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Ask A. Schuyler, NP Your Own Question
A. Schuyler, NP
A. Schuyler, NP, Nurse Practitioner
Category: Health
Satisfied Customers: 16292
Experience:  Board Certified NP, MS, RN. 25 years private practice & hospitalist
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Am in Mexico on extended vacation and am having very

Customer Question

Am in Mexico on extended vacation and am having very negative reactions to my recent prescription for Lisinipril - extreme muscle and general fatigue and just cannot continue. Without it, my recent pressures are in the tenge of 160/100 with 110 HR. Many generics available OTC here in Mexico.
JA: How long have you been dealing with this? Any other symptoms?
Customer: A month or so. Just extreme fatigue. My suggestions for substitute ?
JA: Anything else in your medical history you think the doctor should know?
Customer: Recent diagnosis of diabetes. Well controlled with metformin
JA: OK. Got it. I'm sending you to a secure page on JustAnswer so you can place the $5 fully-refundable deposit now. While you're filling out that form, I'll tell the Doctor about your situation and then connect you two.
Submitted: 1 year ago.
Category: Health
Expert:  Anthony Bray, MD replied 1 year ago.


Well your blood pressure is concerningly high ....

You do seem to need treatment ...

Pulse rate also quite high...

How are you doing as far as heat exposure?? Heat exhaustion might fit some of these symptoms that you notice ..

Drink plenty of fluids -- Gatorade or similar would be good choice

Medical follow up soon is advised for you !!

Better control of blood pressure needed and check up with regard to New symptoms as well....

I hope that this information is helpful for you

Let me know if you have further questions or concerns

I will be happy to get back with you

If my answer has been helpful and to your satisfaction then please remember to leave positive feedback

Thank you and Best Regards,

Anthony Bray MD

Customer: replied 1 year ago.
Thanks for stating the obvious. What a useless response. My need was for a suggestion for a generic other than lisinipril that I could by OTC here in Mexico to reduce my BP until I can get home to meet with my dr.
Thankfully I did not buy your subscription.
Expert:  Anthony Bray, MD replied 1 year ago.

Hello again,

Well I don't know which generics are available in Mexico ...

I will opt out to allow another to respond to you ...

If available for short term metoprolol 50mg a day would help control pulse and blood pressure....

Expert:  A. Schuyler, NP replied 1 year ago.


How much lisinopril are you taking? Lisinopril is the generic for the brand names ACE inhibitors Prinivil or Zestril. How long have you been taking it?

Do you know what your blood pressure is now?