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Micardis FAQ

For more information about: Micardis visit the blood pressure site site High Blood Pressure Be Gone today.

Q: Cut down on HTN medication?
I went to the doctor today to redo my rennin and aldosterone hormone test and my aldosterone which was in question is now in good normal limits, where as it was very high and high before.

The doctor recommended that i cut down my medicaiton maybe even eventually stop it?

My rennin levels are high, most likley from the medication im taking it which is influencing it, as they were low in the initial test.

The question is, if i cut down or even gradually stop the medication, how long will it take for my rennin levels to go back to normal? Should i check myself in a hospital if my blood pressure suddenly kicks in again?

Some advice would be good, prefb from someone whos gone through stopping or lowering their medicaiton.

Im taking full micardis 40 and half norvasc 5 atm..

A: cut down the micardis but leave the norvasc for now montor your pressuer everyday if you have a home machine or most drug store have one remember to sit for 5 mins before taking pressure readings , and the track these in a book , my husband only takes norvasc he stopped micardis as he was getting sicker with it after 6 months good luck

Q: Doctor wants to take off my HTN meds?
Hey everyone, I’ve been suffering from high blood pressure for ages, but now my blood pressure is low.. like 112/73 sitting and about 99/58 laying down. My doctor wants me to get off my half a tablet of norvasc 5, as im taking 2, 1 micardis 40 and that.

I’m a little scared to come off my medication, as last time i did i was in awful agony… any advice? support or ideas? anyone done this before? would love to hear from you.

A: Hello Impact,

The goal blood pressure for most people with hypertension is less than 140/90. Your blood pressures are a little lower than they need to be, which increases your risk of developing certain side effects such as lightheadedness. It is reasonable for your doctor to decrease your Norvasc 2.5 mg, which truthfully is not that big of a change. You should monitor your blood pressure closely after the change and notify your doctor if you have blood pressures persistently above 140 on top or 90 on the bottom. I think it is unlikely that you will develop any problems from this change or have blood pressures above the goal. If you do develop any problems, then contact your doctor right away. If that occurred, then it would be reasonable to return to the 5 mg dosage. Good luck.

Q: Is my mother overmedicated?
This is a list of what she takes and when she takes it:
Maintenance Medicines

MORNING
Everyday
Lorazipam2mg8am
Singular10mg8am
Micardis80mg8am
Atenenol25mg8am
Vasotec20mg8am
Endure30mg8am

NIGHT
Everyday
Lorazipam2mg8pm
Nexium40mg8pm
Methadopa250mg8pm
Vasotec20mg8pm
Atenolol25mg8pm
__________________________________________________

Blood Sugar

NIGHT
Everday
Metformin HCL500mg8pm

__________________________________________________

MORNING AND NIGHTEveryday

Heart Regulator

Propafenone HCL225mg9am/9pm

Blood Thinner
Plavix75mg12pm
I’m just not going to get a professional opinion, am I?

A: Totally. Idiot doctors. Unless your moms on her last leg

Tin

Q: question about the pill and anti-biotics?????
so i started ona new pill after being off it for about 3 months, because i was getting really bad side effects. anyway, i wanted to try this one which apparently helps with my symptoms of endometriosis. i begantaking the pill after my period ended adn then four days later i saw the doc again as i was getting really sick. he gave me antibiotics and told me that the pill didnt work if i was taking antibiotics. so i started taking my antibiotics and stopped taking the pill until i had finished them. now im just wondering… my course is nearly up and im feeling much better, but if i start taking the pill again the day after i finish my antibiotics, will it be effective? i know i have to be taking it for about a week or two until it gets properly in my system and stuff.. but will the antibiotics continue to effect the contraceptive within the week of me finishing the antibiotic and begining the pill again? are there any other meds that can effect the pill from working? im on pristiq and micardis as well.

