Posted by okydoky on November 5, 2008, at 18:56:44
In reply to Re: Parnate and Nifedipine and stuff :) » okydoky, posted by JadeKelly on November 5, 2008, at 16:26:37
The lethargy is probably caused or contributed to by having a low bp.
I understand there are several drugs to take for hypertensive crisis. There was an online discussion about it not long ago. I dont understand that your doctor did not discontinue the Parnate, at least as a temporary measure until you bp is normalized? I just read two or three online informational sites on Parnate and every one says to immediately stop the Parnate. I remember I did not stop, or at least not for more than a day but after treatment for HT my bp always stayed normal with the Parnate, you continue to have high bp. I dont get it. When do you see him
I wont be changing pain meds any time soon. I am currently on Morphine.It is strange that you are having a HC every day. My old pdoc would describe it as something else, not as a HC. I found the following at: http://amc.edu/Amr/archives/200705/Prashant%20Mehta.html
Overview
Hypertensive crisis is typically defined as a blood pressure reading greater than or equal to 180/120 mmHg and is divided into two categories: hypertensive urgency and hypertensive emergency.1 Hypertensive urgency is defined as severe hypertension without signs of end-organ damage and hypertensive emergency includes severe hypertension with end-organ dysfunction.
Epidemiology
Hypertensive crisis cases account for nearly one-fourth of all cases of hypertension seen by the emergency department yearly. It is seen in less than one percent of Americans suffering from hypertension. It typically affects more males than females, and is mostly seen in the 60 to 70 year old age group. Hypertensive crisis is seen most commonly in individuals with diagnosed hypertension, who are either under-treated or noncompliant with medication. It may also present as a consequence of renovascular disease, renal parenchymal disease, adenomas, eclampsia, pheochromocytoma, and head trauma.
I hope you get some answers to the questions you posed online. I have not seen them.
oky
poster:okydoky
thread:859616
URL: http://www.dr-bob.org/babble/20081027/msgs/861005.html