Propranolol

[< <Samson> >]

Still trying to maintain my BP, it’s a tad off

Propranolol is the next one up to try. . .

Tried Lisinoril - that was fun(when my throat swelled up in my sleep)

Amlodipine just sounds like a gastrointestinal nightmare for me


Just chewing celery around then clock rn - seems to b working better than even the injections they were pumping through my ports

[flexin-rph]

Propranolol is one of the older drugs for bp & pulse (called a beta-blocker). It brings down bp mainly by slowing the pulse. I donr know if you are up & walking any yet, but beware of dizziness upon standing until the body adapts (orthostatic hypotension). Prayers, still, for you, my brother.

[almostgone]

Still trying to maintain my BP, it’s a tad off

Propranolol is the next one up to try. . .

Tried Lisinoril - that was fun(when my throat swelled up in my sleep)

Amlodipine just sounds like a gastrointestinal nightmare for me


Just chewing celery around then clock rn - seems to b working better than even the injections they were pumping through my ports

I didn't respond well to metoprolol, or propanolol. Telmisartan doesn't much at all for me.


Coreg/carvedilol works well for me and Atacand/ candesartan work well for me.

Altace worked well when I was on it also, but Lisinopril just didn't cut it for me.

I guess a lot of it has to do with body chemistry and the conditions you're dealing with.

[Ashop]

Have you ever used the OTC product Carditone? A lot of people I know swear by it.

[< <Samson> >]

Have you ever used the OTC product Carditone? A lot of people I know swear by it.

Never, but will surely look into it


I'm just tired of trying dif meds atm, rather do the research before I jump on another one



I always maintained a fairly high BP at 135+/75+

[almostgone]

Never, but will surely look into it


I'm just tired of trying dif meds atm, rather do the research before I jump on another one



I always maintained a fairly high BP at 135+/75+

Re: in bold above. Yes, going through the revolving door of BP meds trying to find what works for you/your condition sucks.

[gymffiti]

I have a little knowledge of Propranolol.

As well as BP issues, Propranolol can be prescribed for anxiety & panic disorders.
Because it can quickly lower pulse rate, it sometimes works better than Celexa & Fluoxetine, during high stress situations

This info might not be relevant to your situation, but hopefully it's useful. Good luck Samson

[almostgone]

I didn't respond well to metoprolol, or propanolol. Telmisartan doesn't much at all for me.


Coreg/carvedilol works well for me and Atacand/ candesartan work well for me.

Altace worked well when I was on it also, but Lisinopril just didn't cut it for me.

I guess a lot of it has to do with body chemistry and the conditions you're dealing with.

Meant to add that currently I'm on carvedilol, candesartan, and trimaterene/hctz. The trimaterene/hctz is a 75mg/50mg combo.

[< <Samson> >]

Jumped on the Propranolol today


I been able to keep my BP down quite bit buy snacking on celery throughout the day. But, it def doesn't last too long



Might as well try it, I have the script & my new PCP did suggest it considering my condition

[almostgone]

Jumped on the Propranolol today


I been able to keep my BP down quite bit buy snacking on celery throughout the day. But, it def doesn't last too long



Might as well try it, I have the script & my new PCP did suggest it considering my condition

Absolutely try it. It may be the perfect one for you. On the other hand, after you're on it for a week or two and you notice side effects that are hard to deal with, don't hesitate to mention it to your PCP/ treatment team.

I couldn't tolerated metoprolol or propanolol, they both absolutely took the wind out of me, but Coreg/carvedilol ( a combo alpha/beta blocker) does me fine.

I was on a boatload of meds for a while and found it helpful to write down any side effects and my BP and pulse @ the time so I could discuss it with my Drs. It was easier for me to keep track of things that way.

You've improved at a remarkable rate, so keep up the good work!

[< <Samson> >]

I’m def working on this - but, it’s so so funny how sides from meds are worse than the condition they are trying to treat

[beanpo1e]

Do you have any issues snoring at night? Sleep Apnea is a highly underdiagnosed cause of high blood pressure.

[beanpo1e]

ARBs like Losartan and Candesartan are first line treatment along with ACE inhibitors. They have lower incidence of cough but also raise Potassium like Ace Inhibitors. Another first line option would be a Thiazide Diuretic like Hydrochlorathiazide. Propranolol is not commonly used for high blood pressure anymore.

If you are looking to go natural, I have read some studies where beet juice and garlic in combination were able to drop systolic pressures by around 10mm Hg.

