What causes sleep disturbances, nightmares, hallucinations and constipation in an elderly person?
I would explain as follows:
Welcome and thank you for asking on HCM!
Regarding your concern I would explain that amlodipine could be related to adverse effects like headache, constipation, etc.
When did you start taking amlodipine?
I would recommend consulting with your attending physician and performing some tests to investigate for any other possible cases:
- some blood lab tests ( complete blood count, blood electrolytes, fasting glucose, kidney and liver function tests, PCR, sedimentation rate) to exclude any metabolic causes
- a brain CT scan besides a careful neurological exam would be necessary to exclude possible neurological causes.
If all the above tests result normal, I would recommend discussing with your doctor on the possibility of reducing the doses of amlodipine.
Hope to have been helpful!
Opinion as follows:
Thank you for the additional information.
If these blood pressure are persistent, it means that you suffer from uncontrolled high blood pressure. This could be the cause of the headache and continuous buzzing in your ears.
I would recommend consulting with your doctor and discuss the possibility of making some changes to your actual therapy in order to help you manage better your blood pressure.
I would recommend increasing the dose of lisinopril to 40 mg daily single dose.
If after a couple of days your BP values have not returned to normal range, other options like centrally acting anti-hypertensive drugs could be considered.
Regarding the presence of protein in urine, it is necessary first to exclude an inflammation/infection. Also, renal function tests should be done.
You should discuss with your attending doctor on the above mentioned issues.
My answer as follows:
You should know that central-acting blood pressure drugs lower your heart rate and reduce your blood pressure. They work by preventing your brain from sending signals to your nervous system to speed up your heart rate and narrow your blood vessels. As a result, your heart doesn't pump as hard and your blood flows more easily through your blood vessels. So their mechanisms of action are quite different by the other drugs that you are taking. They are usually prescribed in case blood pressure is not managed with other therapies.
Examples of central-acting agents include:
The best choice is based on individual comorbidities and tolerance ( regarding their adverse effects).
You should discuss with your doctor on the above options.
Hope you will find this answer helpful!
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