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Suggest Treatment For Low BP And Depression

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Posted on Wed, 11 Feb 2015
Question: ALO,PLAISER TO MEET YOU; I´M CARDIOLOGIST AND HAVE 81 YEARS; Y´M VERY WELL AND WORK A LITTLE; MY COGNITIVE STATE IS NORMAL; MY CHOL.LDL=70 MY HDL=60, GLYCEMY= 102 (ROSUVA20MG/DAY)AND NO PROBLEMS IN CORON,CEREBRAL,CAROTIDES CIRCULATION; FIVE YEARS AGO HAVE FORT DEPRESSION,TREATED WITH DESVENLAFAXINA100MG/DAY AND FLUVOXAMINA50MG/D(FOREVER);CONSEQUENTLY, Y DEVELOPED ARTERIAL HYPOTENSION:TILT TABLE TEST RESULTED DUPLE POSITIVE(PA 60X40 AND BRADICARDY)(FAMILYAL;FATHER AND BROTHER);MY SYMPTONS APPEARS ONLY BY MORNING,UNTIL 10-11 HOURS AM, AND IN THE REST OH THE DAY EVERYTHING IS OK, ALL DESAPPEAR,Y GO TO THE RESTAURANT, TO THE SHOPPING, TO THE BANK ETC, Y CONDUCT MY CAR; RARELY, AFTER BREAKFEST OR AFTER LUNCH OR WHEN THE CLIMATE IS VERY HOT,ABOVE 32-34 CENTIGR GRADES, THE ART.PRESS.DECREASES TO SYST 50-60MM(MY WIFE IS NURSE) OR NOT AUDIBLE, ON POSTURAL POSITION; Y REST FOR 1-2 MINUTES AND THE PRESSURE INCREASES,VERY QUICKLY, IN LIE DOWN, TO 100X60 AND Y FEEL GOOD;MY SYMPTONS ARE TYPICAL,HEADACHE IN CERVICAL REGION AND SHOULDERS, WEAKNESS,TIREDNESS,DROWSINESS, RARELY GROGGINESS(Y GO RAPPIDLY TO THE BAD OR CHAIR,ABOUT 1-2MINUTES AND ALL CEASE); Y NEVER FAINT;QUESTION: Y MUST CHANGE MY ANTY-DEPRESSIVES(Y´M AFRAID,THEY CURE ME!) OR TO USE A DRUG TO INCREASE THE PRESSION?WHAT?IN BRASIL ONLY ETILEFRINA CLORIDRATE, NO ONE EFFECT;PS;Y STEP 1 KM A DAY,DRINK A LOT OF WATER AND FEED WITH VERY SALT.Y´M ASSOCIATE ONE HEALTH PLAN AND MY COLEAGUES NEVER DON´T PRESCRITTION A DRUG TO ME(IN THE DOCTORS OFFICE MY ART.PRESS. IS XXXXXX;IT´S ALL , TANKS. XXXXXXX ( YYYY@YYYY ) Y ACCEPT THE CONDITIONS.
doctor
Answered by Dr. Benard Shehu (11 hours later)
Brief Answer:
Continue Pristiq, start Etilefrina...

Detailed Answer:
Hi Dr. XXXXXXX,

Thank you for sharing your concerns with us. I am sorryfor the situation you are in.
Having hypotension is related to pristiq.

I advise to continue taking Pristiq as it will help cobtrol depression. Meanwhile, you can start taking etilefrina to increase your blood pressure (bp).

Hope it was of help!
Dr.Benard
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

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Suggest Treatment For Low BP And Depression

Brief Answer: Continue Pristiq, start Etilefrina... Detailed Answer: Hi Dr. XXXXXXX, Thank you for sharing your concerns with us. I am sorryfor the situation you are in. Having hypotension is related to pristiq. I advise to continue taking Pristiq as it will help cobtrol depression. Meanwhile, you can start taking etilefrina to increase your blood pressure (bp). Hope it was of help! Dr.Benard