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Olddaddy

Blood pressure

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Posted

My doctor 👨‍⚕️has suggested I go on blood pressure medication 

i won't say what my BP is but he said anything over 150 is alarming and suggested Dilart 

I told him to f....off 🗣️🗯️

 

 

 

Posted
1 hour ago, Olddaddy said:

I told him to f....off 🗣️🗯️

You self admittingly don't have many years left , so why worry.

What is your blood pressure?

Too bad you didn't find a MB that was a medical dr instead of a psychiatrist 😳 

Posted
2 hours ago, floridarob said:

You self admittingly don't have many years left , so why worry.

What is your blood pressure?

Too bad you didn't find a MB that was a medical dr instead of a psychiatrist 😳 

Grow old disgracefully is my motto 

My BP according to the doctors nurses was 162 over 120 I think it was , something like that 

The nurse after my reading took me back to the waiting room to wait for the doctor again ...happy he didn't charge me for the second visit to his rooms ,he said that reading is too high !

I said I feel ok doctor and to his shock I got out of the chair and done 3 squats ,he looked shocked 😳

He said you may feel ok but you need Dilart 40 mg a day 💊...I said "doctor I don't need this ,you are just trying to get $$$ from the medical companies 

 

I need more African cock not Dilart  🍆

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Posted
17 hours ago, Olddaddy said:

I told him to f....off 🗣️🗯️

 

I essentially do the same when warranted, but applying the Ignore-the-Bore account feature. 

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Posted
13 hours ago, Olddaddy said:

Grow old disgracefully is my motto 

My BP according to the doctors nurses was 162 over 120 I think it was , something like that 

The nurse after my reading took me back to the waiting room to wait for the doctor again ...happy he didn't charge me for the second visit to his rooms ,he said that reading is too high !

I said I feel ok doctor and to his shock I got out of the chair and done 3 squats ,he looked shocked 😳

He said you may feel ok but you need Dilart 40 mg a day 💊...I said "doctor I don't need this ,you are just trying to get $$$ from the medical companies 

 

I need more African cock not Dilart  🍆

Like much (or probably most) of medicine, the purpose of blood pressure medications is not to immediately make you feel better, but rather to prevent bad things from happening. Over time, hypertension causes arteries to harden and narrow, which will cause a drop in blood flow to various organs, including the brain, heart, kidneys, eyes, legs, and penis. This increases the risk of stroke, dementia, heart attack, heart failure, renal failure (which would require dialysis 3 times a week), blindness, difficulty walking distances, and inability to sustain erections. 

Health Threats from High Blood Pressure | American Heart AssociationAbout High Blood Pressure | High Blood Pressure | CDC

While it is true that one shouldn't diagnose hypertension from a single reading, your single reading is certainly alarming, unless you were visiting the doctor for a highly painful or anxiety-inducing reason, such as passing a kidney stone, a horrible migraine, etc., in which case the increase in BP could have been temporary and adaptive. One would almost never, for instance, diagnose hypertension due to a reading obtained in an emergency room (you'd broken your leg in a car accident, for example). 

At the very least, you should do home blood pressure checks, which must be done correctly in order to be accurate. The readings must be taken when you're calm, not in pain, resting for 5 minutes, back supported, feet flat on the floor, not talking, and cuff on a bare arm at heart level (arm supported). 

cardi-oh-the-5rs-accurate-blood-pressure-measurement-for-patients.jpgAHA-Blood-Pressure-Monitoring-Instructions-791x1024.png

In any case, the patent for valsartan (the active ingredient in Dilart) ran out well over a decade ago, so it is not being marketed by any pharmaceutical company. While it is true that pharmaceutical companies may take physicians out to dinner in order to attend educational/promotional talks for new medications, these are never done for medications which are off patent, for obvious reasons. There is no way your physician can benefit in any way for prescribing valsartan, unless he's also a pharmacist and literally selling them to you himself. (As an aside, I prefer telmisartan over valsartan, because it has better activity over a 24-hour period, but either is fine. Telmisartan is also off patent and relatively inexpensive). 

If your blood pressure is really that high, you should be checked to see that you don't have another medical condition which is causing your blood pressure to be so high (although that's not the case 90% of the time), also known as secondary hypertension (as opposed to regular, primary hypertension, sometimes called "essential hypertension."). In any case, I hope you can discuss your health in a polite, respectful way with your physician, and that you try to educate yourself on a subject before proclaiming superior knowledge to someone who's dedicated his career to health. 

 

Posted
38 minutes ago, unicorn said:

Like much (or probably most) of medicine, the purpose of blood pressure medications is not to immediately make you feel better, but rather to prevent bad things from happening. Over time, hypertension causes arteries to harden and narrow, which will cause a drop in blood flow to various organs, including the brain, heart, kidneys, eyes, legs, and penis. This increases the risk of stroke, dementia, heart attack, heart failure, renal failure (which would require dialysis 3 times a week), blindness, difficulty walking distances, and inability to sustain erections

Sounds like a checklist of ailments you or one of you have mentioned here at one time or another.....😳

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Posted

If you're going to take valsartan, which has a half-life of about 9 hours, as opposed to telmisartan, which has a half-life of 24 hours, I recommend taking it at bedtime, as blood pressure are highest after waking up in the morning. Most heart attacks and strokes also happen in the morning. The activity of valsartan wanes towards the end of its dosing schedule.

Plasma elimination half-lives of angiotensin II receptor blockers... |  Download Scientific Diagram

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Posted
1 hour ago, Olddaddy said:

I have decided to take this valsartan / dilart 40mg a day see if it works

One can't make much of one blood pressure reading, and I'd again encourage proper home BP monitoring, which is all the more accurate and inexpensive. That being said, 40 mg of valsartan is a low dose, and it's very unlikely to bring BP down that much. If the BP you mentioned is at all reflective of your real resting blood pressure (which it may not be--I don't know why you were at the doctor's or how your BP was measured), then you will almost certainly need at least a higher dose, and probably more than one medication as well. Also, you should be checked for other conditions which can increase your blood pressure. Among these, obstructive sleep apnea is probably the most common. If you're big and/or snore, then that should be checked. 

ASK DIS: ARB Dose Conversions

Sleep Apnea Diagnosis, Treatment Crucial to Improving Driver Safety - Penske

OSA Questionnaire - STOPBANG #Diagnosis #PrimaryCare ... | GrepMed

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