[< <Samson> >]

Who with a almost 18” neck doesn’t have sleep apnea


Tried the Propranolol < fuck that


I know let tame pass so u can get your body used to it


I’ve decided to go hard into the homeopathic route - so far, so good. . . I’m keeping right under 140/80 90%

So, I’m hoping for the best

[Quester]

I'm on metaprolol and cialis. The cialis def has a BP lowering effect.
-
On the homeopathic side.
-
Garlic is a blood thinner. Thinner blood is easier to push.
-
Biofeedback, including the simpler stuff like HRV (Heart Rate Variability) and simple deep breathing can have a lowering effect. Especially relevant because your systolic iis so much higher than your diastolic. High systolic is more associated with adrenal function...subject to our brain control (like being effected by anxiety, PTSD, etc.). Please look into HRV.
-
Good to know you're doing so well.

[slfmade]

Jumped on the Propranolol today


I been able to keep my BP down quite bit buy snacking on celery throughout the day. But, it def doesn't last too long



Might as well try it, I have the script & my new PCP did suggest it considering my condition

Sorry if I missed it somewhere. Do you have a certain condition/diagnosis that's causing your hypertension? If so, knowing that would help a lot to narrow down your choices for best possible antihypertensive class. ACES/ARBS, Beta-blockers, CCB, Alpha-blockers, diuretics, etc all treat hypertension differently according to what is causing the hypertension. It's late and I'm tired and what I just said doesn't even make complete sense to me. Let's try it like this. If you had chronic kidney disease which resulted in hypertension - the mainstay treatment would be an ace/arb. I'll spare you the details but it has to do with the RAAS system and either the conversion or blocking of angiotension 1 or 2 depending on if its an ACE or ARB. Using something like a beta blocker would be way on down the line of antihypertensives that we would want to try as add-ons or adjuncts to therapy. Conversely, if you had coronary artery disease - a beta blocker would now be your first line medication before an ACE inhibitor. So if you have secondary hypertension it's important to know the cause so we can select the appropriate class of antihypertensive for you.

Now if we have no clue what's causing your BP to be high or at least we can't pinpoint a medical condition that causing it. Then we're just gonna call it primary or essential hypertension. I like starting with a thiazide diuretic like hydrochlorothiazide and with and an ACE as an adjunct if needed. One of the problems it seems you may be having is jumping from med to med. With hypertension its important and a well-known rule that it's always better to add a second low dose medicine than increasing an existing dose. Increasing the dose - increases the side effects, but adding a completely separate class of drugs at a low dose keeps the side effects down while achieving the same end result of decreased BP. I hope that makes sense. In other words, 2 low dosed meds are better than 1 high dosed med.

[slfmade]

Also, you should know. Propranolol is not a cardioselective Betablocker - it's a non-selective BB. Meaning it acts equally on both beta1 and beta2 adrenoceptors. Since it acts on Beta2 you may get some airway constriction - which is unlikely to be noticable in day to day life. I've taken it a few times before exams for "situational anxiety" - and I didn't notice anything. That being said, I wasn't doing HIIT either. Just something you might want to think about before you jump on a stairclimber.

[almostgone]

Also, you should know. Propranolol is not a cardioselective Betablocker - it's a non-selective BB. Meaning it acts equally on both beta1 and beta2 adrenoceptors. Since it acts on Beta2 you may get some airway constriction - which is unlikely to be noticable in day to day life. I've taken it a few times before exams for "situational anxiety" - and I didn't notice anything. That being said, I wasn't doing HIIT either. Just something you might want to think about before you jump on a stairclimber.

Slfmade, <Samson> has a thread at the link below that will catch you up. He's had a rough ride, but doing much better!

https://forums.steroid.com/anabolic-...last-post.html

[< <Samson> >]

Pushing for homeopathic remedies at the moment - at least I have time to do this. . . Hanging out & eating celery throughout the day isn’t all that bad

[slfmade]

Slfmade, <Samson> has a thread at the link below that will catch you up. He's had a rough ride, but doing much better!

https://forums.steroid.com/anabolic-...last-post.html

Yeah. Sounds like your 2020 has been a peach Samson. It sounds like they treated the AVM with ONYX. The scariest and worst outcome of my career involved a freak histamine reaction to onyx that nobody including the best neurosurgeon in the southeast could've predicted - resulted in a brain trying to swell to the size of a beach ball. If you're wondering if that can happen and the brain stay intact...it can't.

The last 5 years of my life has been spent 40 - 60 hrs week either in Neuro critical care or neurosurgery and the past year in primary care so feel free to pm if you have any questions. Sometimes surgeons tend to look and treat things strictly from an acute care viewpoint while primary care from a chronic care. That transition in care...the hump...can often be lacking. I'm by no means a top neurosurgeon or veteran primary care doc but I've seen a lot of shit and I try to stay up to date on stuff. Anyway...I'm happy to help in any way I can.

