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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Excessive Tiredness Despite Taking Cymbalta And Aspirin For High BP?

my doctor has me on Cozaar 100mg . i monitor my blood pressure every day. Every morning it s in the 165/102 or 158/90 before my meds. the rest of the day i m ok except around 3:00 or 4:00 it drops lower than 120/80. and i feel weak and awful. the only other px i take is cymbalta 50, + aspirin, and lasix 40gr. i just feel tired all the time and want to do so much but I can t. My legs are done by supper time and i can barely walk normal. I ask my dr. if my heart and everything is ok and after all test he says yes. so what s up with the blood pressure? I m 72 but i look and think like 62, love to garden but just too tired.
Thu, 24 May 2018
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Cardiologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Controlling blood pressure drugs differs every now and then according to guidelines. In ages above 55 years patients are preferred to be managed on calcium channel blockers as the first line and then combined with the second line which is ACE inhibitor or ARBs (Cozaar). You didn't mention how many years you suffer from hypertension. You should know that a long standing hypertension may affect some blood vessels especially the renal artery, the condition may worse if associated with diabetes. Cymbalta may produce high blood pressure in some patients as a side effect. So, you may need to visit your doctor for some studies. You have to checked whether that hypertension is due to Cymbalta or just inefficient hypertension drugs or complications. You should not be worry anyway as all these conditions are reversible and treatable.

I wish this information helps.

Wish you a good health!

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What Causes Excessive Tiredness Despite Taking Cymbalta And Aspirin For High BP?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Controlling blood pressure drugs differs every now and then according to guidelines. In ages above 55 years patients are preferred to be managed on calcium channel blockers as the first line and then combined with the second line which is ACE inhibitor or ARBs (Cozaar). You didn t mention how many years you suffer from hypertension. You should know that a long standing hypertension may affect some blood vessels especially the renal artery, the condition may worse if associated with diabetes. Cymbalta may produce high blood pressure in some patients as a side effect. So, you may need to visit your doctor for some studies. You have to checked whether that hypertension is due to Cymbalta or just inefficient hypertension drugs or complications. You should not be worry anyway as all these conditions are reversible and treatable. I wish this information helps. Wish you a good health!