Question about BP medications

[Guest guest]

Barbara,

For almost a year we had problems with getting the BP meds right. The

problem was a neurologist who didn't have experience with treating MSA

telling us to stop the Florinef to reduce possibility of a stroke. Since

then we have seen two doctors who are experts in treating MSA.

Expert # 1 (the most experienced)

It is impossible to keep BP high enough without using Florinef

Expert # 2

I have switched to using Midodrine with most of my patients.

What has worked for us (suggested by Expert # 2)

Peg regularly spikes her BP in the afternoons. No known cause.

Remember the Florinef is long lasting and Midodrine's effect

is for a couple of hours.

We work around the spike by giving one Florinef in the

morning along with two midodrine. Then we give a midodrine about noon if

her BP is 120 or above. If the BP is lower than 120 we will also give a

Florinef. Doing this we have been able to keep her BP mostly in the 120 to

180 range. It is not getting over 200.

Remember the potassium (bananas) and salt (we give one large bullion cube in

hot water every morning).

Yes, raising the head of the bed can help.

Peg and Jim from Guam

Date: Tue, 1 Jan 2002 10:32:07 -0400

Subject: Question about BP medications

Any advice for Barbara?

Thanks,

Pam

---

7. Do you have any comments or questions?He is currently on midrodine 3 x

daily and fluronef2x daily. Sometimes his B.P. goes as high as 230/130 then

goes back to normal. Does he still take his medication? The Dr.s here are

stumped so we are basically going on trial and error as to how he feels.

This is not right. Please help. I am worried about a stroke. Thanks

********************************

*** Peg & Jim

*** # 29 Cruz Heights

*** Ipan-Talofofo, Guam 96930-4736

*** USA

***

*** Note: Guam is 15 hours ahead of

*** Eastern Standard Time (EST).

*** 14 ahead of EDT.

********************************