A: call the place you bought ir from, look it up on line or read the papers that came with the med/

Q: Do you recover from significant non ischemic cardiomyopathy?
I am a 33 y.o female & have recently been diagnosed with significant non ischemic cardiomyopathy. After suffering what my GP told me was a sever asthma attack,it was found i had high blood pressure, which was originally thought to be from the asthma attack but after re-checking a week later had not gone down & started medication & sent for further investigation due to having a history of family heart problems. My dad has high blood pressure & started medication at 48 & my grandfather had a triple heart by-pass in his 60’s. After further investigations my diagnosis was made, & from what i understand, which is not much due to this all being so recent & mind boggling, i have an enlarged heart & the walls of the heart are weak.
I am taking 80mg micardis daily & bicor 2.5mg daily.
I started the bicor 4 days ago & am under the understanding that it will be increased gradually.
What i am wanting to know is how long am i likely to have to take these medications for & will my heart go back to its normal size & the muscles strengthen or is this going to be something i have for the rest of my life? & how likely is it the my children may have these problems?

A: Unfortunately, no one on here will be able to tell you the outcome of your heart condition or whether your medications can be discontinued in the future. There are too many variables unaccounted for due limited information. You have to discuss it with your doctor. It would also be helpful to know how weak your heart is and the best marker of this is the ejection fraction from an Echocardiogram.

First of all, how do you know that it is nonischemic and not ischemic cardiomyopathy? This requires a cardiac catheterization in most cases to directly visualize the blood vessels that supply the heart. It is important to determine this because revascularization (e.g. cardiac stent or bypass) can improve the heart’s function. There are many different types of non-ischemic cardiomyopathy, such as secondary to high blood pressure, dilated cardiomyopathy, hypertrophic obstructive cardiomyopathy, myocarditis, abnormal heart valves etc. Each of these is associated with different outcomes and may have slightly different treatments. The most likely cause in your case based on the information you provided is from high blood pressure. If this is the case, then controlling your blood pressure can reverse some of the damage in the heart and the heart’s function can improve over time. If the condition has been going on for a long time and there is significant damage to the heart, then it might not be reversible.

There are several things that have been shown to improve symptoms of heart failure, reduce mortality and improve heart function in some cases. Medications that have been shown to have these benefits in heart failure include the beta blockers (Metoprolol, Carvedilol, Bisoprolol, etc.), ace inhibitors (all end in “pril”) and angiotensin receptor inhibitors (all end in “sartan.”) The combination of a nitrate and Hydralazine has these benefits in certain patients particularly African Americans. You are on a beta blocker (Bisoprolol aka Bicor) and an angiotensin receptor blocker (Telmisartan aka Micardis.) Bisoprolol is approved for the treatment of high blood pressure, but it is not approved for heart failure/cardiomyopathy. Carvedilol and Metoprolol Succinate (Toprol XL) are the most well studied beta blockers for heart failure and are approved for this indication. Bisoprolol most likely has similar benefits to other beta blockers, but it has not been studied for this indication. Some patients will require these medications for the rest of their life. Some patients may have improvement in their heart function with these medications and may be able to discontinue these medications. Your doctor will likely reevaluate your heart function after appropriate medications have been given for a few months. Discuss this with your doctor. I am sorry if this may be too much information, but this is a complex topic. Let me know if you have other questions.

Q: Do I need to worry if my doctor said my heart sounds were hard to hear?
I had a physical and I tend not to fuss about things. When I got home I started to wonder if having soft or quiet heart sounds was a bad thing? I am 47 and take micardis for high blood pressure. I am a little over weight and could stand to lose in my mid section but work out about 20 minutes 5 x week (during work at the gym). I lift weights mostly-my bursitis in the hips keeps me from using aerobic machines. Besides the HBP I do on ocassion get light headed which is just very transient moments and go so quickly and is not real common so I don’t say anything

A: Micardis can cause a weak heart beat (not very common). If you take potassium supplements or salt substitutes with this medication stop them immediately. You may need to take a blood test to check your potassium levels because this medication can cause hyperkalemia (high level of potassium). I would talk to a cardiologist about your concern. There are many things it can be, but it just may be the way your heart works..

