Re: Post adrenolectomy meds

[Guest guest]

I am lost as to what you're reaching for. I realize that there are many causes of HTN but wasn't this the purpose for the adrenalectomy? And if 120/80 what is it your reaching for? I know they keep lowering the bar on "ideal" but there is also a norm for each individual too and 110/70 isn't optimal for everybody just like some pass out at a 60 blood sugar and some do just fine. Maybe 120/80 post surgery is perfect for your age and body type and as your body recovers.

My question would be why, post surgery, which surgery is supposed to fix the problem, would you need to be on all those meds now? Unless something is amiss or the adrenalectomy in your mind was to fix a different problem (a cortisol and weight issue?).

Diet and exercise, if you've now controlled for hyperaldosteronism by taking out the adrenal (and they work great with PA too), work wonders on blood pressure.

From: lyndarumph <lyndarumph@...>Subject: Post adrenolectomy medshyperaldosteronism Date: Thursday, April 19, 2012, 10:55 AM

If BBCs and CCBs don't work for BP after adrenolectomy what does. Metoprolol didn't work anyway. But because BP is better 120s/80s diastolic runs a little high but it use to be 180s/110. Was taking 360 cardizem 320 divan 40 lisinopril 325 aspirin,minoxidil and HCL 12.5. All once a day plus 50 of toprol. No of them got pressure down.. How can they tell if toprol is working or adrenal gland doing it?

[Guest guest]

If no PA THEN BB and CCBS should work unless out salting. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Apr 19, 2012, at 10:55, lyndarumph <lyndarumph@...> wrote:

If BBCs and CCBs don't work for BP after adrenolectomy what does. Metoprolol didn't work anyway. But because BP is better 120s/80s diastolic runs a little high but it use to be 180s/110. Was taking 360 cardizem 320 divan 40 lisinopril 325 aspirin,minoxidil and HCL 12.5. All once a day plus 50 of toprol. No of them got pressure down.. How can they tell if toprol is working or adrenal gland doing it?

[Guest guest]

got to you before I could but then he should, he's the Pro! I was working

on this exact subject to provide some insight to NIH and had just found the

attached. (I supplied them a copy and printed one for my refridgerator, it

often needs reminding!) My doctor was real happy when she " Finally got my BP

under control at 110/61 " . Four nurses and I disgreed at 2:15 am that morning!

(That's another story!)

, in case you missed it, make sure you note that quote in the upper right:

" Sweat is the best cardiovasculr agent known to man " -Stanford Cardiologist (I

addes & !)

One question - I start to sweat just reading it, is that what you mean? ;>)

Suitable for framing, here it is:

http://www.vaughns-1-pagers.com/medicine/blood-pressure.14.pdf

>

>

> From: lyndarumph <lyndarumph@...>

> Subject: Post adrenolectomy meds

> hyperaldosteronism

> Date: Thursday, April 19, 2012, 10:55 AM

>

>

>

>  

>

>

>

> If BBCs and CCBs don't work for BP after adrenolectomy what does. Metoprolol

didn't work anyway. But because BP is better 120s/80s diastolic runs a little

high but it use to be 180s/110. Was taking 360 cardizem 320 divan 40 lisinopril

325 aspirin,minoxidil and HCL 12.5. All once a day plus 50 of toprol. No of them

got pressure down.. How can they tell if toprol is working or adrenal gland

doing it?

>

[Guest guest]

Reminds me of what I told the PA at cardiac rehab when she was concerned about

how much I was sweating - " Look, I'm working hard here. I used to sweat this

much knitting. "

Thanks for the link.

> >

> >

> > From: lyndarumph <lyndarumph@>

> > Subject: Post adrenolectomy meds

> > hyperaldosteronism

> > Date: Thursday, April 19, 2012, 10:55 AM

> >

> >

> >

> >  

> >

> >

> >

> > If BBCs and CCBs don't work for BP after adrenolectomy what does. Metoprolol

didn't work anyway. But because BP is better 120s/80s diastolic runs a little

high but it use to be 180s/110. Was taking 360 cardizem 320 divan 40 lisinopril

325 aspirin,minoxidil and HCL 12.5. All once a day plus 50 of toprol. No of them

got pressure down.. How can they tell if toprol is working or adrenal gland

doing it?

> >

>

[Guest guest]

I guess u didn't see my previous blog. I was on all those meds before

adrenolectomy and my BP is better but it fluctuates to 150/90s sometimes 150/100

even with metoprolol 100 mg. My question was directed to Dr. Grimm because he

said BBCs and CCBs don't always work so I was asking what does. Because a doc

is not going to be happy about getting a BP up and down. Other gland was fine

and I don't have other med problems.

