Guest guest Posted January 20, 2004 Report Share Posted January 20, 2004 Like Rita last week, all I can say is that what you were on is one heck of a powerful combination. Probably too powerful for you. If you were sick, you probably weren't very hungry, or thirsty, and, along with fluid losses like diarrhea or vomiting or due to fever, blood pressure might drop a bit in cases like that. Sometimes doctors will overprescribe BP medications based on office visit BP, when the real BP at home isn't elevated at all. There's no benefit to having BP lower than the recommended levels, and there could actually be some increased risk of adverse events - if you're dizzy when standing up suddenly, BP is definitely too low. Pierre Low Blood Pressure > i have been having a problem over the last 2 or 3 days with low blood pressure. yesterday morning it was 91/55. i was blacking out and seeing stars everytime i stood up. in addition i am just really weak. i had a terrible stomach bug friday night, but my neph isn't sure that's what brought it on. > > i am (was - i'm not supposed to take anything for now) on cozaar 50 mg, altace 10 mg, and chlorthalidone 25 mg. hopefully he will figure it out when i see him on thursday. has anyone had this problem? > > taylor > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 20, 2004 Report Share Posted January 20, 2004 Like Rita last week, all I can say is that what you were on is one heck of a powerful combination. Probably too powerful for you. If you were sick, you probably weren't very hungry, or thirsty, and, along with fluid losses like diarrhea or vomiting or due to fever, blood pressure might drop a bit in cases like that. Sometimes doctors will overprescribe BP medications based on office visit BP, when the real BP at home isn't elevated at all. There's no benefit to having BP lower than the recommended levels, and there could actually be some increased risk of adverse events - if you're dizzy when standing up suddenly, BP is definitely too low. Pierre Low Blood Pressure > i have been having a problem over the last 2 or 3 days with low blood pressure. yesterday morning it was 91/55. i was blacking out and seeing stars everytime i stood up. in addition i am just really weak. i had a terrible stomach bug friday night, but my neph isn't sure that's what brought it on. > > i am (was - i'm not supposed to take anything for now) on cozaar 50 mg, altace 10 mg, and chlorthalidone 25 mg. hopefully he will figure it out when i see him on thursday. has anyone had this problem? > > taylor > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 20, 2004 Report Share Posted January 20, 2004 What they call the " renin-angiotensin system " is a major regulator of blood pressure in the body. The kidneys control this system by secreting an hormone called " renin " . ACE inhibitors like accupril block a large portion of this system, Angiotensin II receptor blockers like Atacand (or Cozaar, Diovan, etc.) also block this same system. When you take both together, it's blocked even more totally. Unless BP is fairly high to begin with, excessively low blood pressure is often the result, since one of the body's main mechanisms for adjusting your BP up and down according to need is out of commission. When that doesn't work, a common result is that the body sends the sympathetic nervous system into high gear, to try and raise BP that way. There are other BP meds that block that system too. Pierre Re: Low Blood Pressure > - I recently went through the same thing with my BP. Mine went as low as 83/55. My neph took me off of accupril and atacand until my BP went back to at least 100, which it did the following day. So now I'm back on my BP's and guess what - the same thing is happening....BP is way too low again. I think it's most likely an adjustment in medication that is needed. I see my neph next week and hopefully we can straighten it out. I'll tell you though....it's a really scary feeling to feel like you are going to pass out everytime you get up. It's been difficult going to work. Hopefully you'll get it resolved. Rita > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 20, 2004 Report Share Posted January 20, 2004 Hi , I had mine drop when I was sick too. When you BP gets too low, it can cause you to be lightheaded. I hope you get some answers and your meds adjusted so you can feel better. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 20, 2004 Report Share Posted January 20, 2004 Hi , I had mine drop when I was sick too. When you BP gets too low, it can cause you to be lightheaded. I hope you get some answers and your meds adjusted so you can feel better. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 21, 2004 Report Share Posted January 21, 2004 1) Losing weight is a common way of improving blood pressure. Along with a low sodium diet, it's the single most effective non-medicinal method of lowering high blood pressure. 2) Chlorthalidone is a diuretic, as you know. Diuretics work very synergistically with both ACE inhibitors and Angiotensin II receptor blockers, moreso than with other drugs. So in your case, it's probably a combination of these things. Diuretics don't work immediately. It takes a while to realize the full effects of them. Pierre Re: Low Blood Pressure > i completely flaked and forgot that rita was having this problem too. sorry, rita. anyway, pierre i see what you're saying, but i have been on the combination of altace and cozaar for over six months now. last november my neph added the chlorthalidone. maybe that is what is causing problems. it just seems like two months on this combo is too long for something like this to happen. > > the only other thing it thought of, and i don't know whether this has any effect on it or not, is that i have probably lost 40 pounds since last spring. i have always been a " big-boned " girl, but i after losing all this weight - unintentionally - i am stick-like (for me anyway). could weight play a part in it?? > > thanks for all your responses. > > taylor > Quote Link to comment Share on other sites More sharing options...
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