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Hi,

New to this group, but glad I found it. It's nice to know that my husband is

not the only one that had a long road to diagnosis and treatment.

My husband is 42 yo., slightly overweight. Started having severe BP issues

about 4 years ago out of the blue after being completely healthy. Also started

having anxiety and depression at same time. Diagnosed w/ PA 2 years ago after

undergoing testing/labs for PA. Had to take 120meq of K per day x 6 mo when

first dx d/t levels around 2.2. Thankfully His K has been pretty stable recently

on 20 meq twice daily. He is currently managed by nephrologist. They did a CT

scan 1.5 years ago and did not see any tumors. Managed w/meds OK (with frequent

adjustments) until about 6 months ago when nothing he takes seems to work at all

except prn clonidine which we recently found out causes rebound hypertension. A

" good " BP for him lately has been anything below 160/100. Spikes often as high

as 190 for systolic and 156 for diastolic. Crazy. He can barely make it through

the work week, is exhausted and just drained all the time.

His nephrologist order the AVS in Sept. AVS showed the left adrenal producing

way excessive amounts of aldosterone. He was referred to surgeon and set for

adrenaletcomy in middle of Dec.

So, my only goal in life is to ensure he does not have a stroke between down and

then. He has been trying to adapt to the dash diet (admittedly he has some work

to do on this). He has a huge family hx of strokes and high BP. HIs nephrologist

has been responsive to the need for med changes, but difficulty finding a combo

that works. Just added the hydralazine last week which has helped quite a bit,

but still having really high spikes. He's currently taking the following for BP:

inspra 100mg once daily

atenolol 100mg once daily

lisinopril 20mg once daily

imdur 60mg once daily

hydralazine 40mg three times daily

clonidine 0.1mg (prn for systolic BP over 160)

Any other recommendations for managing BP until surgery? We are grateful for the

light at the end of the tunnel w/adrenalectomy. I read several of the posts here

on adrenalectomy stories which have been very helpful.

Thanks!

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