>

>

> From: lyndarumph <lyndarumph@...>

> Subject: Post adrenolectomy meds

> hyperaldosteronism

> Date: Thursday, April 19, 2012, 10:55 AM

>

>

>

>  

>

>

>

> If BBCs and CCBs don't work for BP after adrenolectomy what does. Metoprolol

didn't work anyway. But because BP is better 120s/80s diastolic runs a little

high but it use to be 180s/110. Was taking 360 cardizem 320 divan 40 lisinopril

325 aspirin,minoxidil and HCL 12.5. All once a day plus 50 of toprol. No of them

got pressure down.. How can they tell if toprol is working or adrenal gland

doing it?

>

[Guest guest]

Had adrenolectomy and had follow up and aldosterone was ok. Not out salting if

that means eating too much salt. Just didnt know why BP fluctuating so much and

taking 100 mg of metoprolol now. Just getting frustrated that's all. Just docs

couldn't figure it out before and just want to be sure the same thing isn't

going on again.Univ of Penn said right gland was ok.

>

> > If BBCs and CCBs don't work for BP after adrenolectomy what does. Metoprolol

didn't work anyway. But because BP is better 120s/80s diastolic runs a little

high but it use to be 180s/110. Was taking 360 cardizem 320 divan 40 lisinopril

325 aspirin,minoxidil and HCL 12.5. All once a day plus 50 of toprol. No of them

got pressure down.. How can they tell if toprol is working or adrenal gland

doing it?

> >

> >

>

[Guest guest]

Saw the website on BP s and sweat. Very good. I do most of those anyway. I

actually had lost 37lbs last year and was at the gym everyday exercising and

eating only fish and vegetables and that was before the adrenolectomy and BP was

in the 180s/110.

BP was really good after adrenolectomy 4 weeks ago. Don't know what's going on

> >

> >

> > From: lyndarumph <lyndarumph@>

> > Subject: Post adrenolectomy meds

> > hyperaldosteronism

> > Date: Thursday, April 19, 2012, 10:55 AM

> >

> >

> >

> >  

> >

> >

> >

> > If BBCs and CCBs don't work for BP after adrenolectomy what does. Metoprolol

didn't work anyway. But because BP is better 120s/80s diastolic runs a little

high but it use to be 180s/110. Was taking 360 cardizem 320 divan 40 lisinopril

325 aspirin,minoxidil and HCL 12.5. All once a day plus 50 of toprol. No of them

got pressure down.. How can they tell if toprol is working or adrenal gland

doing it?

> >

>

[Guest guest]

Don't know if they did biopsy of R gland only the AVS. FHx the elderly that died

was from altzheimers and old age some r still living. Mother had HTN but died

from scleroderma. Don't know father or his family. Now my BP has been as low as

100/80s-130s/90s. Just wondering if metoprolol is working. Took spironolactone

before surgery didn't like side effects that's why I chose surgery.

> > >

> > > > If BBCs and CCBs don't work for BP after adrenolectomy what does.

Metoprolol didn't work anyway. But because BP is better 120s/80s diastolic runs

a little high but it use to be 180s/110. Was taking 360 cardizem 320 divan 40

lisinopril 325 aspirin,minoxidil and HCL 12.5. All once a day plus 50 of toprol.

No of them got pressure down.. How can they tell if toprol is working or adrenal

gland doing it?

> > > >

> > > >

> > >

> >

> >

>

[Guest guest]

Is it the met working or having the adrenalectomy. Met wasn't working before.

Hate taking it. Makes me tired and have a little palpitations after I take it. I

waited all day and didn't take it until later and no palpitations. Soon as I

took it they started. Not a lot but I use to not have them at all until all the

meds. Hate taking meds anyway.

I don't have anything in my home like meds except prescript and aspirin

> > > > >

> > > > > > If BBCs and CCBs don't work for BP after adrenolectomy what does.

Metoprolol didn't work anyway. But because BP is better 120s/80s diastolic runs

a little high but it use to be 180s/110. Was taking 360 cardizem 320 divan 40

lisinopril 325 aspirin,minoxidil and HCL 12.5. All once a day plus 50 of toprol.

No of them got pressure down.. How can they tell if toprol is working or adrenal

gland doing it?

> > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

> >

>

[Guest guest]

How long ago was your ADx? What is your HR and why did your doctor keep you on

Met? Can you detail the Alzheimer a little. Your age and did anyone test your

cortisol?

> > > > > >

> > > > > > > If BBCs and CCBs don't work for BP after adrenolectomy what does.

Metoprolol didn't work anyway. But because BP is better 120s/80s diastolic runs

a little high but it use to be 180s/110. Was taking 360 cardizem 320 divan 40

lisinopril 325 aspirin,minoxidil and HCL 12.5. All once a day plus 50 of toprol.

No of them got pressure down.. How can they tell if toprol is working or adrenal

gland doing it?

> > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > > >

> > > >

> > >

> > >

> >

>

[Guest guest]

Not a lot of detail on alzheimer except great grandmother had it and she died at

age of 104. Grandmother had it and she died at 85. Both got diagnosed in their

mid seventies. I am 54 years old. My heart rate is 60s-80s. I was originally on

cardizem and met because of HTN and after adrenolectomy had atrial fibrillation

so he kept me on it because my BP went up too. Not sure if cortisol was tested

after surgery. Had aldosterone and renin done afterwards and doc said it was ok.

> > > > > > >

> > > > > > > > If BBCs and CCBs don't work for BP after adrenolectomy what

does. Metoprolol didn't work anyway. But because BP is better 120s/80s diastolic

runs a little high but it use to be 180s/110. Was taking 360 cardizem 320 divan

40 lisinopril 325 aspirin,minoxidil and HCL 12.5. All once a day plus 50 of

toprol. No of them got pressure down.. How can they tell if toprol is working or

adrenal gland doing it?

> > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

>

[Guest guest]

ADx that is adrenal diagnosis? That was a year ago.

> > > > > > >

> > > > > > > > If BBCs and CCBs don't work for BP after adrenolectomy what

does. Metoprolol didn't work anyway. But because BP is better 120s/80s diastolic

runs a little high but it use to be 180s/110. Was taking 360 cardizem 320 divan

40 lisinopril 325 aspirin,minoxidil and HCL 12.5. All once a day plus 50 of

toprol. No of them got pressure down.. How can they tell if toprol is working or

adrenal gland doing it?

> > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > > >

> > > > >

> > > >

> > > >

> > >

> >

>

[Guest guest]

Sorry, ADx = ad·re·nal·ec·to·mized Definition of ADRENALECTOMIZED

: having had the adrenal glands surgically removed

(I had to look it up to make sure I was using it correctly!) ;>)

> > > > > > > >

> > > > > > > > > If BBCs and CCBs don't work for BP after adrenolectomy what

does. Metoprolol didn't work anyway. But because BP is better 120s/80s diastolic

runs a little high but it use to be 180s/110. Was taking 360 cardizem 320 divan

40 lisinopril 325 aspirin,minoxidil and HCL 12.5. All once a day plus 50 of

toprol. No of them got pressure down.. How can they tell if toprol is working or

adrenal gland doing it?

> > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

I asked about timing of andrenalectomy because I've seen reports of it taking up to a year to see full benefits. It might be appropriate for you and your doctor to try and step met back. My PCP insisted I stay on a bblocker until NIH wanted it stopped. HR now 68 - 74!

Alzheimer? Cortisol? What was that all about?? Oh Yea, I remember (I shouldn't make light of it, it is a dreadful disease but if I don't smile I start crying!) My Dad died from alzheimer complications at 79 in 1997.

Since I have been made aware of my cortisol issues I have been looking into it and am finding reference to higher cortisol levels in people w/alzheimer. It appears I have a form of heriditary PA and we have been blaming my Mom who had a kidney removed in 1944. I'm now wondering if maybe we need to look at the other parent and will be discussing the whole issue with thr doctors at NIH! (They have all been out of the office but they better have their butts back tomorrow and be redy to answer questions!)

.....

> > > > > > > > > > > > > > > > > If BBCs and CCBs don't work for BP after adrenolectomy what does. Metoprolol didn't work anyway. But because BP is better 120s/80s diastolic runs a little high but it use to be 180s/110. Was taking 360 cardizem 320 divan 40 lisinopril 325 aspirin,minoxidil and HCL 12.5. All once a day plus 50 of toprol. No of them got pressure down.. How can they tell if toprol is working or adrenal gland doing it?> > > > > > > > > > > > > > > > > >> > > > > > > >> > > > > > > > > > > > > >> > > > > >> > > > > > > > > >> > > >> > >> >>

[Guest guest]

Alzheimer's & Dementia are use interchangeably. They may not have the same

cause. Dementia can be caused by high blood pressure. Used to be called harding

or the arteries.

> > > > > > > > >

> > > > > > > > > > If BBCs and CCBs don't work for BP after adrenolectomy

> what does. Metoprolol didn't work anyway. But because BP is better

> 120s/80s diastolic runs a little high but it use to be 180s/110. Was

> taking 360 cardizem 320 divan 40 lisinopril 325 aspirin,minoxidil and

> HCL 12.5. All once a day plus 50 of toprol. No of them got pressure

> down.. How can they tell if toprol is working or adrenal gland doing it?

> > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

Alzheimer is one thing you don't need to explain to me. Having been a caregiver

of 8+ years and watching my father deteriorate, trust me, I KNOW THE DIFFERENCE!

Only idiots use them interchangebly, IMHO!

> > > > > > > > > >

> > > > > > > > > > > If BBCs and CCBs don't work for BP after adrenolectomy

> > what does. Metoprolol didn't work anyway. But because BP is better

> > 120s/80s diastolic runs a little high but it use to be 180s/110. Was

> > taking 360 cardizem 320 divan 40 lisinopril 325 aspirin,minoxidil and

> > HCL 12.5. All once a day plus 50 of toprol. No of them got pressure

> > down.. How can they tell if toprol is working or adrenal gland doing it?

> > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

Lol. Remember u asked me about it. Weird but this week my BP is

100s-115/70s-80s

> > > > > > > > >

> > > > > > > > > > If BBCs and CCBs don't work for BP after adrenolectomy

> what does. Metoprolol didn't work anyway. But because BP is better

> 120s/80s diastolic runs a little high but it use to be 180s/110. Was

> taking 360 cardizem 320 divan 40 lisinopril 325 aspirin,minoxidil and

> HCL 12.5. All once a day plus 50 of toprol. No of them got pressure

> down.. How can they tell if toprol is working or adrenal gland doing it?

> > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

There are many types and etiology of dementia; one if which is alzheimer's.

Stroke due to hypertension or atherosclerosis can also result in dementia.

Aging, Pick's disease, frontal lobe dementia are all other causes and types.

There are also types of Alzheimer's, such as early onset Alzheimer's.

> > > > > > > > > > >

> > > > > > > > > > > > If BBCs and CCBs don't work for BP after adrenolectomy

> > > what does. Metoprolol didn't work anyway. But because BP is better

> > > 120s/80s diastolic runs a little high but it use to be 180s/110. Was

> > > taking 360 cardizem 320 divan 40 lisinopril 325 aspirin,minoxidil and

> > > HCL 12.5. All once a day plus 50 of toprol. No of them got pressure

> > > down.. How can they tell if toprol is working or adrenal gland doing it?

> > > > > > > > > > > >

> > > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

Dr. Grim, I suggest you add a " https:// " in front of that address in step 5 so

it highlights (familyhistory.hhs.gov). Looks good and I just started on a

" family pedigree " , gathering info last w/e. (Dr. Moraitis has asked for it.)

> > > > > > > > > > >

> > > > > > > > > > > > If BBCs and CCBs don't work for BP after

> > adrenolectomy

> > > what does. Metoprolol didn't work anyway. But because BP is better

> > > 120s/80s diastolic runs a little high but it use to be 180s/110. Was

> > > taking 360 cardizem 320 divan 40 lisinopril 325 aspirin,minoxidil

> > and

> > > HCL 12.5. All once a day plus 50 of toprol. No of them got pressure

> > > down.. How can they tell if toprol is working or adrenal gland

> > doing it?

> > > > > > > > > > > >

> > > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

> >

>

[Guest guest]

Hello everyone.

Have been busy. BP doing very well now. Has been highest at 130/84. Been mostly

110-119/70s-80s. Get a little lightheaded at night and it is usually at 100/68.

Have more follow up visits with doc. Might have to wean off metoprolol to 75 mg

instead of 100mg daily.

> > > > > > > > > > > >

> > > > > > > > > > > > > If BBCs and CCBs don't work for BP after

> > > adrenolectomy

> > > > what does. Metoprolol didn't work anyway. But because BP is better

> > > > 120s/80s diastolic runs a little high but it use to be 180s/110. Was

> > > > taking 360 cardizem 320 divan 40 lisinopril 325 aspirin,minoxidil

> > > and

> > > > HCL 12.5. All once a day plus 50 of toprol. No of them got pressure

> > > > down.. How can they tell if toprol is working or adrenal gland

> > > doing it?

> > > > > > > > > > > > >

> > > > > > > > > > > > >

> > > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> > >

> >

>