
What Causes Chronic Swelling In The Ankles While On Amlodipine?

I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
Welcome back on HCM!
I am glad you find my recommendations helpful!
It is true that amlodipine can contribute in leg swelling, as all calcium channel blockers do.
A Doppler ultrasound of the leg vessels would help examine your veins and exclude possible chronic venous insufficiency as a possible cause of leg swelling.
Another point to consider would be review again your cardiac function by performing a new cardiac ultrasound.
Regarding lisinopril, I would recommend starting a loop diuretic like torasemide.
It is similar to furosemide ( I know about your past problems with furosemide), but it does not have the same adverse effects.
I would also recommend you to follow my advice to start methyldopa, which is a central antihypertensive drug, which can be really helpful to have a better control of your blood pressure.
Hope to have been helpful!
I remain at your disposal for any other questions, whenever you need!
Kind regards,
Dr. Iliri


I would recommend as follows:
Detailed Answer:
Hello again Bobby!
Hydrochlorothyazide is another type of diuretic and it can be taken concomitantly with Torasemide. There is nothing wrong in this combination.
So you can take both Valsartan 160/12.5 and Torasemide.
I would recommend starting with 2.5-5 mg/day initially; increasing to 10 mg/day after 4 weeks.
It will help with the leg swelling too, as it is a diuretic.
Besides, adding Methyldopa to your actual therapy (instead of clonidine) will help you have a better control of your blood pressure through 24 hours.
Hope to have been helpful!
Kind regards,
Dr. Iliri


I would explain as follows:
Detailed Answer:
Dear XXXXXXX
I would like to explain you that clonidine and spironolactone are drugs much older than methyldopa.
Besides, methyldopa is still the only drug approved in hypertensive pregnant women. So, it is certainly used in nowadays.
While spironolactone has a really low antihypertensive effect. It will not help in controlling your blood pressure. It is mainly used when combined with hydroclorothyazide and furasemide in order to help increase potassium levels.
So, taking spironolactone will only help increase your potassium levels (especially when considering that you are taking valsartan), but I don't think that it will show any spectacular effect on your blood pressure.
I strongly recommend you to add methyldopa. Although it is not a new drug, it is has shown to be really helpful in some cases of uncontrolled high blood pressure.
From the other hand, spironolactone is a weak diuretic. It can not substitute torasemide, especially for the treatment of your swollen legs.
So, I hope you consider my opinion on these drugs.
I remain at your disposal if you have any other uncertainties whenever you need.
Regards,
Dr. Iliri


I would recommend as follows:
Detailed Answer:
Dear XXXXXXX
I would recommend starting first Methyldopa and increase gradually the dose up to 1000mg daily (you can take tow tablets in the evening, one at lunch and one in the morning) and then try to add torasemide if your blood pressure is still not under control.
Torasemide can be really helpful for your swollen legs too. You can also take 750mg methyldopa per day and then start torasemide. (1000mg/day is the maximal daily dose for methyldopa).
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
Best wishes,
Dr. Iliri


My personal link as follows:
Detailed Answer:
Dear XXXXXXX
I am glad to have been helpful to you!
You can ask me directly at any time if you have any other questions on the link below:
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765
I would be happy to answer to all your questions!
Wishing all the best,
Dr. Iliri

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