Thank you. I am actually a physician myself, sidelined after AML. I underwent a T-cell depleted stem cell transplant 6 years ago. I am now experiencing many of the sequelae of my treatment, which included TBI. I have had fairly stable renal dysfunction until recently, when I developed microalbuminemia and hypertension. I was put on Olmesartan just a few months ago, which was at first very efficacious. Now my blood pressure varies greatly with diastolics as high as the low 90s. All that is background. I also have taken HCTZ for years for renal calcium leak and now take it in a combined Olmesartan 40/HCTZ 25 regimen. I also take Cialis 5 mg daily and Rapaflo 8 mg for BPH. I am experiencing chronic flushing now (skin red to a variable degree most of the day) that I think is temporally related to the Olmesartan. I also have a chronic tension type headache/dizzy feeling (which is unrelated to when my BP is elevated), and my visual acuity seems a bit reduced (as if I need a stronger prescription). The biggest concern is the flushing. I have had my serotonin levels checked, 5HIAA, and chromogranin A. The latter was elevated to around 35. However, I am on chronic PPI therapy, a situation well described to increase CGA by many multiples. There is also no reason to suspect carcinoid syndrome in the absence of any other consistent symptoms. I apologize for rambling, but do you have any explanation for the red face and hands? Is this a side effect that is too seldom to be reported? There is no associated pain in the hands to suggest erythromelalgia.
posted on
Tue, 23 May 2017

Fri, 12 Oct 2018
Answered on

Sat, 13 Oct 2018
Last reviewed on