Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Do These Following BP Readings Indicate?
Question: 73 year old female, 120 lbs. with recent diagnosis of bladder cancer. Taking combination therapy for PRE-diabetes.
Pioglitazone (actos) 15 mg and Januvia 100 mg. Combination calcium channel blocker for hypertension, Azor 5/20 mg. Experiencing hypoglycemia and or hypotension. I feel PCP should review medications. A1c 5.9. BP 86/51 P 70, BP 89/49 P67 bp 85/49 P 61.
Pioglitazone (actos) 15 mg and Januvia 100 mg. Combination calcium channel blocker for hypertension, Azor 5/20 mg. Experiencing hypoglycemia and or hypotension. I feel PCP should review medications. A1c 5.9. BP 86/51 P 70, BP 89/49 P67 bp 85/49 P 61.
Brief Answer:
Following advice
Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.
After reviewing your BP levels I should say that it's at the lower limits and your therapy for BP should be reduced.
If you were my patient I would recommend to take Azor 5/20 mg half tablets (half actual dose) and if the BP will persist to stay at actual level I would have stopped it.
Wish you health!
Dr. Shehu
Following advice
Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.
After reviewing your BP levels I should say that it's at the lower limits and your therapy for BP should be reduced.
If you were my patient I would recommend to take Azor 5/20 mg half tablets (half actual dose) and if the BP will persist to stay at actual level I would have stopped it.
Wish you health!
Dr. Shehu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dr. Shehu thank you for your immediate reply. One follow up question. I am concerned about taking Actos due to my bladder cancer diagnosis and feel the combination therapy of Pioglitazone 15 mg and Januvia 100mg is very aggressive for a diagnosis of prediabetes with an A1c result of 5.9%. Actos contradictive with diagnosis of bladder cancer? Experiencing confusion, difficulty concentrating dizziness, lethargic.
Brief Answer:
Following advice...
Detailed Answer:
Hi back,
Yes they to are a little aggressive for a patient with prediabetes and bladder cancer. If you were my patient I would have stopped Pioglitazone and Januvia immediately.
I would have recommended a healthy lifestyle and diet to control prediabetes and would have restarted only Januvia if the diet isn't effective in controlling blood glucose levels.
Hope this will be of help!
Wish you health!
Dr. Shehu
Following advice...
Detailed Answer:
Hi back,
Yes they to are a little aggressive for a patient with prediabetes and bladder cancer. If you were my patient I would have stopped Pioglitazone and Januvia immediately.
I would have recommended a healthy lifestyle and diet to control prediabetes and would have restarted only Januvia if the diet isn't effective in controlling blood glucose levels.
Hope this will be of help!
Wish you health!
Dr. Shehu
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
