If 100 mg. Inspra 2x/day w/Dash doesn't control BP - should I try more Inspra?

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If 100 mg. Inspra in the morning and an additional 100 mg. Inspra in the evening does not control my blood pressure should I try more Inspra?

I am also taking 5 mg. of Norvasc (amlodipine) at night but my blood pressure is still not controlled. I have 2+ swelling in my ankles from the Norvasc. I am also using the DASH diet meticulously but it does not improve my blood pressure.I drink lots of water each day because I am thirsty all the time - especially after I urinate.Currently my blood pressure is about 150/100 but at times it is only 140/90 as verified by testing with 2 blood pressure monitors to verify the results.Please advise.

[Guest guest]

Have your team check your urine Na and K and creatine to document your FASHING. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Apr 4, 2012, at 19:10, airlinerg <airlinerg@...> wrote:

If 100 mg. Inspra in the morning and an additional 100 mg. Inspra in the evening does not control my blood pressure should I try more Inspra?

I am also taking 5 mg. of Norvasc (amlodipine) at night but my blood pressure is still not controlled. I have 2+ swelling in my ankles from the Norvasc. I am also using the DASH diet meticulously but it does not improve my blood pressure.I drink lots of water each day because I am thirsty all the time - especially after I urinate.Currently my blood pressure is about 150/100 but at times it is only 140/90 as verified by testing with 2 blood pressure monitors to verify the results.Please advise.

[Guest guest]

I just got my 24 hour urine results back from April 4, 2012. Period 24 hoursVolume 4514 mlCreatinine 37.4 mg/dlCreatinine/TV 1.7 g/24 hoursPotassium 24.2 mmol/lPotassium/TV 109 mmol/24 hoursSodium 31 mmol/lSodium/TV 140 mmol/24 hoursMicroalbumin 1.8 mg/dlMicroalbuin, mg/day 81.3 mg/24 hours abnormal - (normal 2 - 21 mg/24 hours)

> > > If 100 mg. Inspra in the morning and an additional 100 mg. Inspra in the evening does not control my blood pressure should I try more Inspra? I am also taking 5 mg. of Norvasc (amlodipine) at night but my blood pressure is still not controlled. I have 2+ swelling in my ankles from the Norvasc. I am also using the DASH diet meticulously but it does not improve my blood pressure.> > > > > > I drink lots of water each day because I am thirsty all the time - especially after I urinate.> > > > Currently my blood pressure is about 150/100 but at times it is only 140/90 as verified by testing with 2 blood pressure monitors to verify the results.> > > > Please advise.> > > > > >>

[Guest guest]

WOW You are over twice as good as me! I'm on 24hr urine every day while here at

NIH and have about half that everyday except yesterday when the " sap didn't run

as well " . (I accused them of building a new " yellow pool " , sorry !

> >

> > > If 100 mg. Inspra in the morning and an additional 100 mg. Inspra

> in the evening does not control my blood pressure should I try more

> Inspra? I am also taking 5 mg. of Norvasc (amlodipine) at night but my

> blood pressure is still not controlled. I have 2+ swelling in my ankles

> from the Norvasc. I am also using the DASH diet meticulously but it does

> not improve my blood pressure.

> > >

> > >

> > > I drink lots of water each day because I am thirsty all the time -

> especially after I urinate.

> > >

> > > Currently my blood pressure is about 150/100 but at times it is only

> 140/90 as verified by testing with 2 blood pressure monitors to verify

> the results.

> > >

> > > Please advise.

> > >

> > >

> > >

> >

>

[Guest guest]

Try less salt first. You may be outsalting inspraMay your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Apr 6, 2012, at 18:18, airlinerg <airlinerg@...> wrote:

I just got my 24 hour urine results back from April 4, 2012. Period 24 hoursVolume 4514 mlCreatinine 37.4 mg/dlCreatinine/TV 1.7 g/24 hoursPotassium 24.2 mmol/lPotassium/TV 109 mmol/24 hoursSodium 31 mmol/lSodium/TV 140 mmol/24 hoursMicroalbumin 1.8 mg/dlMicroalbuin, mg/day 81.3 mg/24 hours abnormal - (normal 2 - 21 mg/24 hours)

> > > If 100 mg. Inspra in the morning and an additional 100 mg. Inspra in the evening does not control my blood pressure should I try more Inspra? I am also taking 5 mg. of Norvasc (amlodipine) at night but my blood pressure is still not controlled. I have 2+ swelling in my ankles from the Norvasc. I am also using the DASH diet meticulously but it does not improve my blood pressure.> > > > > > I drink lots of water each day because I am thirsty all the time - especially after I urinate.> >

> > Currently my blood pressure is about 150/100 but at times it is only 140/90 as verified by testing with 2 blood pressure monitors to verify the results.> > > > Please advise.> > > > > >>

[Guest guest]

My doctor wants me to take 200 mg Inspra in the AM and 200 mg Inspra in the PM. He said Inspra is a weak diuretic.The insurance company and the pharmacy are already questioning why I need more than 50 mg of Inspra per day because that is the FDA approved dose for congestive heart failure and it is an off label use for hyperaldosteronism.I cannot take Spironolactone (aldactone) and Midamor (amiloride) didn't do enough.My doctor says he might want me to try Midamor combined with Inspra s0 what do you think of that?Is there anyway I can do a home test for Potassium to see if my blood level has too much Potassium?

> > > > > > > If 100 mg. Inspra in the morning and an additional 100 mg. Inspra in the evening does not control my blood pressure should I try more Inspra? I am also taking 5 mg. of Norvasc (amlodipine) at night but my blood pressure is still not controlled. I have 2+ swelling in my ankles from the Norvasc. I am also using the DASH diet meticulously but it does not improve my blood pressure.> > > > > > > > > > > > I drink lots of water each day because I am thirsty all the time - especially after I urinate.> > > > > > > > Currently my blood pressure is about 150/100 but at times it is only 140/90 as verified by testing with 2 blood pressure monitors to verify the results.> > > > > > > > Please advise.> > > > > > > > > > > >> > >> >>

[Guest guest]

Do you have any normal bands for these values? Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of airlinerg I just got my 24 hour urine results back from April 4, 2012. Period 24 hoursVolume 4514 mlCreatinine 37.4 mg/dlCreatinine/TV 1.7 g/24 hoursPotassium 24.2 mmol/lPotassium/TV 109 mmol/24 hoursSodium 31 mmol/lSodium/TV 140 mmol/24 hoursMicroalbumin 1.8 mg/dlMicroalbuin, mg/day 81.3 mg/24 hours abnormal - (normal 2 - 21 mg/24 hours) >> Have your team check your urine Na and K and creatine to document your FASHING.

[Guest guest]

Hi Valarie, I have not heard from you for ages. How are you?No I do not have any normal ranges for these 24 hour urine results - that's why I am hoping Dr. Grim will help me understand them in detail.Thanks for asking.> >> > Have your team check your urine Na and K and creatine to document your> FASHING.>