K and creat on spot urine to asses how well you are able to DASH. FURSOSEMIDE should not be used once a day for HTN well there is one study where they wen up to 200 mg once a day and it worked pretty well. Difficult to interpret Renin and aldo on these meds.On Oct 5, 2011, at 10:47 AM, Francis Bill SUSPECTED PA wrote: This is sort of a thumbnail. BP readings that have been as high 199/100 K drop from 4.3 to 3.2 after being started 25 MG of HYDROCHLOROTHIAZIDE fulid retention Dizziness Fatigue Tachycardia shortness of breath brain fog 2 cm tumor on left adrenal gland most urine test show low SP.GR 2.2 cm low density lesion mid pole left kidney greater than expected for a simple cyst. meds I now take and was on for the two PRA ratio test. PAR ratio wasn't high to DX PA ATENOLOL25MG TRIAMTERENE50MG POTASSIUM CHLORIDE 20MEQ FUROSEMIDE 60MG TAB. Information from first Test done at the VA Blood Drawn 12/24/2008 14:19 Evaluation for RENIN: 1.8 ng/mL/hr Current Range: Non-hypertensive adults: RENIN: (upright/sitting) 0.65-5.0 ng/mL/hr SERUM ALDOS: 16 ng/dL Evaluation for ALDOS: Current adult reference range: Upright 8:00-10:00 am < or = 28 ng/dL Upright 4:00-6:00 pm < or = 21 ng/dL Supine 8:00-10:00 am 3-16 ng/dL Test done At Dartmouth Blood drawn 03/03/2009 at 3 PM RENIN ACTIVITY .8 no range given ALDOSTERONE-MAYO 5.5 range <=21 > > > > > > > > > > > > > > > > > > > > > > > The other day I tapered down and stopped taking Atenolol was making me tired. Seems like Inspra is covering more basis for me that spiro ever did. Though when I came home yesterday my bp was 109/67 with a pluse of 96 so I took only 25mg of atenolol, (used to take 100mg a day) Wow! it was way to much. I was drupy for several hours. No more atenolol . I am adding more Inspra, Now 225mg am & pm. > > > > > > > > > > > > > > > > > > > > > > > > I am feeling way better than when I was taking spiro lots more energy and stronger muscles. So thats whats going on with me. I hope I did the right thing by increasing the Inspra I have been feeling rather wired lately. Monday I will get the urine tests and some 25mg atenolol just in case I can alway quarten them untill the inspra kicks in I still have 3 weeks to go on the doubled up dose till it kicks in all the way. > > > > > > > > > > > > > > > > > > > > > > > > ita > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > >