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Is BP Of 137/57 And Pulse Of 87 A Cause For Concern?
Question: My BP is 137/57 and pulse is 87. Is this OK?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would explain that your heart rate and blood pressure values are within the normal ranges and it seems that your actual antihypertensive therapy is effective in controlling high blood pressure.
Regarding the difference between systolic and diastolic blood pressure values, I would explain that it is quite normal for your age and you have nothing to worry about it.
If you are experiencing any palpitations, you may need to discuss with your attending physician on the possibility of raising XXXXXXX dose in order to lower further your heart rate.
Would also advise continue on a healthy lifestyle ( reduce salt and caffeine intake, performing a lot of physical activity like walking and aerobics) in order to maintain normal blood pressure values.
Hope to have been helpful!
If you have any other uncertainties, please do not hesitate to ask me!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would explain that your heart rate and blood pressure values are within the normal ranges and it seems that your actual antihypertensive therapy is effective in controlling high blood pressure.
Regarding the difference between systolic and diastolic blood pressure values, I would explain that it is quite normal for your age and you have nothing to worry about it.
If you are experiencing any palpitations, you may need to discuss with your attending physician on the possibility of raising XXXXXXX dose in order to lower further your heart rate.
Would also advise continue on a healthy lifestyle ( reduce salt and caffeine intake, performing a lot of physical activity like walking and aerobics) in order to maintain normal blood pressure values.
Hope to have been helpful!
If you have any other uncertainties, please do not hesitate to ask me!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I am having a hip replacement in 3 weeks. I have built a tolerance to the Percocet I take. I want to make sure that post op pain control is effective. I can get my Percocet 10/325 intake down to one a day. How long will it take so it will work for me post operatively. I need to get better pain relief than I am currently getting. How long does it take for my system to " clean up".
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello again!
I would recommend reducing the dose of Percocet with one tablet every 3 days in order to avoid withdrawal symptoms.
You can add acetaminophen (not to exceed 3g/day) or alprazolam (Xanax) 0.25mg to help you manage the pain during these days.
You should know that the effects of Percocet usually can last up to 3.5 hours, but it is necessary to reduce the dose gradually in order to avoid possible withdrawal symptoms like pain exacerbation, anxiety, etc.(oxycodone is known to cause addiction and tolerance).
This will help you clean up before the surgery in a gradual way.
Hope you will find this answer helpful!
I remain at your disposal for any other questions, whenever you need!
Best wishes,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello again!
I would recommend reducing the dose of Percocet with one tablet every 3 days in order to avoid withdrawal symptoms.
You can add acetaminophen (not to exceed 3g/day) or alprazolam (Xanax) 0.25mg to help you manage the pain during these days.
You should know that the effects of Percocet usually can last up to 3.5 hours, but it is necessary to reduce the dose gradually in order to avoid possible withdrawal symptoms like pain exacerbation, anxiety, etc.(oxycodone is known to cause addiction and tolerance).
This will help you clean up before the surgery in a gradual way.
Hope you will find this answer helpful!
I remain at your disposal for any other questions, whenever you need!
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
What is the half life of oxycodone?When you quit taking oxycodone how long does it take to get it out of your system???
Brief Answer:
I would explain as follows:
Detailed Answer:
Hi again!
As I explained the half life of oxycodone is really short : 2.5 hours.
It is not very bound to the proteins (45%), which means that is circulates free in your blood.
It is excreted with urination and usually after 5 times the half life (12.5 hours) its traces are not detected in your blood or urine.
But, the problem is the gradual changes in the recepetors in the surface of your cells, where this drugs acts.
These receptors are gradually changes (it is an adverse effect of all opioid drugs), which leads to loss of their activity, loss of their sensitivity for the drug and loss of their number. That is why higher doses are needed after their chronic intake, in order to have the safe effect as before (this phenomena is called tolerance).
The gradual reduce in the dose, can help make gradual changes in the cell receptores, thus leading to increased activity. The process is a little difficult and you may feel withdrawal symptoms during this process (anxiety, pain), but everything will come back to normality after some time, after the gradual reduce of the dose.
Then you will be able to have a higher effect with a lower dose compared to now.
Hope to have clarified some of your uncertainties!
Feel free to ask me again if you have any other questions!
Greetings!
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hi again!
As I explained the half life of oxycodone is really short : 2.5 hours.
It is not very bound to the proteins (45%), which means that is circulates free in your blood.
It is excreted with urination and usually after 5 times the half life (12.5 hours) its traces are not detected in your blood or urine.
But, the problem is the gradual changes in the recepetors in the surface of your cells, where this drugs acts.
These receptors are gradually changes (it is an adverse effect of all opioid drugs), which leads to loss of their activity, loss of their sensitivity for the drug and loss of their number. That is why higher doses are needed after their chronic intake, in order to have the safe effect as before (this phenomena is called tolerance).
The gradual reduce in the dose, can help make gradual changes in the cell receptores, thus leading to increased activity. The process is a little difficult and you may feel withdrawal symptoms during this process (anxiety, pain), but everything will come back to normality after some time, after the gradual reduce of the dose.
Then you will be able to have a higher effect with a lower dose compared to now.
Hope to have clarified some of your uncertainties!
Feel free to ask me again if you have any other questions!
Greetings!
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
How long ng does the " gradual changes in the cell receptors" you mention in paragraph 6 to take place? Thank you.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello again!
Regarding your concern, I would explain that these changes in the cell surface receptors need some days and even weeks to occur.
But, I think that a couple of weeks is enough time for this purpose. That is why I recommended the above mentioned schema for the dose reduction of Percocet.
Hope to have clarified some of your uncertainties!
If you have any other questions, I would be happy to answer!
Regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello again!
Regarding your concern, I would explain that these changes in the cell surface receptors need some days and even weeks to occur.
But, I think that a couple of weeks is enough time for this purpose. That is why I recommended the above mentioned schema for the dose reduction of Percocet.
Hope to have clarified some of your uncertainties!
If you have any other questions, I would be happy to answer!
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you so much, Doctor. I now have a clear understanding. Your answers and help have been immeasurable.
Brief Answer:
You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
If you have any other questions you can ask me directly at any time on the link below:
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765
Wishing all the best,
Dr. Iliri
You are welcome!
Detailed Answer:
I am glad to have been helpful to you!
If you have any other questions you can ask me directly at any time on the link below:
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765
Wishing all the best,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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