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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment Is Recommended For Short Term Memory And High BP?

I take Keppra 500 m twice a day. I have been taking it for about 2 1/2 years. I started taking it as a result of a Meningioma removal after it was found in an MRI as a result of a double concussion, fracture and ear injury due to a fall. A year later, I moved to Omaha. Six months later, I had two grand mal seizures and the neurologist in Omaha stated that I had cut back on my seizure medication and this caused the seizures. I recently moved back to Tucson and saw my old neurologist. He looked at the MRI that I had taken in Omaha and said that I had developed scar tissue and that I wouldn t ever be able to go off Keppra . I ve had two issues. (1) I have lost short-term memory (2) I have very high blood pressure. My family doctor in Tucson put me on a Beta Blocker and now I am on a Calcium Channel Blocker as the Beta Blockers still allowed me to have blood pressure that goes up and down. I have also tried Lisinopril and it made me cough. My doctor in Omaha tried me on Losartin and it didn t work. My cardiologist in Omaha had me on Valsartan and that seemed to stabilize my blood pressure. After I came back to Tucson, the insurance company would not allow me to be on Valsartan because of the cost. The new Tucson cardiologist put me on the Calcium Channel Blocker with a diuretic. At this time, I am experiencing dizziness, nausea, high blood pressure and fatigue. I ve been told by his office that I simply need to drink more water ( I presently drink in excess of 76 oz a day). I was also told by his office to take it before I go to bed instead of in the morning as I wouldn t be aware of how dizzy and nauseous I was. I explained that I would be up all night going to the bathroom. (I also have problems with insomnia). They really didn t seem to care. I did some research on the internet and found that some doctors recommend Dilantin. I do need to get my energy and focus back as my job requires me to be able to drive, focus and have a good memory. What is your opinion of this situation?
Fri, 3 Jul 2015
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Critical Care Specialist 's  Response
With all this medication , get your blood electrolytes and liver function test done first. Check sodium level. If it is low, you may have such symptoms. You might have to restrict your water intake.
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What Treatment Is Recommended For Short Term Memory And High BP?

With all this medication , get your blood electrolytes and liver function test done first. Check sodium level. If it is low, you may have such symptoms. You might have to restrict your water intake.