[< <Samson> >]

Yeah. Sounds like your 2020 has been a peach Samson. It sounds like they treated the AVM with ONYX. The scariest and worst outcome of my career involved a freak histamine reaction to onyx that nobody including the best neurosurgeon in the southeast could've predicted - resulted in a brain trying to swell to the size of a beach ball. If you're wondering if that can happen and the brain stay intact...it can't.

The last 5 years of my life has been spent 40 - 60 hrs week either in Neuro critical care or neurosurgery and the past year in primary care so feel free to pm if you have any questions. Sometimes surgeons tend to look and treat things strictly from an acute care viewpoint while primary care from a chronic care. That transition in care...the hump...can often be lacking. I'm by no means a top neurosurgeon or veteran primary care doc but I've seen a lot of shit and I try to stay up to date on stuff. Anyway...I'm happy to help in any way I can.

I can def PM you also - but, I like keeping all possible health info out in the public eye - maybe someone can use something someday


That is exactly what I had - a AVM Immobilization Procedure, from what I know it is with Onyx. My next neurologist appointment is this week - I have written down a decent set of questions for him/them - I never even met the main neurosurgeon that did the procedure. It was always one of the other surgeons on his team. . . The guys at Barrow Neurological Institute really gave me a lot of hope - they way I seen it from their attitudes is if I made to the procedure - they’ll get it. I asked them & they all answered the same way, before and after the procedure - ending with, you’re one lucky guy. . . 4 hour procedure followed by 2 hours of me going full on nuts on the staff to the point they had to tie me down < I don’t remember it, it didn’t happen. Lol

Why are you yourself in the Neuro unit(again, pm me if you don’t wanna post it up)? Sure is a different world in there - to say the least



The onyx cast seems to have def taken - to me at least, no headache - just odd pains/feelings in the area where they did the work

Main things I heard From my Neuro NP is that it can break or crack before it fully sets within the tissue. So no bending down, no weights - sit & walk. He stated he had a guy come back who had a similar procedure & he picked up his kid’s bike a tad under a month post procedure & heard a snap - then mind numbing pain

[slfmade]

Well, I wasn't in neuro as a patient...I worked there. First as a neuro ICU nurse, and now in the operating room. I'm almost finished up with my doctorate as a nurse practitioner. As you might imagine, I have to keep most of my personal info out of the public eye given the nature of this forum. I'm going to try to start being more involved with the forum again now that I'm almost finished with school and life is settling down.

[< <Samson> >]

Well, I wasn't in neuro as a patient...I worked there. First as a neuro ICU nurse, and now in the operating room. I'm almost finished up with my doctorate as a nurse practitioner. As you might imagine, I have to keep most of my personal info out of the public eye given the nature of this forum. I'm going to try to start being more involved with the forum again now that I'm almost finished with school and life is settling down.

Gotcha, I kinda figured after reading 50-60 hours a week. But, I seen some strange patients(to say the least) in the neuro icu - people are in there for long periods, back & fourth - ugggggh


Well, awesome 4 u man & thank I for doing a good service - that place sure was something

Might as well ask - what else do you know about the “procedure”? I ask everyone educated in the field to try to grasp how this shit will effect my life

I’m still waiting for another neurologist appointment this week - but, I don’t know what to expect. . . I do have some sides, but the 2nd in charge neurosurgeon really broke it down well right before I got discharged. Yet, no one has true certain answers - you “should” is what I get

[< <Samson> >]

I was gonna start another thread, but hopefully someone will catch this -


Started Amlodipine & Lisinopril today - the Neuro folk said to take these till my procedure next week - on the day of procedure take the Amlodipine + Propranolol

How are the sides on the first two? I'm hearing gyno is somewhat possible from the Amlodipine - nothing really on the Lisinopril




I was gonna switch the Propranolol to Metaprolol - but, my PCP said not to add a 3rd rn


My BP today is better than it has been in decades(125/65) & I don't feel any side effects at this point - I'm on my 2nd day of taking them

[flexin-rph]

Nope....never SEEN gyno WITH amlodipine.....def EDEMA, BUT NO gyno

[flexin-rph]

PRETTY COMMON TO GET A COUGH WITH lisinopril

[< <Samson> >]

Nope....never SEEN gyno WITH amlodipine.....def EDEMA, BUT NO gyno

Y so? More water intake, or maybe a diuretic help?

