Irbesartan
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Q: subarachnoid haemmorhage?
I had a sub-arachnoid hemorrhage on the 30th June 2009. Prior to this my blood pressure had been stable. Since this event my blood pressure is mostly high, and occasional drops. My systolic blood pressure has been as high as 196 and diastolic 111 one day this week, but has been even higher on occasions over several months. I was on Nimodipine while I was in hospital (neurology), but sent home without hypertensives. No cause was found for my hemorrhage,(I did not have a berry aneurysm) and since being discharged have been prescribed Irbesartan, Atenalol and now Co Tenidone.
I am due to return to work in a month, which I am dreading, because the Occupational health doctor thinks I need a less stressful job, and I am really worried about where I will be sent, working with new people or working further away from home. They have promised me a phased return, but I am really apprehensive. I am 55 years old, but have very little pension accrued.
I also have some concerns over Fitt testing, this was performed just before my hemorrhage, Bitrex was sprayed in my face 30 times,,under a hood (about 15 inches square), as i was to administer humidified oxygen to patients who had swine flu. I took ill about 1 week after this test I believe Bitrex is a vaso dilator. Could this have been a factor in causing my brain hemorrhage? I Can anyone help me please?
A: follow up with your neurosurgeon & neurologist.
Q: any doctors or nurses here? i went to my doc last week with what i thought was cystitis type infection?
i had been feeling like i needed to pass urine all the time for a few days, however , i t was not like the usual cystitis where u hv to go every few minutes however it was more frequent than usual mostly due to the fact i had pain in lower abdomen which was relieved slightly by passing urine. i also had pain in my back. the doc checked sample and said it didnt look infected but sent to lab and gave me trimethoprim for 7 days. im on day 5 and to be honest hardly feel any better still feel i need to go and its only partly relieved when i do pain in back is still there altho abdomen pain has gone. im taking irbesartan for my bp and original doc who gave it to me told me it can cause kidney probs, do u thinkit may be this or what else could it be? thanks for yr help ps.i do have a docs appt for thurs when antibiotic is finished.
A: It is entirely possible that the antibiotic that you were given is not effective for the infection you have. But your GP can’t do anything until the results of your urine test are back to: A, see if there is an infection present and B, see what antibiotics it is sensitive to.
Give your surgery a ring and ask if it is possible to speak to your doctor. Explain your worries to him.
Hope you feel better soon.
Q: Pain in the right lower abdominal quadrant.?
Hi, my husband collapsed in Oct 07 with severe pain in the lower right quad he was taken to A & E. After 4 hours he was sent home and referred as an outpatient by his GP for an ultrasound scan-results clear, an endoscopy-results clear but after another extremely nasty attack of pain admitted by his GP to hospital on 1 May 08. He has undergone a rigid Ziggy including biopsy-results clear, bareum enema (tilt table)-results clear, cat scan (not ivu)-results clear albeit slight calcification to the appendices. Currently on 30 tablets a day we are in desparate need of some answers. He takes Irbesartan Approvel 300mg + 2.5mg Bendroflumethazide diaretic for his blood pressure which he has been on for about 15 years. In addition he has now been prescribed 1gm paracetemol 4 times a day, 20mg buscapan 4 times a day, tramadol 50 mg 3 times a day cylizine 50 mg 3 times a day and now an anti depressent 1 at night. He hasn’t been able to work since October. Anyone have any ideas? PLEASE.
A: Could be diverticulitis, a spasm in part of the intestine. Very painful, not life threatening though. Some people are more prone to it than others.
Ask your doc.
Q: Glomerulonephritis patient with 39.5degree fever…?
A 59 year old man with 14 year history of focal segmental glomerulosclerosis. U-albumin 2-5g/day at last checkup, GFR OK at last checkup. Hypercholesterolaemia. BMI 33 kg/m2. Smoker.
High dose Felodipin, metoprolol and irbesartan, but still high BP at regular checkups.
Recently (2 weeks ago) returned from holiday in Turkey
Vomited 3 days ago, since then no more vomit, but fever and general aches. Feels tired, worn out. Slight cough, some throat soreness.
Presents today for tiredness…
Fully conscious
Temp 39.5
Puls 136
BP 137/104
Lungs sound fine
Cardiac sounds faint, no murmurs
No flank pain, no other pain
Normal abdominal sounds
And that’s all I’ve got!
I’m thinking possible ANF, possible sepsis with a hidden pressure drop (maybe he’s normally over 200 – I don’t know!), possibly a malignancy…
Any pointers gratefully received!
A: Have you considered intravenous bisphosphonates? Or a referral to a Kidney specialist?
Q: my bp 3 months back was 180/190-95/100.after trying 13 tabs is stabilised to 140/150-80.i amnow taking coappro?
i.e irbesartan 150+hydrochlorothiazide 1250.stamlo5 i.e amlodipine.5.and nebicard 2.5 i.e nebolol or atenolol 2.5 in night my other medical reports r normal sugar ecg etc.one of these tabs cause me nausea.since 20.11.09 my bp is stabilised.doctor does want to reduce the tabs or dose.what shd i do? I am 73 yrs
A: all the above drugs cause nausea, i dnt suggest reduction, but i advice a cardiology evaluation.
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