Blood Pressure Medicine

General discussions about getting and staying fit that don't relate directly to your indoor rower
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chgoss
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Blood Pressure Medicine

Post by chgoss » August 3rd, 2007, 10:46 pm

Anyone else out there on BP medicine? I have been on Amlodipine(a diuretic) for a year or so.
Recently BP has been creeping up to 140/90, so Dr. added Hydorchlorothiazide, another diuretic, and I have not had a good erg session since...

Anyone had any experience with the effects of beta-blockers or ACE-inhibitors and heavy physical activity?

appreciate any feedback
52 M 6'2" 200 lbs 2k-7:03.9
1 Corinthians 15:3-8

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johnlvs2run
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Post by johnlvs2run » August 3rd, 2007, 11:38 pm

Exercise and healthy diet.
bikeerg 75 5'8" 155# - 18.5 - 51.9 - 568 - 1:52.7 - 8:03.8 - 20:13.1 - 14620 - 40:58.7 - 28855 - 1:23:48.0
rowerg 56-58 5'8.5" 143# - 1:39.6 - 3:35.6 - 7:24.0 - 18:57.4 - 22:49.9 - 7793 - 38:44.7 - 1:22:48.9 - 2:58:46.2

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Storm Petrel
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Post by Storm Petrel » August 3rd, 2007, 11:39 pm

I don't take any meds at all, but some interesting info:

http://www.iub.edu/~afp/manuscripts/padilla.pdf

Treating Hypertension in Active Patients: Which Agents Work Best With Exercise
From: http://www.fit-zone.com/library/H/hyper ... /hype.html

Since beta blockers reduce the heart rate, they also decrease the amount of oxygen that circulates through the body. This means that people taking them might become less able to handle strenuous physical activity. They might feel nauseated and weak after lifting or working hard. That's why they should avoid activities that normally made their hearts beat faster in the past, such as heavy cleaning, grass cutting or lifting. Otherwise, they can feel quite ill for more than a day after performing such activities. Other possible side effects are too-low blood pressure and a worsening of asthma symptoms.
From: http://www.americanheart.org/presenter. ... tifier=118

Patients with hypertension should participate in at least 30 minutes of regular, aerobic physical activity on most days of the week. Aerobic exercise has been associated with an average 4% reduction in systolic blood pressure.
From: http://www.uspharmacist.com/index.asp?p ... efault.htm

MomofJBN
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Post by MomofJBN » August 4th, 2007, 2:00 am

I recall that Grams (hope I have the username right) had an issue like that. Maybe you could PM her.
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BobD
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Post by BobD » August 4th, 2007, 7:00 am

Beta Blockers are bad news for aerobic exercise (can't get your heart rate up) and I had bad side effects (ice cold feet and hands because my perhipheral circulation was messed up).

I have been taking Lozaar (Losartan potassium) for several years. I take one 50mg tablet in the morning and have absolutely no side effects. My blood pressure is ideal :) Google Losartan potassium to see how it works.
Bob in Munich
84yrs, 85 kilos or 187 pounds, 185 cm or
6ft I Row and I ride my E-Bike.

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Post by Snail Space » August 4th, 2007, 12:38 pm

I used to take atenolol (beta-blocker) when I was a fat sloth (8 months ago). Since I started erging my BP has come down enough to stop taking meds altogether.

I accept that one day my BP will creep back up enough to warrant treatment. Then I'll want my GP to start me on Lisinopril (probably 10mg to start). I'll also want to take a statin if there is ever a trace of doubt about my lipid profile, although olive oil, oily fish, a diet high in plant sterols and low in animal sterols, fruit and veg are better alternatives if they work.

Your BMI is marginally over the ideal range. If any of that is fat around your middle you will benefit from loosing it. If it is all muscle just keep it!

John Rupp is right: you should be exercising at least 30min per day (on average), more would be beneficial as long as you don't exhaust yourself (exercising to tiredness is great, but not to exhaustion on every session).

If you are drinking more than the equivalent of a glass of wine per day (on average) you could try reducing your consumption. Smoking, of course, is a no no.

This is a counsel of perfection; an occasional treat is fantastic (I had deep-fried fish, chips [fries] and mushy peas [a British delicacy!] for lunch today!). [Traditional fish & chips are served as a carry-out, wrapped in yesterday's newspaper. How yummy does that make it sound?! :shock: ]

Cheers
Dave

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Post by BobD » August 4th, 2007, 2:05 pm

With Vinegar??? :D
Bob in Munich
84yrs, 85 kilos or 187 pounds, 185 cm or
6ft I Row and I ride my E-Bike.

Snail Space
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Post by Snail Space » August 4th, 2007, 2:57 pm

... and bread 'n butter to make a "chip butty"

BobD
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Post by BobD » August 4th, 2007, 3:03 pm

Burp!!
Bob in Munich
84yrs, 85 kilos or 187 pounds, 185 cm or
6ft I Row and I ride my E-Bike.

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chgoss
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Post by chgoss » August 6th, 2007, 8:11 pm

thanks for all the input, high BP runs in my family.. I have had it since I was in my early 20's, and had it when I was cycling at 185lbs..

I am going to see what Dr. Death thinks of this Lozaar... :D

cheers
-chad_goss
52 M 6'2" 200 lbs 2k-7:03.9
1 Corinthians 15:3-8

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poster boy for medical errors

Post by canoeguy » August 8th, 2007, 12:35 pm

I have border line high BP. Doc put me on zestril which controlled the bp well enough for me to take a tab every other day. When the office samples ran out I got a rx filled at the local chain pharmacy. I noted a difference in the color and shape of the pills but figured it was probably a generic and planned to look it up at work. Took one tab in the am and one the next am. Next day after work I walked/ ran a 4mile loop at the company jogging track, well not quite. I felt as if I would need a ride back to the building at the half way point. Felt as if I had no strength at all. Never felt like that before, it was scary to say the least.

A pharmacist worked for me so we both looked up the pill and found the chain store pharmacist gave me a beta blocker, zyack...sp? Turns out zestril and zyack were next to each other on the formulary shelf. Not only did he give me the wrong med but wrote zestril on the label. This was a double major error especially when you realize pharmacists need to follow strict protocol when filling meds.

Eventually went of zestril because of a slight cough which is an adverse event on the drug's label.

Now on Cozaar which is the same as Lozaar which is the Euro trade name.
Absolutely no problems.

Hope that shed weight will allow me to end meds. We'll see.

You need to give feedback to the doctor and let him know how the med makes you feel. Typical response is that you need time to get used to the med. Insist on trying a differnt med. So many older folks are given meds which knock them on their butt causing them to be sedentary when that is the very last thing they need. Most of those folks will never complain to their doctors and begin a down hill slide. Med choice really needs to balanced with lifestyle and medical need and the patient input has to be part of the equation.

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Second Opinion?

Post by igoeja » August 19th, 2007, 12:18 pm

Have you gotten a second opinion?

I have had type I diabetes for 30 years, and have taken quinapril, an ACE-inhibitor, as long as I've had hypertension, for the past 15 years. My average measurement, taken at home, is 115/60.

Granted, each medication has its purpose, so an ACE-inhibitor might not be right for your needs, but consider a second opinion from a specialist.

BTW, my erg performance, while never great, is about the same as when I was just starting rowing in my late twenties, so anecdotally, quinapril hasn't seemed to harm my performance.

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