PRETTY COMMON TO GET A COUGH WITH lisinopril

Ah, that's right - that's y I didn't even wanna start it





Fucking side effects

[flexin-rph]

Amlodipine BELONGS TO A CLASS OF DRUGS CALLED CALCIUM CHANNEL blockers....MAJORITY CAUSE SWELLING. YES. A DIURETIC WILL HELP

[SampsonandDelilah]

Amlodipine BELONGS TO A CLASS OF DRUGS CALLED CALCIUM CHANNEL blockers....MAJORITY CAUSE SWELLING. YES. A DIURETIC WILL HELP

Don’t they make an HCTZ version?

I’d ask about an ARB (olmesarten) CCB’s and ACE’s are antiquated for just BP control imho...

[flexin-rph]

Don’t they make an HCTZ version?

I’d ask about an ARB (olmesarten) CCB’s and ACE’s are antiquated for just BP control imho...

There is a product that contains all 3: olsesartan/amlodipine/hctz.....I would just opt for the ACE or ARB, however. The CCB (calcium channel blocker) will prolly be preferred in your case due to the brain bleed.

[< <Samson> >]

Wow, wtf does that mean?!


Lol, that's way above my pay grade



I'll monitor my bloat, I was planning to add Hydrochlorothiazide once a week

[flexin-rph]

Sounds good lol

[SampsonandDelilah]

Wow, wtf does that mean?!


Lol, that's way above my pay grade



I'll monitor my bloat, I was planning to add Hydrochlorothiazide once a week

Damn pharmacists

[flexin-rph]

Damn pharmacists

I've been called worse...

[Honkey_Kong]

Still trying to maintain my BP, it’s a tad off

Propranolol is the next one up to try. . .

Tried Lisinoril - that was fun(when my throat swelled up in my sleep)

Amlodipine just sounds like a gastrointestinal nightmare for me


Just chewing celery around then clock rn - seems to b working better than even the injections they were pumping through my ports

I took lisinopril for like 6 months before switching off to another ACE inhibitor. It worked well as far as my BP went, but it gave me this really annoying chronic cough.

[slfmade]

I took lisinopril for like 6 months before switching off to another ACE inhibitor. It worked well as far as my BP went, but it gave me this really annoying chronic cough.

This is somewhat common with ACE inhibitors. Pts are usually switched to an ARB like Losartan instead of another ACE because most of the time they'll have the same kind of reaction to another ACE due to the MOA of the drug. Besides, I've been telling you for years that it wasn't the ACE inhibitors but the dick in your mouth that was causing that cough. Shomer Shabbas. HAHA How's my fellow brother Seamus been?

[Honkey_Kong]

This is somewhat common with ACE inhibitors. Pts are usually switched to an ARB like Losartan instead of another ACE because most of the time they'll have the same kind of reaction to another ACE due to the MOA of the drug. Besides, I've been telling you for years that it wasn't the ACE inhibitors but the dick in your mouth that was causing that cough. Shomer Shabbas. HAHA How's my fellow brother Seamus been?

Enalapril actually was what they switched me to. It didn't work AS good, but I didn't sound like I was going to cough up a lung anymore either. Let me tell you something, Pendejo. You pull any of your crazy schitte with us, you put your piece out on the lanes. I'll take it away from you and stick it up your arse and pull the fvuking trigger 'til it goes "click."

The Dude abides man. How goes it for you?

[< <Samson> >]

How long did it take for y’all’s cough to develop?


I think I took one, seen the cough side effect & stopped taking it - but, I’m pretty certain the cough was from my weed smoking

[flexin-rph]

A cough with an ACE Inhibitor can start in a few days to a few months....I have actually seen people develop a cough after years of taking it. The cough does go away upon discontinuation of the med. It is NOT harmful, just annoying as all get out.

[slfmade]

A cough with an ACE Inhibitor can start in a few days to a few months....I have actually seen people develop a cough after years of taking it. The cough does go away upon discontinuation of the med. It is NOT harmful, just annoying as all get out.

Yeah, I mostly agree with that. Samson would be an exception. One of the last things I would want my postop embolization pt doing with weakened cerebral vasculature would be having coughing or sneezing fits. Have you ever seen a pt start coughing with an EVD that's was having ICP monitored? I feel like it's asking for trouble. We always saw a significant increase in hemorrhagic stroke pts in winter/spring due to flu/allergy season. Coughing/sneezing/nose blowing, plus some HTN, seems to really irritate aneurysms. I'd imagine Avms are no different. So yes, an ace cough is very unlikely to be harmful but there's always that one guy that has to go and be different - I'm looking at you Samson. Hahaha