Perindopril

[Ducky2003]

Howdy all, me again.Had a telephone appt with my EP following April's cardioversion.

All has been well, touch wood, but still waiting for my valve repair op, so the EP is going to chat to the surgeon (I've left messages on his secretary's voicemail but she hasn't got back to me).

Meantime, he has advised me to take 4mg Perindopril. I said I don't have a blood pressure problem, in fact, its very good but he says it helps strengthen the heart muscle.

Anyone else had this prescribed for this reason?

I'm reluctant to take another bloomin tablet and have any associated side effects.

Any thoughts guys?

Thanks in anticipation.

Ang

[SlothOnSpeed]

It is an Angiotensin-converting enzyme (ACE) inhibitors

I was prescribed it to lessen the workload on my heart because of mitral regurgitation.

By Mayo Clinic Staff

These medicines are commonly used to treat high blood pressure, heart problems and more.

Angiotensin-converting enzyme (ACE) inhibitors are medicines that help relax the veins and arteries to lower blood pressure. ACE inhibitors prevent an enzyme in the body from making angiotensin 2, a substance that narrows blood vessels. This narrowing can cause high blood pressure and forces the heart to work harder.

Good luck

[Ducky2003 in reply to SlothOnSpeed]

Thanks. I knew what it was but didn't want to consult Dr Google too much. 😁. Better to ask those who have taken it for reasons other than lowering BP. Are you still on it and any side effects?

[SlothOnSpeed in reply to Ducky2003]

Yes, still on it. I have low blood pressure at baseline, so I did struggle in the beginning.

No other side effects for me,

[Ducky2003 in reply to SlothOnSpeed]

My BP is pretty much perfect (about the only thing that is 😁) so I didn't want that messed up.

[SlothOnSpeed in reply to Ducky2003]

I hear you. Always tough decisions.

[Hidden]

See above. Me too

[Ducky2003 in reply to Hidden]

Thanks Jim. Any side effects?

[Hidden in reply to Ducky2003]

Initial cough, nothing subsequently

[Ducky2003 in reply to Hidden]

Thanks. I had read that was a common side affect and not one I particularly fancy, especially at night. 😊

[Hidden in reply to Ducky2003]

Should settle after a few weeks

[Ppiman]

There are several "cardioprotective" drugs that help the ventricles stay healthy for longer. I was given losartan despite having a normal BP. I read online around this and found evidence that it is not uncommon medical practice and good for us.

Steve

[Ducky2003 in reply to Ppiman]

Thanks Steve. Just didnt want my near perfect BP to drop and face a barage of other side effects.

[Ppiman in reply to Ducky2003]

That's just what I felt. In the event, it hasn't really happened. I think these antihypertensive drugs work only on high blood pressures. On people like you and me, their effect is different. At least, I have found that my BP has been fine, dropping from something like 120/80 to maybe 112/60 at worst, but often still pretty much as before. When I doubled my dose of bisoprolol from 1.25mg to 2.5mg, however, my already of slow heart rate fell further and my BP followed suit, so I did have to go back to 1.25mg.

Steve

[Ducky2003 in reply to Ppiman]

Thanks. My BP is about the one thing that isn't wrong with me 🤣. As for Bisoprolol, I wouldn't take it again for a million quid and a date with Fernando Alonso. 😄

[Ppiman in reply to Ducky2003]

I’ve never heard of him! 😳

Steve

[Ducky2003 in reply to Ppiman]

Very dishy Formula One driver. F1 is my guilty pleasure........ as would be Fernando Alonso, given half a chance. 😁

[Ppiman in reply to Ducky2003]

I can see the allure!! 😊

[Ducky2003 in reply to Ppiman]

🤣. He does raise my pulse rate. 😁

[wilsond]

Morning!No I haven't had that situation. I wonder if its a very low dose, so may not affect your blood pressure too much but add to heart efficiency?

I was prescribed diazapam 4mg for chronic back pain. Immediately thought 'oh I see he's tranquillising me to shut me up complaining!'

But it was explained that the low dose was to relax the muscles.

Hope you get sorted with that valve repair, really far too long now!

Take care Ducky,expect this nice rain is suiting you lol! Xx

[Ducky2003 in reply to wilsond]

I'd rather have the sunshine 😃. Its been 2.5 years since first told I needed the op, then they thought it had improved and took them 6 months to decide it hadn't, then sidelined May last year as I had an eye op, supposed to be back on the list July last year and haven't heard a thing since.Secretary doesn't bother returning calls. Dr Yusuf was not impressed at all.

[wilsond in reply to Ducky2003]

Ooh Ducky I think it's time for banging on desks. That's ridiculous 😒 Could PALS liason? Or we could do a 2 woman vocal protest out the front,get Coventry Live in?you must be so frustrated 😠

[Ducky2003 in reply to wilsond]

They will have you back on the Diazapam if you start misbehaving 🤣.No need for banging. Dr Yusuf told me he was going to speak to the surgeon himself..... and he will.

I suppose I could have been more proactive myself but pushed it to the "don't want to think about it" section in my head. Having to have the DCCV in April has brought it to the forefront again.

I've got a break booked in October so they'll have to wait for after that. I've put things off for the past 2.5 years, in case I got a call so I'm not putting this off.

[Bolander]

I am probably an isolated case. but when I was prescribed perindopril during and after an angioplasty I suffered a permanent reduction in kidney function. The patient information information leaflet says that your GP may want to do blood tests to check that your kidneys are working well.

[Ducky2003 in reply to Bolander]

Gosh, that doesn't sound good. How long were you taking it for? Did you have any kidney issues prior? I have previously so will get back in touch with the EP.

[Hidden]

Love your F1 dreams ❤️❤️

[Bolander]

Unfortunately I was under the care of a consultant who refused to believe that Amiodarone had significant side effects. It was only after six months when I saw a doctor from the team that had carried out the angioplasty and mentioned the side effects that I was put onto Sotalol instead. I had no kidney problems previously, and the deterioration was only picked up by a routine blood test.

[Ducky2003 in reply to Bolander]

Sorry, you have confused me. Are you saying the kidney issues were caused by Perindopril or Amiodarone?

[Bolander]

Sorry my mistake, I've had problems with both, but the kidney problem was down to Perindopril and nothing to do with Amiodarone. In a hurry to reply I got confused.

[Ducky2003 in reply to Bolander]

Thanks for clarification. I've been on Amiodarone for a few years, without kidney problems, so did wonder. Thanks again.😊