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Old 05-19-2019, 04:01 PM
 
Location: Washington state
5,351 posts, read 2,721,701 times
Reputation: 16003

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Quote:
Originally Posted by jaminhealth View Post
Ever is a long long time. I took A/D's for 10 years but found the real problem in my body...Thyroid.
I have a huge problem with overheating. I can walk into a grocery store and shop for 30 minutes and standing in line, I look like I've run a marathon, with sweat dripping off my face and the back of my shirt completely wet.

I've been to multiple doctors about this and when I can finally find one who doesn't just pat me on the head and tell me it's menopause (trust me, it ain't), they run a thyroid test. It always comes back normal. In fact, my thyroid might be the most normal thing about me.

Thank you for the suggestion, though. And the rep!

 
Old 05-19-2019, 04:10 PM
 
Location: Southern California
23,155 posts, read 8,035,587 times
Reputation: 15137
Quote:
Originally Posted by rodentraiser View Post
I have a huge problem with overheating. I can walk into a grocery store and shop for 30 minutes and standing in line, I look like I've run a marathon, with sweat dripping off my face and the back of my shirt completely wet.

I've been to multiple doctors about this and when I can finally find one who doesn't just pat me on the head and tell me it's menopause (trust me, it ain't), they run a thyroid test. It always comes back normal. In fact, my thyroid might be the most normal thing about me.

Thank you for the suggestion, though. And the rep!
I got that "normal" mantra for 10 miserable years until a smart MD just started me on a theraputic dose of support and sure enough, that was it. He did no labs, went by no numbers....old time smart docs before labs ruled. The lab numbers took that all away.
 
Old 05-19-2019, 04:43 PM
 
Location: SW Florida
9,661 posts, read 6,959,908 times
Reputation: 13962
Quote:
Originally Posted by CrownVic95 View Post
Mine too, but for me it's not gonna happen now with afib. I refused to even consider taking ANY drugs for my first 65 years. And, in hindsight, that refusal to take seriously all the drama thrown at me in my much younger years about my blood pressure could well be a factor in my developing afib. That said, I had plenty of good reason for my nearly life-long skepticism of the system and the rigidity of their BP hysteria.

High blood pressure is an afib risk factor, so they say. Perhaps so, but my BP has been my only risk factor for it other than age. I'm thinking age is likely the granddaddy of all the risk factors. Anyway now this guy who abhorred the idea of even 1 drug and being chained to the medical industry is taking 3 - for life. I try not to even think about what may lie ahead.

I'm sorry to hear that, unfortunately I have to admit to being in more or less the same boat. Including more or less ignoring my hypertension for too many years, or not keeping close enough tabs on it for too many more, with the assumption that if I'm taking meds for it, and taking a sometimes half-***** swipe at a healthy diet and exercise it MUST be under control but checking only rarely. I wantedas little to do as possible with the medical profession, at least as a patient. I know better, I have a strong family history of drug resistant hypertension (my dad had it, as do two of my siblings), and my blood pressure has always been hard to control. So it was dumb of me to choose to ignore it instead of dealing with it.

Now I guess the chickens come home to roost, my karma arrives, or something like that. Not afib (at least not yet), but I've had an tachyarrhythmia for years (SVT, they tell me) that I've taken metoprolol to control and for the most part it's done a good job. But with too many breakthroughs and the development of progressively worsening symptomatic bradycardia along with the tachycardia over the last couple years my cardiologist referred me to a cardiac electrophysiologist.

So the EP tells me the SVT is most likely atrial tachycardia (hard to ablate and not always successful, and hard to control with meds after a while), and I'm now facing the possibility of a pacemaker and increase in meds if the diltiazem he switched me to doesn't control the tachycardia and resolve the bradycardia. He didn't take ablation off the table, but we'll see.

I know my blood pressure is not all that well under control, even with the meds, diet and exercise, and the EP got on me about the atrociously high readings in my medical records. He told me that if I didn't get the BP under control, the tachycardia would get worse, and I WOULD get a-fib. He believes the SVT is likely due to, as he stated, atrial myopathy and fibrosis associated with long term hypertension. He added a diuretic (chlorthalidone) to the meds I take for bp, with plans to increase the dosage of thalidone, then add an alpha blocker if this doesn't control the bp.

So yeah, long standing hypertension can be and is a strong factor in the development of the atrial pathology that may cause atrial fibrillation. And in my case I guess it may well be that this pathology (including fibrosis) is making mincemeat out of my sinus node, hence the bradycardia, though they tell me that's also a function of age, and I'm 71.

So I guess we suck it up, take our meds and be glad there are means out there to keep the worst at bay, hopefully.
 
Old 05-19-2019, 06:56 PM
 
Location: New Britain, CT
760 posts, read 271,212 times
Reputation: 1114
My generic Viagra seems to work. Just wish I had more opportunity to use it.....LOL ALL of my prescriptions are generic. I just assume that they are what they are supposed to be.
 
Old 05-19-2019, 07:32 PM
 
Location: SF Bay Area
8,479 posts, read 6,098,988 times
Reputation: 8359
Quote:
Originally Posted by Travelassie View Post
Telmisartan, that's a new one for me. Gotta look into it. I've taken Losartan for a number of years, haven't had any issues with it, far as I can tell. Even the manufacturers for the prescriptions I have have not been involved in the recent recalls.

I guess I need strong too. Strong family history of resistant hypertension and I guess I have been blessed with it too.
Here's a good place to start....

https://www.goodrx.com/blog/valsarta...n-telmisartan/

There are lots more very scholarly articles out there if you have the time and motivational interest to go through them. I read for many, many hours before deciding on Telmisartan. But the one linked above is an excellent simple summary.
 
