Re: Meds and Aldo Renin Levels

[Guest guest]

Yes I can but they are in the Endo soc guidelines and JNC 7. I don't have time to do it all unless hired to do that. Suspect others here will help. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jan 22, 2012, at 20:04, maggiekat7 <ljurkovic@...> wrote:

I read the files on meds that raise/lower levels. And meds that don't mess with the levels for eval of PA. It classifies them as Alpha, Beta, or Calcium Channel Blockers, etc. Can any of you give me a list of brand or generic names of these meds? I am out of my league and don't know if Norvasc is one of these, or any of my other meds are either. Thanks!

[Guest guest]

Norvasc is a calcium channel blocker.

When I first started getting tested for PA, I was on Cardizem (also a calcium

channel blocker) and Diovan (an ARB). At my first appointment with the

nephrologist who eventually diagnosed me, the bloodwork that was done to test

the aldosterone-renin ratio came back as normal - a false negative.

He had me stop both the Cardizem and Diovan and re-test 2 weeks later. This was

when I tested positive for PA.

Interesting side note: immediately after stopping the Diovan and Cardizem, my BP

dropped from 160s/100s to 140s/90s. In other words, the anti-hypertensives

actually INCREASED my BP.

So, I can't say with any certainty which of the two meds caused the false

negative. My doctor's recommendation was to do all testing while not on any meds

at all, which is what I ended up doing for the better part of last year.

Hope that helps!

-msmith1928

successful laparoscopic left adrenalectomy 10/13/2011

>

> I read the files on meds that raise/lower levels. And meds that don't mess

with the levels for eval of PA. It classifies them as Alpha, Beta, or Calcium

Channel Blockers, etc. Can any of you give me a list of brand or generic names

of these meds? I am out of my league and don't know if Norvasc is one of these,

or any of my other meds are either. Thanks!

>

[Guest guest]

The file you want is Evolution_of_PA-Grim.pdf. It is about 1/2 way down in the

list of files.

> >

> > I read the files on meds that raise/lower levels. And meds that don't mess

with the levels for eval of PA. It classifies them as Alpha, Beta, or Calcium

Channel Blockers, etc. Can any of you give me a list of brand or generic names

of these meds? I am out of my league and don't know if Norvasc is one of these,

or any of my other meds are either. Thanks!

> >

>

[Guest guest]

No complications in 600 pts off meds? That's something worth mentioning

The abstract of the Alderman/Laragh article is on Pubmed but there are no free

full-text sources that I can find:

http://www.ncbi.nlm.nih.gov/pubmed/20725055

The conclusion was that low-renin pts had an elevated BP response to

beta-blockers or ACEIs frequently enough to be of concern. I'd suggest adding

CCBs and/or ARBs to that list of meds, as I was on neither BB or ACEI.

> > >

> > > I read the files on meds that raise/lower levels. And meds that

> > don't mess with the levels for eval of PA. It classifies them as

> > Alpha, Beta, or Calcium Channel Blockers, etc. Can any of you give

> > me a list of brand or generic names of these meds? I am out of my

> > league and don't know if Norvasc is one of these, or any of my other

> > meds are either. Thanks!

> > >

> >

> >

>

[Guest guest]

I suggest you bookmark MedlinePlus

http://www.nlm.nih.gov/medlineplus/medlineplus.html

It usually tells you the class of medicine in addition to other useful

informtion. Here is part of what it says for Norvasc:

" Norvasc® see Amlodipine

Why is this medication prescribed?

.

Amlodipine is used alone or in combination with other medications to treat high

blood pressure and chest pain (angina). Amlodipine is in a class of medications

called calcium channel blockers. It lowers blood pressure by relaxing the blood

vessels so the heart does not have to pump as hard. It controls chest pain by

increasing the supply of blood to the heart. If taken regularly, amlodipine

controls chest pain, but it does not stop chest pain once it starts. Your doctor

may prescribe a different medication to take when you have chest pain. "

- 65 yo super ob., fastidious male - 12mm X 13mm rt. a.adnoma with

previous rt. flank pain. Treating with DASH. Stats w/o meds = BP 175/90 HR 59

BS 125. D/C Spironolactone 12/20/2011 due to adverse SX.

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, Gynecomastia, MDD

and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg aspirin and

Metformin 2000MG. Started washing Spironolactone 12/20/11 to prepare for AVS.

>

> I read the files on meds that raise/lower levels. And meds that don't mess

with the levels for eval of PA. It classifies them as Alpha, Beta, or Calcium

Channel Blockers, etc. Can any of you give me a list of brand or generic names

of these meds? I am out of my league and don't know if Norvasc is one of these,

or any of my other meds are either. Thanks!

>