Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

58 yr old obese male, my blood pressure meds that had worked…

Customer Question
58 yr old obese male...
58 yr old obese male, my blood pressure meds that had worked great for 10 years stopped working and my pressure hit 200/103. Was taking atenolol 100mg X1, HCTZ 25mg X1, benazepril 40mg X2. I also take metformin and wellbutrin for other problems and Xanax rarely.
Now I take atenolol 100mg X2, HCTZ 50mg X1, Isosorbide DN 10mg X2, benazepril 40mg X2. Plus my metformin and wellbutrin. I never had angina. The pressure is now 160 to 200 on the top number and 80 to 88 on the low number.
I feel terrible. I have taken the medicines for 2 weeks. I feel a little dizzy, tired, lightheaded, like the flu without the gastric symptoms. And it does not seem to be really doing the job.
What do you think of all this? Do you find this combination acceptable? Is there a combination with fewer side effects? I should mention my doctor does not want to try Norvasc because I took it many years ago and had some really bad reactions. What combination would you try?
Submitted: 2 years ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 18 minutes by:
3/2/2016
Doctor: Anthony Bray, MD, Doctor replied 2 years ago
Anthony Bray, MD
Category: Medical
Satisfied Customers: 10,341
Experience: 14 years experience in the field of Family Practice
Verified

Hello!

I would advise that you have your kidney function needs to be checked and blood flow through the kidneys ...

If you should have renal insufficiency or renal artery stenosis then that may be a cause of very difficult to treat high blood pressure ...that needs to be checked in your case ...

I would recommend an alpha / beta blocker such as Trandate or Coreg probably one of these at a moderate to high dose ...

Plus an A2 blocker which is of her more potent than ACE inhibitor class but similar mechanism

Plus a diuretic I think ....

A + B + C in that order I mention above ....

There are many tools in the toolbox ...

You should have control to have resting blood pressure ( seated out of doctors office ) less than 135/85 for decent blood pressure control ...

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

Ask Your Own Medical Question
Doctor: Anthony Bray, MD, Doctor replied 2 years ago

You likely may need a STRONGER diuretic than HCTZ at 50 mg

Lasix 20 mg per day would be stronger

An A2 blocker example could be BENICAR 40 MG

TRANDATE 200 mg twice a day

The above regimen is for example demonstarion but would be expected to be stronger than what you are on....

Ask Your Own Medical Question
Doctor: Anthony Bray, MD, Doctor replied 2 years ago

I would check 24 hour urine for creatinine clearance ....

Serum BUN / creatine and electrolytes

Thyroid function checked

Echocardiogram checked

Serum calcium and PTH checked

Renal angiogram should be set up I think ...this to check blood flow to your kidneys ...

I hope that this is helpful for you

Best Regards!

Anthony Bray MD

Ask Your Own Medical Question
Was this answer helpful?
Ask Anthony Bray, MD Your Own Question
Anthony Bray, MD
Anthony Bray, MD
Anthony Bray, MD, Doctor
Category: Medical
Satisfied Customers: 10,341
10,341 Satisfied Customers
Experience: 14 years experience in the field of Family Practice

Anthony Bray, MD is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,786 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,934 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

15,787 satisfied customers

20 yrs. in practice, including surgery, general medicine, addiction medicine and pain.

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor

13,764 satisfied customers

MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

< Previous | Next >

Related Medical Questions
I am considering trying Amberen for my menopausal symptoms.
Hello, I am considering trying Amberen for my menopausal symptoms. However, I'm currently taking Lisinopril 10mg for high blood pressure. Is Amberen safe for me to take or will it interfere with my me… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,776 satisfied customers
I accidentally took one of my husbands 137 mcg thyroid pills
I accidentally took one of my husbands 137 mcg thyroid pills levothyroxine. Will one pill hurt me?… read more
Dr Owen
Dr Owen
Ob/Gyn Doctor
Doctoral Degree
406 satisfied customers
What could cause a resting heart rate of 132 bpm?
What could cause a resting heart rate of 132 bpm?… read more
Dr. Hasan
Dr. Hasan
Consultant
Post-Doctoral Degree
3,620 satisfied customers
Is there a diet or guideline to lower blood pressure? I
Is there a diet or guideline to lower blood pressure ? I don't want to go back on pills ! … read more
Dr. Greg
Dr. Greg
Residency
265 satisfied customers
Will contrave interact with blood pressure meds and
Will contrave interact with blood pressure meds and antiinfkamatories? … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,787 satisfied customers
At what blood pressure sure one become considered.
Second opinion] at what blood pressure sure one become considered… read more
Dr. Nina Lim
Dr. Nina Lim
Doctor of Medicine
452 satisfied customers
Is there a fee to answer my? High blood pressure. given
high blood pressure. given linsendopil htzc 5mg then narvasc 5mg did not take either cause of bad side effects anything better safer side effects. … read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
820 satisfied customers
Having an issue with my blood pressure. Not on any
had a full physical about a year ago all was fine around 140 went to dentist today 171 … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,399 satisfied customers
My blood pressure is 80 over 41, My blood pressure is 80
My blood pressure is 80 over 41 JA: What are your symptoms? Have you used any medication for this? Customer: My blood pressure is 80 pic JA: Have you seen a doctor about this? Customer: My lasortin wa… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
Blood pressure Ned's only slightly lower my blood pressure
Blood pressure Ned's only slightly lower my blood pressure to 180/95.. What else can I do? … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,787 satisfied customers
I take blood pressure pills which controls my blood pressure
I take blood pressure pills which controls my blood pressure pretty well.. Today I feel light headed and pulse is up .. My blood pressure is 157.. Is there something I can eat or do that will bring it… read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
820 satisfied customers
I am 27 n blood pressure is high, electrolyte, thyroid,
I am 27 n blood pressure is high, electrolyte, thyroid, urinary analysis test are clear. Its goes to stage 2... My son died six moths ago because of preclampsia … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,787 satisfied customers
I have pain in my upper legs after sitting for a while (20
I have pain in my upper legs after sitting for a while (20 minutes or so). Actually my upper legs hurt pretty much all the time, but it's much worse after sitting. They do not hurt when I wake up in t… read more
Dr. Natasha
Dr. Natasha
7,913 satisfied customers
Stomach cramping, had diarrhea and had profuse sweating and
stomach cramping, had diarrhea and had profuse sweating and light headed. Have had this happen twice… read more
Dr. Haroon Iqbal
Dr. Haroon Iqbal
Medical Officer
Bachelor's Degree
1,522 satisfied customers
What would cause a warm feeling that in center of your chest
what would cause a warm feeling that in center of your chest and radiates across your chest followed by mild dizzyness… read more
Dr. Monica
Dr. Monica
Family Physician
M.D.
808 satisfied customers
How can I get relief from nausea caused by taking victoza
How can I get relief from nausea caused by taking victoza… read more
DrRussMD
DrRussMD
Board Certified Physician
51,786 satisfied customers
I am having a fluttering in my left temporal artery
I am having a fluttering in my left temporal artery… read more
Ken
Ken
Post-Doctoral Degree
5,285 satisfied customers
I am on Zoloft 50mg. I have talked with my doctor and he has
I am on Zoloft 50mg. I have talked with my doctor and he has approved for me to take an all-natural weight loss supplement, Plexus Slim. Well I have been taking this and haven't been losing weight. A … read more
DrRussMD
DrRussMD
Board Certified Physician
51,786 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x