Old 05-19-2019, 07:46 PM
 
Location: SF Bay Area
8,479 posts, read 6,098,988 times
Reputation: 8359
Quote:
Originally Posted by Travelassie View Post
I'm sorry to hear that, unfortunately I have to admit to being in more or less the same boat. Including more or less ignoring my hypertension for too many years, or not keeping close enough tabs on it for too many more, with the assumption that if I'm taking meds for it, and taking a sometimes half-***** swipe at a healthy diet and exercise it MUST be under control but checking only rarely. I wantedas little to do as possible with the medical profession, at least as a patient. I know better, I have a strong family history of drug resistant hypertension (my dad had it, as do two of my siblings), and my blood pressure has always been hard to control. So it was dumb of me to choose to ignore it instead of dealing with it.

Now I guess the chickens come home to roost, my karma arrives, or something like that. Not afib (at least not yet), but I've had an tachyarrhythmia for years (SVT, they tell me) that I've taken metoprolol to control and for the most part it's done a good job. But with too many breakthroughs and the development of progressively worsening symptomatic bradycardia along with the tachycardia over the last couple years my cardiologist referred me to a cardiac electrophysiologist.

So the EP tells me the SVT is most likely atrial tachycardia (hard to ablate and not always successful, and hard to control with meds after a while), and I'm now facing the possibility of a pacemaker and increase in meds if the diltiazem he switched me to doesn't control the tachycardia and resolve the bradycardia. He didn't take ablation off the table, but we'll see.

I know my blood pressure is not all that well under control, even with the meds, diet and exercise, and the EP got on me about the atrociously high readings in my medical records. He told me that if I didn't get the BP under control, the tachycardia would get worse, and I WOULD get a-fib. He believes the SVT is likely due to, as he stated, atrial myopathy and fibrosis associated with long term hypertension. He added a diuretic (chlorthalidone) to the meds I take for bp, with plans to increase the dosage of thalidone, then add an alpha blocker if this doesn't control the bp.

So yeah, long standing hypertension can be and is a strong factor in the development of the atrial pathology that may cause atrial fibrillation. And in my case I guess it may well be that this pathology (including fibrosis) is making mincemeat out of my sinus node, hence the bradycardia, though they tell me that's also a function of age, and I'm 71.

So I guess we suck it up, take our meds and be glad there are means out there to keep the worst at bay, hopefully.
Sounds like your situation is more complicated. I'm a little confused about how you can have tachycardia (fast heart rate) and bradycardia (slow heart rate) at the same time. Do you have some degree of AV block that explains this? If so, do you or they know what caused the block?
 
Old 05-19-2019, 08:08 PM
 
Location: Central IL
15,037 posts, read 8,390,770 times
Reputation: 35216
Quote:
Originally Posted by jaminhealth View Post
I got that "normal" mantra for 10 miserable years until a smart MD just started me on a theraputic dose of support and sure enough, that was it. He did no labs, went by no numbers....old time smart docs before labs ruled. The lab numbers took that all away.
Hey - what "support" are you getting? Are you HYPOthyroid? What's your actual diagnosis and treatment if you're not depressed?
 
Old 05-19-2019, 09:26 PM
 
6,818 posts, read 3,799,360 times
Reputation: 14515
Quote:
Originally Posted by jaminhealth View Post
I only take 2 BP meds that are generic but more to think about but I won't dwell on what I do but thought I'd share this for others to "think" ....

https://www.npr.org/sections/health-...e-as-you-think
One may want to "think" about exactly what the article says. Neither this article nor any citations from the book upon which the article is based offers a single reference that indicates the medications are impure or ineffective. Insufficient reference is given here to any of the "tactics" referred to that the author claims indicate subversion in manufacturing or regulating these products.

One would expect at least a few examples of these pharmaceuticals being of inferior quality, if such examples exist based on laboratory testing rather than insinuation.
 
Old 05-19-2019, 09:32 PM
 
Location: Southern California
23,155 posts, read 8,035,587 times
Reputation: 15137
Quote:
Originally Posted by kokonutty View Post
One may want to "think" about exactly what the article says. Neither this article nor any citations from the book upon which the article is based offers a single reference that indicates the medications are impure or ineffective. Insufficient reference is given here to any of the "tactics" referred to that the author claims indicate subversion in manufacturing or regulating these products.

One would expect at least a few examples of these pharmaceuticals being of inferior quality, if such examples exist based on laboratory testing rather than insinuation.
Read it, I read it a couple times. Enough doubt to make me think.
 
Old 05-19-2019, 09:36 PM
 
352 posts, read 159,768 times
Reputation: 311
Quote:
Originally Posted by jaminhealth View Post
I got that "normal" mantra for 10 miserable years until a smart MD just started me on a theraputic dose of support and sure enough, that was it. He did no labs, went by no numbers....old time smart docs before labs ruled. The lab numbers took that all away.

That is very dangerous for hormones and grounds for malpractice and reprimanding by the state boards. You don't want to make a hypothryoid or someone with normal thyroid levels hyperthyroid. Testing TSH levels before initiating levothyroxine has been the standard of practice since the drug was approved in the 1950s.


These recalls for losartan/valsartan are only for specific manufacturers and lots. They are common drugs and so there are many manufacturers.



In case anyone is interested, assuming there are no last minute surprises, the next new generic will be Lyrica (pregabalin) in early July. The official patent expiration date is June 30.
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