Suggest medication for BP when suffering from Crohn's disease - Online Doctor Chats
I need a high blood pressure medicine, but my current doctor doesn't seem to know which medicines are appropriate for someone with Crohn's disease. Such medicines may not include a diuretic (sp.) component. I know there are some but I inherited this doctor when his partner retired. He's very over stressed and doesn't seem to know what to do. Please help. Thank you.
Let me read your query for few minutes to be able to have a good discussion here.
I have gone through your query
You can continue with the medicines your earlier doctor prescribed to you
That was five or six years ago. I no longer have the medicine and the current one doesn't seem to have kept all the record of the retired one.
There are many blood pressure medicines that are available
oh, I see
As I said, there are a multitude of blood pressure medicines that do are not diuretics
examples are calcium channel blockers such as Amlodepin
ACE inhibitors such as Losartan, ibersartan
Your current doctor can choose from any of these
In my practice I would start the therapy with Angiotensin receptor blockers such as Losartan or ACE inhibitors such as Enalapril or ramipril
They give very good blood pressure control without an additional diuretic such as Hydrochlorthiazide or frusemide
I need one that will not have diarrhea as a common side effect. I have enough of that, thank you, and I do remember that whatever I had before did not cause that.
Give me a minute
Beta blockers are a good choice for you
They do not cause diarrhea as a side effect
You can ask your doctor to prescribe you Atenolol
or any other similar medicines
Even Calcium channel blockers such as Amlodipin also do not cause diarrhea
Other groups of medicines have these side effects but they are not among the common ones
and are not considered as severe even when they do happen
Is there anything else I can help you with?
are you there?
One last question - He was convinced I might have a heart problem because I said my feelings were extreme nervousness and a feeling that my heart was beating too fast. He had just given me an ekg or ecg and said there was nothing wrong with my heart several weeks previously. He prescribed Diltiazem which gave me horrilble diarrhea. I don't remember you mentioning this one though.
Diltiazem is not ideal for blood pressure
It is unlike the other calcium channel blockers
If one drug causes diarrhea it is not necessary that all must cause it
I would advise you to go for beta blockers
They would be ideal in your case
both for your heart
and your bowel
Thanks for visiting me here. Bye for now.
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