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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for high blood pressure

hi doctor, my was advised steroid pills .she was continously given medrol. 16 ,then 8, 4mg doses for 7 months . now she has problems like high bp, water retention, but more painful is high uric acid . and initially her jaw joints pained enormously. after one month by taking medicine her uric level decreased from 7.2 to 6.2. suggest some remedy
Fri, 31 Mar 2017
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Cardiologist 's  Response
Hello ,
All the symptoms you have described are because of long term side effects of steroids .
However maybe the necessity of steroids would have present to treat your condition and hence your doctor must have weighted the risk benefit .
Considering you are already on medrol for 6 months , suddenly stopping the same may rather exaberate your underlying problem and that would not be the best way.
First would be to slowing decrease the steroid to 4 mg on alternate day or 4 mg and 2 mg on alternate day depending on how she tolerates under strict observation of her doctor .
Till than specific medication to treat hypertension. Ace inhibitors plus diuretic ( However many diuretic can increase uric acid, so selext accordingly ) combination would be best for her .
Uric acid is already withen range and so continue the same medication.
Regards Dr. Mody
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