Q: Psychology Blood pressure?
Hey guys im 25 years old, I have blood pressure, I’m currently on a micardis 40, and a norvasc 2.5 (half of a 5 tablet). The doctor has recommended that i get off my norvasc, because there should be a problem with 1 medication holding me for the entire day.

I’m a little anxious about discontinuing treatment, has anyone stopped a hypertensive before? what happens if my blood pressure goes back up again? do i just wait until i see the doctor or should i treat it? I usually feel very odd when my bp goes up, and my heart does strange things and I get very anxious which dosn’t help, but i cant control it.

How long does it take for me to see the effects of me stopping my hypertensive?

I also notice that last time when i was not on hypertensive medication i feelt very heavy and almost as if my body was revved up, could this be all caused from some type of underlying psychological illness that i have no control over? if thats the case could someone tell me a bit more?
My current blood pressure sitting is around

110/60

115/70

A: My blood pressure has been high 160 over 85. My doctor insisted on medication. I told him please let me try diet and exercise first. Running for me has brought my bp down to 120/70. At first it kicked my butt, but now I am use to it. I also stopped eating foods with lots of sodium, I eat healthier foods, lot’s of veggies. At first I hated it, but now I like it. I have been consistent with getting good reports from the doctor.

I also have learned that proper breathing can lower your blood pressure. By doing deep breathing exercise before taking my blood pressure, the bp is always below 130. Google “breathing and blood pressure” there is a lot of good information on how breathing can effect your bp.

I would recommend doing some cardio when you get off the meds, this has done me wonders.

Your blood pressure is great now, you can keep it that way naturally. It takes work but it can be done. Good luck

Q: About 2 weeks ago my Blood Pressure was 162/104, it has fell to 152/73,how can I lower TOP NUMBER?
DR put me on Lasix, Micardis and low salt/fat diet….yet my Top Number remains higher!!!
Headed to the Health Food Store for Organic Vinegar and Garlic Pills!

HELP PLEASE,,,,I’m trying hard I’ve dropped about 9 lbs down from 350 to 341
ANY ADVICE is appreciated!!!

A: You have to give it time, your systolic pressure is declining. Those two medications aren’t commonly used through my experience in controlling hypertension. Lasix is a Diuretic used mainly for patients on CHF, congestive heart failure. we use either HCTZ; hydrochlorithiazide or clonidine.
I’m not saying he’s wrong I’m saying there are alternative medications to try out. If you have had this hypertension with the medication for 2 weeks it’s Time to try a new one.
Also contact your primary care physician to ask if the is using the lasix for the hypertension or CHF (it is used for both).

Q: Question about High Blood Pressure and medication?
For the last couple of months my blood pressure has been all over the place. Sometimes its really high. Sometimes a little high and sometimes just normal. I had mentioned to my doctor one day about 2 episodes I had where my blood pressure jumped extremely high. I was just sitting on the couch watching a movie and the other time on the computer. I always know when my blood pressure is high because it makes me feel kinda funny. After I had told her this she looked back through my chart and noticed that it fluctuated quite often. She was mostly concerned with the lower number. Anyway, she prescribed me 40 mg of Micardis.

I guess I’m concerned that if I take this medication and my blood pressure is “normal”, will it make it drop lower? Of course, I didn’t think to ask her this when I saw her and getting a hold of her is very difficult. Just looking for people who may have experienced this before.
I am in my late 30’s. My mother had a stroke when she was in her early 40’s. She was not diagnosed with hypertension until after her stroke.

A: My husband takes something else for his but had the same bp issues that you describe. He’s been taking bp meds for about three years now and has never had any problems with low bp. He feels better, all of the time now. You may need to try different meds to find the one that works for you, he tried about three before he found the right one. Good luck.

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