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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Earlier Had Pre-hypertension. Now Have Headache, Chest Pain, Itching In Chest. Side Effects?

I m a 32 year old working in an office environment (with less movement but stressful environment). About 2 months ago,my Blood pressure was around 140/90 mostly for couple of weeks and one day it went up to 147/100. That day I had a highly stressed out work at office. However when I met my doctor I was diagnosed to have pre-hypertension and doctor prescribed me to take Candesartan 8mg daily. That was 1.5 months ago. From that time onwards I started a radical change in my lifestyle. I started waling & jogging daily for 30-60 minutes and started eating lot of vegetables, fish (especially salmon), nuts (walnuts, almonds) and whole grain cereals. I lost around 4kg during this period. Now I m 83 kg and my height is 5 8 . Now my BP is around 115/79 average and the lowest was yesterday 104/75. My problem is now I have severe headache and light pains/aches near chest, back, arm, joints... I also have a feeling like a vacuum or itching (painless) near center of my chest close to heart from time to time. I feel these may be bcoz of side effects from my medicine. I d like to know whether I can slowly stop taking medication under constant review of BP monitoring, since I have totally changed my lifestyle permanently.
Fri, 16 Aug 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

All the symptoms in your description (headache, joint pains, backpain etc) are typical side effects of Candesartan.

A baseline ECG is essential to rule out any serious cardiac issues as you have a vacuum like tightness in your chest wall.

Simple change in the life style may not be sufficient to lower your blood pressure. Your treating doctor will judge the right thing for you. You should never stop taking medication without consulting your treating doctor.

Hope this information is helpful. Good day
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Earlier Had Pre-hypertension. Now Have Headache, Chest Pain, Itching In Chest. Side Effects?

Hi, thanks for writing to HCM. All the symptoms in your description (headache, joint pains, backpain etc) are typical side effects of Candesartan. A baseline ECG is essential to rule out any serious cardiac issues as you have a vacuum like tightness in your chest wall. Simple change in the life style may not be sufficient to lower your blood pressure. Your treating doctor will judge the right thing for you. You should never stop taking medication without consulting your treating doctor. Hope this information is helpful. Good day