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icd quesiton
I have a comment I have had a ICD for about 3 years..im doing great..I had to change heart doctors as mine passed away..my question is about the fact I'm doing really well on taking troprol xl once a day...now the new dr decided to put me on spironolactone 1/2 tablet a day and also Lisinopril 2.5 once a day..I always have a very low blood pressure so if I take these other meds I'm sure it will drop way down..I don't understand when you are having no problems and feeling good why do drs decide you need more meds...if they lower my blood
pressure any lower than 118 over 62 I wont be able to get around...why do they do this and I'm thinking I'm not going to do anything any different..what is everyone opinion of this ?I just turned 76 last week and I go dancing 2 or 3 times a week and have a ball so why is my question do the drs seem to just push drugs on us older people
5 Comments
Balancing act
by BillH - 2016-02-04 10:02:31
That low of level of lisinopril much lower than what is used for high level of high blood pressure. That is usually 20 mg or more. But 2.5 mg is often often prescribed for heart failure.
Likewise spironolactone is a diuretic that is used for both high blood pressure and heart failure.
Often there is a balancing act between what different meds are suppose to treat and possible side effects.
You need to get specific answers from your doctor.
What is the diagoses?
What is each of these meds suppose to do for me. And what are the side effects?
And in this case if these new meds reduce the BP too much can you discontinue (or reduce the dosage) of the troprol ?
If, in the end, this is too much of a problem you need to have a discussion about the advantage and disadvantage of all of your treatment options.
Quality of life is an important criteria, but hard to measure and thus doctors often don't consider it.
It is your life and your option to make.
Why?
by Alma Annie - 2016-02-05 01:02:28
Ask your doctor what the medical reason is that he thinks it is necessary to change your drugs. After all if something is not broken, then why fix it. You say you are doing really well, so ask him what is wrong, then make an assessment. It is your body not his.
Alma Annie
I take Lisonopril and Spironolactone too
by LondonAndy - 2016-02-12 12:02:49
I have a degree of heart failure, and had low blood pressure after a replacement aortic valve was fitted in September 2014, but I have also been prescribed a similar combination (though my beta blocker is Nebivolol), despite having low blood pressure (eg 100/60 or less), and ending up lower pressure at times, though currently my BP averages at 125/70.
I have been told by both my Cardiologist and doctor here in the UK that this combination of drugs is protective, and my doses are low (5mg Lisinopril, 12.5mg Spironolactone. I am also on 20mg of Furosemide, another diuretic). Whether this protection is fact or theory I do not know - I mostly just take what I am told, relying on the fact that they are the ones who have done the medical training. In the UK there is not an incentive for doctors to prescribe unnecessarily, since all my meds are 'free' thanks to paying in to our NHS, so I guess it is genuine medical belief that this is a good combo.
ejactio fraCTION
by school8 - 2016-03-21 01:03:39
I would like to know what your ejection fraction ,do you know and before you got a icd
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by Tracey_E - 2016-02-04 10:02:09
I would get the pharmacist's opinion if 1) the new combo will lower blood pressure more and 2) if there's a good reason to make the change. Not all heart meds lower bp so it could be he has a reason for changing it up, like it's cheaper or has fewer side effects. Or he could be one of those docs who loves to write too many prescriptions, puts everyone on his favorites, and doesn't think beyond that. In that case, I'd keep shopping and find someone else. This doc may not be a good fit for you. The pharmacist might be able to help shed some light on it.