Hctz

To be perfectly honest, I sort of coerced a new doc to let me give it a try.. just a small 12.5 mg dose.. to see if perhaps I'm not losing weight because of some fluid retention... However, I was helped by my bp being up when I was there... that always happens to me when I'm in the docs office, I guess I have a bad case of white coat syndrome, although I don't feel nervous.. anyway.. I just want to see if this works.
 

White coat syndrome is such a pronounced presence in my life that I've convinced my PCP team to ignore their testing results and just look at my BP diary. Fortunately my PCP doc suffer from white coat syndrome too.
 
Josiah said:
White coat syndrome is such a pronounced presence in my life that I've convinced my PCP team to ignore their testing results and just look at my BP diary. Fortunately my PCP doc suffer from white coat syndrome too.
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I know... it's crazy isn't it.. at home my Bp is generally between 110-120 over 70-80... In the doctors office its 150/90... I take Norvasc 5 mg.
 
I have been taking that for years. I was a Kaiser member so they instituted that regimen for their patients back when it was first suggested. My blood pressure,at home,is usually 120/68. I take the minimum dosage and have never had to go to a higher dosage-I`ve been on bp meds for 28 or so years now.
 
Oh,and my bp is almost always higher than they want to see when I go to the docs. Same as you QS-I don`t FEEL nervous but I guess on some level I must be.
 
I was expecting some sort of Pee-O-rama to happen.. Nothing.. It doesn't seem to affect me.. however, I'm only taking 12.5 mg.. along with my 5mg norvasc
 
QuickSilver said:
I know... it's crazy isn't it.. at home my Bp is generally between 110-120 over 70-80... In the doctors office its 150/90... I take Norvasc 5 mg.
Click to expand...

I have that white coat syndrome, too. It got way worse when I was getting ready to have my hips replaced. The nurse at the pre-op place said they wouldn't operate with it as high as it was and told me I had to get meds to lower it, and my regular doc said he was not going to medicate non-existent high blood pressure and I was worried the seeming impasse was going to keep me from getting my hips fixed. So they had me take it the bp at home and keep a log to bring to the anesthesiologist when I went in, which I did. The anesthesiologist said "yeah, this happens all the time" and wasn't nearly as upset about it as that pre-op place was. It all came out fine. I don't know why it goes up so in a clinical setting, but then I get worried that it will, and of course it does. Geez!
 
I think it's a self fulfilling phenomenon.. It happened to me one time... then every time after that, it's on my mind... and running through my head.. "my pressure will be up" "my pressure will be up" and guess what? then it is.
 
My new Dr. is the first who listens intently, and reasons with my concensus. I take Bisoprolol, aka "Ziac", in 1/2 the minimum dosage available, cutting the tablets in two. He totally agreed with my doing that!

Anyhow, Ziac has HCTZ as it's second component, 6.25 mg/tab. Used this stuff for many years, no ill effect (that I know of). Bisoprolol is a Beta Blocker, and lowers heart rate. OK with me, I figger I have a given number of beats left, slower it runs, longer it lasts! (Currently < 60/minute.
 
My B.P. med, Ziac, is a combination Beta Blocker and HCTZ, but only 6.25mg. per daily dose. I have never thought about it adding any urinary symptoms, so I guess it does not. imp
 

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