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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Obsession And Loss Of Memory Be Treated With Change In Hypertensive Medications?

72 year old male with history of heart attack 7 or so years ago. Diagnosis of narcolepsy. On Metropropol for hypertension. Was diagnosed with sleep apnea, but had complaints of sensation of drowning while using c-pap machine. He is obsessed with religion and becoming very forgetful. Judgment is off. Would a change in hypertensive meds. be in order, such enalapril and triamt/hctz. Also would amanda be beneficial to introduce?
Thu, 5 May 2016
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General & Family Physician 's  Response
Hello dear welcome to HealthcareMagic
Regarding your experience with obsession loss of memory sleep apnea diagnosed with narcolepsy following a history of hypertension with usage of metoprolol I am suggesting that you have developed a neuropsychiatric disorder with affectation of the hippocampus

In view of this please check your blood pressure regularly do the following test Chest x-ray
ECG
Serum electrolytes
CT scan

Meanwhile you will need a multidisciplinary team involving a psychiatric cardiologist and neurologist specialist for further clinical assessment Councelling and adequate drug prescription

Regarding whether altering your hypertensive medications can improve the obsession and memory loss is left with the cardiologist to make such clinical decision so as to prevent self medication and reduced risk of adverse drug reaction

I hope this helps Regards

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Can Obsession And Loss Of Memory Be Treated With Change In Hypertensive Medications?

Hello dear welcome to HealthcareMagic Regarding your experience with obsession loss of memory sleep apnea diagnosed with narcolepsy following a history of hypertension with usage of metoprolol I am suggesting that you have developed a neuropsychiatric disorder with affectation of the hippocampus In view of this please check your blood pressure regularly do the following test Chest x-ray ECG Serum electrolytes CT scan Meanwhile you will need a multidisciplinary team involving a psychiatric cardiologist and neurologist specialist for further clinical assessment Councelling and adequate drug prescription Regarding whether altering your hypertensive medications can improve the obsession and memory loss is left with the cardiologist to make such clinical decision so as to prevent self medication and reduced risk of adverse drug reaction I hope this helps Regards