Update on spiro, cholesterol & me

[Guest guest]

Well, I saw my endo today for a checkup and saw the results of the

cholesterol test I had last week. Remember that I was told by my eye

doctor to get a cholesterol test because I have a thin white ring

around my irises which is cholesterol and which she sees in people who

are older or who have high cholesterol.

Well, my cholesterol is absolutely perfect! Better than it has ever

been in my entire life. Optimal numbers on total cholesterol,

triglycerides, LDL -- amazing. And I have never had anything better

than a borderling high cholesterol test in my life, so this is a real

change.

I'm supposed to stay on the spiro and the 5 mg Norvasc, experimenting

with cutting back the spiro from 100 to 50 mg daily, just to see what

the lowest maintenance dose I can be on is.

Anyway, that's my report. Em

[Guest guest]

Don't forget to keep DASHing. Excess aldo has to have salt to cause

high blood pressure.

Why the choice to lower spiro rather than Norvasc?

If spiro would do it alone(with low salt) that would be my choice.

But discuss with your team.

CE Grim MD

On Oct 28, 2008, at 3:10 PM, em5704 wrote:

> Well, I saw my endo today for a checkup and saw the results of the

> cholesterol test I had last week. Remember that I was told by my eye

> doctor to get a cholesterol test because I have a thin white ring

> around my irises which is cholesterol and which she sees in people who

> are older or who have high cholesterol.

>

> Well, my cholesterol is absolutely perfect! Better than it has ever

> been in my entire life. Optimal numbers on total cholesterol,

> triglycerides, LDL -- amazing. And I have never had anything better

> than a borderling high cholesterol test in my life, so this is a real

> change.

>

> I'm supposed to stay on the spiro and the 5 mg Norvasc, experimenting

> with cutting back the spiro from 100 to 50 mg daily, just to see what

> the lowest maintenance dose I can be on is.

>

> Anyway, that's my report. Em

>

>

>

May your pressure be low!



CE Grim BS, MS, MD

High Blood Pressure Consulting

Senior Consultant to Shared Care Research and Education Consulting

Inc.(sharedcareinc.com)

Clinical Professor of Internal Medicine Medical and Cardiology

Medical College of Wisconsin

Board certified in Internal Med, Geriatrics and Hypertension.

Interests:

1. Difficult to control high blood pressure.

2. The effect of recent evolutionary forces on high blood pressure

in human populations.

3. Improving blood pressure measurement in the office and out.

[Guest guest]

100 mg daily spiro and low salt alone were not giving me consistent

BP control. When I was under just a normal amount of stress (dashing

around doing errands, working) or was very happy-excited or anxious-

tense, my BP would shoot up to high 140s/90-92. I had a 155/94

reading one day last week for no reason other than it was a busy day

at work.

When I added back the 5 mg Norvasc to the spiro, my BP came down and

has remained consistently below 130/85. Since hypertension runs in my

family (both parents, and 3 out of 4 grandparents), I guess I'm just

one of those people who needs spiro + BP med.

It was my request to try to lower the spiro from 100 to 50. I would

like to be on the lowest maintenence dose I can. It may not be enough

to keep my K etc in balance. It's just an experiment.

I would really rather not increase the spiro for now. It took my a

long time for my stomach to adjust, even breaking it up into two

doses and taking it with milk. I also have significant breast

tenderness, some times worse than others. So I dont want to increase

the spiro.

I may ask to try Inspra next time I see him.

>

> > Well, I saw my endo today for a checkup and saw the results of the

> > cholesterol test I had last week. Remember that I was told by my

eye

> > doctor to get a cholesterol test because I have a thin white ring

> > around my irises which is cholesterol and which she sees in

people who

> > are older or who have high cholesterol.

> >

> > Well, my cholesterol is absolutely perfect! Better than it has

ever

> > been in my entire life. Optimal numbers on total cholesterol,

> > triglycerides, LDL -- amazing. And I have never had anything

better

> > than a borderling high cholesterol test in my life, so this is a

real

> > change.

> >

> > I'm supposed to stay on the spiro and the 5 mg Norvasc,

experimenting

> > with cutting back the spiro from 100 to 50 mg daily, just to see

what

> > the lowest maintenance dose I can be on is.

> >

> > Anyway, that's my report. Em

> >

> >

> >

>

> May your pressure be low!

>

>

> 

>

>

>

>

>

>

> CE Grim BS, MS, MD

>

> High Blood Pressure Consulting

>

> Senior Consultant to Shared Care Research and Education Consulting

> Inc.(sharedcareinc.com)

>

> Clinical Professor of Internal Medicine Medical and Cardiology

> Medical College of Wisconsin

>

> Board certified in Internal Med, Geriatrics and Hypertension.

>

> Interests:

> 1. Difficult to control high blood pressure.

> 2. The effect of recent evolutionary forces on high blood

pressure

> in human populations.

> 3. Improving blood pressure measurement in the office and out.

>

>

>

>

>

>

>

[Guest guest]

Well you didnt mention this.

Again a reading of what you recorded as high would be fairly common

in those whose average BP is >140/90. It is the running average that

is the most important. I do not changes meds base on one or even a

few high readings.

It is the average.

On Oct 28, 2008, at 7:21 PM, em5704 wrote:

> I also have significant breast

> tenderness, some times worse than others. So I dont want to increase

> the spiro.

May your pressure be low!



CE Grim BS, MS, MD

High Blood Pressure Consulting

Senior Consultant to Shared Care Research and Education Consulting

Inc.(sharedcareinc.com)

Clinical Professor of Internal Medicine Medical and Cardiology

Medical College of Wisconsin

Board certified in Internal Med, Geriatrics and Hypertension.

Interests:

1. Difficult to control high blood pressure.

2. The effect of recent evolutionary forces on high blood pressure

in human populations.

3. Improving blood pressure measurement in the office and out.