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Which Is The Most Potent Orthostatic Hypotensive Medication To Regulate BP?
Question: Please advise Dr Saghafi that I am taking his advice, started a log of pressure measurements and will review with my Doctors shortly. I learned new information from his analysis, did not realize the body had such capabilities to control the blood pressure based on standing, sitting or prone. Will create a chart using 5 successive days will all five medications, one at a time removed and chart each, summarize to identify that low blood pressure is or is not the issue and what charges occur when each med is remove. Thank you. Will advise results.
Brief Answer:
Amazing what Nature has Thought of wouldn't you say?
Detailed Answer:
Again, once again, I think this is the first time in my career as a physician that I've heard of a patient starting a 5x5 matrix analysis of his medication list when it comes to determining the most potent Orthostatic Hypotensive Medication that they could be taking. I can tell you that real world medicine would simply be measuring your pressures in the office and making some alteration to your regimen based on what the doctor feels is the most plausible agent that they can retire from your regimen OR determining how to reduce some dosages of all or some of the medications and that would be the "analysis."
Again, I applaud your efforts but urge you to be doing this in concert with your doctor. I would not want to see YOU taking down a certain med that your doctor would not agree to stopping just for the purpose of this analysis because that could cause complications to your condition.
Please keep in mind that your symptom of dizziness could potentially also be due to something other than the side effects or side to side reactions of your medications such as stroke or insufficient circulation going to the brainstem referred to as VBI (vertebrobasilar insufficiency). Of course, VBI can be exacerbated by low pressure heads of blood due to medication but it could also be due to obstructions in the circulatory tree as well.
In any case I am happy to answer more questions. In the end when you have completed your analysis also keep in mind that the final determination as to which (if any) medication or medications appears to be "most responsible" for your condition must be that of your doctor. You can certainly present them with the data you've collected but your welfare depends upon their making any final decisions as to which medications should stay and which should be modified or discontinued.
Cheers!
If you get a chance to also rate the previous question that is now closed with a HIGH STAR RATING along with some feedback in addition to this one if you have no further comments I would be very grateful. Such ratings and patient opinions are very helpful to others looking for our advice and guidance as telemedicine doctors.
Write to me any time at: bit.ly/drdariushsaghafi for additional comments, concerns, or to provide status updates if you'd like which I would love to receive from you to see just what has been discovered.
Many thanks for thinking of me again. Be well.
This consult request has taken a total of 26 minutes of time to read, research, and respond.
Amazing what Nature has Thought of wouldn't you say?
Detailed Answer:
Again, once again, I think this is the first time in my career as a physician that I've heard of a patient starting a 5x5 matrix analysis of his medication list when it comes to determining the most potent Orthostatic Hypotensive Medication that they could be taking. I can tell you that real world medicine would simply be measuring your pressures in the office and making some alteration to your regimen based on what the doctor feels is the most plausible agent that they can retire from your regimen OR determining how to reduce some dosages of all or some of the medications and that would be the "analysis."
Again, I applaud your efforts but urge you to be doing this in concert with your doctor. I would not want to see YOU taking down a certain med that your doctor would not agree to stopping just for the purpose of this analysis because that could cause complications to your condition.
Please keep in mind that your symptom of dizziness could potentially also be due to something other than the side effects or side to side reactions of your medications such as stroke or insufficient circulation going to the brainstem referred to as VBI (vertebrobasilar insufficiency). Of course, VBI can be exacerbated by low pressure heads of blood due to medication but it could also be due to obstructions in the circulatory tree as well.
In any case I am happy to answer more questions. In the end when you have completed your analysis also keep in mind that the final determination as to which (if any) medication or medications appears to be "most responsible" for your condition must be that of your doctor. You can certainly present them with the data you've collected but your welfare depends upon their making any final decisions as to which medications should stay and which should be modified or discontinued.
Cheers!
If you get a chance to also rate the previous question that is now closed with a HIGH STAR RATING along with some feedback in addition to this one if you have no further comments I would be very grateful. Such ratings and patient opinions are very helpful to others looking for our advice and guidance as telemedicine doctors.
Write to me any time at: bit.ly/drdariushsaghafi for additional comments, concerns, or to provide status updates if you'd like which I would love to receive from you to see just what has been discovered.
Many thanks for thinking of me again. Be well.
This consult request has taken a total of 26 minutes of time to read, research, and respond.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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