Bloodpressure and CKD 3B: I have been on... - Kidney Disease

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Bloodpressure and CKD 3B

Raclette profile image
21 Replies

I have been on losartan potassium 50mg for a few years now and have no side effects as far as I know. How ever my systolic bloodpressure does not seem to come down although the diastolic is reasonabke 170/84.

If I take more the diastolic gets too low and makes me dizzy - I am in the UK and do not get enough advice, just have to do a lot of reading myself which does not get me anywhere really. Any ideas anyone? Also have CKD 3AB with no symptoms really, so just watching my diet now!

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Raclette profile image
Raclette
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21 Replies
jodaer profile image
jodaer

I don't have anything to add other than what does your doctor say? Have you discussed this with him? I would think he would be more concerned about the systolic number. Good luck.

Raclette profile image
Raclette in reply to jodaer

thank you - Dr offered to increase dose but I said no because of dizzyness! Did not want to change to Dixozosin because of their side dffects - so still wondering what to do next!

jodaer profile image
jodaer in reply to Raclette

You got me to thinking too. I looked up my BP med and it's in the same class as Losartan. Pretty much the same side effects. I've been wondering lately if some if not all of my pain is from meds. I'm almost tempted to stop them all and see what happens. Except maybe my diabetes drugs. I probably won't though.

Raclette profile image
Raclette in reply to jodaer

sorry I cannot really help as the only other tablets I take is Multi for over 70’s and peppermint capsules for Hiatus Hernia x

jodaer profile image
jodaer in reply to Raclette

Lucky you

wheezoids21 profile image
wheezoids21

Hi. I take a different class of bp medication and used to take a diuretic with that to balance out the potassium issues it caused. I also had serious problems with it being too low and fainting all the time and generally feeling unwell. The dr took me off the diuretic and has gradually been upping my bp dose. For years i was told i just had to suck it up and put up with the fainting as the meds were saving my life. Eventually i did a cardiac stress test and was told that the low bp was doing more harm than good and was unnecessary. I feel much better now and my bp average 117/68. So i think it might be worth pushing the issue and maybe changing your medications. The diastolic is just as important, although systolic has been in the limelight forever so thats what we believe.

Raclette profile image
Raclette in reply to wheezoids21

thank you for reply - will give it some thoughts

userotc profile image
userotc

Sorry you've had little, relevant advice so far but I think it's wrong for responses on a forum to offer advice re medication. Personally I think your experience (and other responders) illustrates the need to try to wean off drugs over time. We managed to do that for my mum (ckd3, was on bisoporol) several years ago by radically improving nutrition and wellbeing (more than "just watching" diet).A qualified, specialised Nutritional Therapist should be able to help.

jodaer profile image
jodaer in reply to userotc

I don't think we are offering advice so much as relating our experiences and thoughts.

drmind profile image
drmind in reply to jodaer

I agree that we are only sharing experiences. I think its always important to know this.

Raclette profile image
Raclette in reply to userotc

I read a lot on diet re CKD so it is not just watching, it is doing!

PecanSandie profile image
PecanSandie

As a person who most likely developed kidney disease because of HBP, I think that a bit of dizziness is better than what happens if your BP goes unchecked. Metoprolol used to make me dizzy and I stopped taking it and, of course, my BP went back up. I now take 75 mg of Metoprolol a day and 25 mg of Amlodopine and that seems to do the trick. I don't know what the standards for BP are in the UK, but in the US normal BP is now under 120 (It used to be normal was 120-140).

Raclette profile image
Raclette in reply to PecanSandie

thanks for your thoughts and figures are the same here in the UK 120/80

horsie63 profile image
horsie63

I was taking Losartan at a low dose with no side effects with the exception of my potassium being high/normal. Neph took me off and potassium dropped but right now my diastolic is running in the 90's. I also take carvederol 3.125 mg once a day; and diltiazen 60 mg three times a day. While I worry about my kidneys I also worry about my heart.

Raclette profile image
Raclette in reply to horsie63

thanks for your info

Darlenia profile image
Darlenia

Honestly, if we had the opportunity to "do over" our experience with kidney issues, we would have gotten perspective and final approval for all blood pressure decisions from our cardiologist The cardiologists are ones with the greatest and most complete information on blood pressure treatment. It's a team - each member has their specialized skill sets.

drmind profile image
drmind

I think that the BP that you listed is high. You need to consult with your medical team and work on getting a medication regime that works. I take Valstartan/HCL 160mg/12.5 mg and 50 mg Metoprolol daily and this seems to be getting my BP to stay around the normal range. Metoprolol was added about a year ago. At first, it was 100 mg a day and then dropped to 50 mg. Sharing my information and hoping it helps.

Raclette profile image
Raclette in reply to drmind

yes thank you I am aware of it and will try to sort it

Do you know what your heart rate is? Probably 15 years ago, my rate was around 88 bpm and I had high BP. My doctor prescribed Carvedilol twice a day and that helped control my BP plus brought my heart rate down to around 75. Five years ago, I contracted an autoimmune disease which damaged my kidneys so my Nephrologist added Losartin to my meds list. At a recent visit to my pain doctor's office, my BP was 126/67. That is very good for a 71 year old.

Raclette profile image
Raclette in reply to

I am very pleased for you my bpm fluctuates between 53-58 according to Fitbit

jodaer profile image
jodaer

I've had low BP all my life. I first went on BP meds because I had just been dx with diabetes, T-2, and my endo at the time said it was necessary not because of high BP but because of BP in the kidneys. There's a difference. He explained and I understood but not enough to explain it to others. Generally, my BP is low, just a few minutes ago it was 98/48. I think part of my kidney issues are from the meds. I think i will discuss this with new neph when I see her next.

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