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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest alternate medication for Aliskiren

Hello, I am concerned about the blood pressure medication rasilez (aliskiren) that I am currently taking. I used to take 150mg of aliskiren, 5mg of Norvasc and 25mg of hydrochlorothiazide. My GP couldn t figure out one that would lower my pressure. Aliskiren because I am Insulin resistant, Norvasc because it took care of my headache and hydrochlorothiazide for the edema caused by the Norvasc. I am now only taking aliskiren because internal med felt I was taking too much meds for my age (49). BP is hereditary and most members pass away about mid to late 50 s in my paternal side. So I want to come off the aliskiren and go on something else that would protect my kidneys and protect me from possible future strokes. I am presently suffering from bowel disturbances with the aliskiren and my doctor refused to take me off of it because my bp is good. Unfortunately I felt really good with the Norvasc but couldn t walk far with swollen legs and feet. Is there something else that would both protect my kidneys and relieve my headaches and not cause too much swelling?
Fri, 7 Oct 2016
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Diabetologist 's  Response
Hello. By your description, I understand that you are currently only on aliskiren and your blood pressure control is good.
I would have suggested my patient to go off aliskiren if the bowel disturbances are intolerable. I would have put him on an alternative antihypertensive medication like telmisartan 40mg OD or ramipril 2.5mg OD. Both these medications would take care of your kidneys as Aliskiren.
I would also suggest regular blood pressure measurement and lifestyle modifications like regular exercise, strict diet for long term control of hypertension.
Hope this helps. Thank you.
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Suggest alternate medication for Aliskiren

Hello. By your description, I understand that you are currently only on aliskiren and your blood pressure control is good. I would have suggested my patient to go off aliskiren if the bowel disturbances are intolerable. I would have put him on an alternative antihypertensive medication like telmisartan 40mg OD or ramipril 2.5mg OD. Both these medications would take care of your kidneys as Aliskiren. I would also suggest regular blood pressure measurement and lifestyle modifications like regular exercise, strict diet for long term control of hypertension. Hope this helps. Thank you.