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Q: Low blood pressure due to meds
asked by: lesliebaker1 on October 18th, 2008
New User
My wife has a list of issues that she lives with - Migraines, Fibromyalgia, Diabetes, IBS, GERDS, High Blood Pressure, C5-7 bulging disks....

Some of her meds are Lisinopril for high blood pressure, metformin for Diabetes, Lasix for water retention, another for high cholesterol, ... the list has several.

She saw her doctor yesterday and was given Trimex to stop a migraine. Then was told to start Inderal as a migraine preventative last night and then to take the rest of her medications about an hour later as prescribed. So she did.

While at work last night her legs became numb for a short period. The Inderal is supposed to be taken twice a day and then she's supposed to take her Lisinopril at night.

Today, after taking her morning dose of Inderal, within a 1/2 hour or so, she became very unstable on her feet. She sat down on the couch and within minutes was sleeping.

I took her blood pressure here about a 1/2 hour ago. Normally it runs anywhere form 130/80 to 140 / 90 with the Lisinopril in her system. This time, her blood pressure was 95/55 and she can barely keep her eyes open. She appears drunk without the alcohol and cannot walk without someone guiding her so that she does not fall down. She is complaining of not feeling good and cannot keep her eyes open.

My wife stands 5'5" tall and is currently 250 pounds.

What can I do or should I do? I'm extremely worried about her and this is not normal behavior for her. Her face is flushed also and she just cannot stay awake.

Please respond.

Thank you
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MandMs
replied on October 19th, 2008
Extremely eHealthy
Hi!
Along with migraine prevention, hypertension is another indication for Inderal.
So, taken with Lisinopril at the same time or soon one after another, can result in interaction that leads to decreasing the blood pressure too much.

You should inform her physician as soon as possible, and ask for eventual adjustment of her medicines.
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Fairy Godmother
replied on October 19th, 2008
Supporter
Hi
MandMs knows her stuff..please do call your wifes physican ASAP and get this under control. Now, please do not take this wrong, but 5' 5" @ 250 pounds, explains a lots of your wifes problems. She needs to begin a diet of heart healthy foods and she needs to start an exercise program (daily). If this is nothing more than walking 20 minutes a day. Being overweight puts a lot of stress on a body and many of her health problems can and will be eliminated once she gets to a healthy weight. You could ask your wifes physican to refer a dietician to help you. Hope this has helped some. It sure saved my own Mothers life!
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lesliebaker1
replied on October 20th, 2008
New User
Update
I appreciate the response MandMs.

Fairy Godmother, my wife is quite knowledgeable about different medical issues; but while I have medical comprehension under my belt, my wife and I differ in some of the areas. That is why I wrote to the forum.

As for the exericse part - my wife swims at least a half mile about three times a week at the fitness center doing laps in an olympic sized pool. And, if you were to put a meter on her ankle and clock how much walking she does at work, you'd be surprised. She does and has done water therapy for over ten years now due to her Fibromyalgia and a recent dx of Rheumatoid Arthritis on top of her other conditions. She's aware about the weight issues and so is her docs and can and will eliminate completely or to a degree wise. Just keep in mind that some of her issues came before the weight gain and getting to a healthy weight is not always the answer. She was diabetic before the weight gain. She had Fibromyalgia before the weight gain. She had been diagnosed with the the bulging disks and the GERDS before the weight gain. When she was diagnosed with those particular conditions, she was about 137 pounds. Please take great care at making the "healthy weight" statement because while I know I did not take offense, my wife or someone else could have. You didn't know the history because I didn't give it.

My wife for many years worked in the medical field and she's anal about the timing on her meds. She used to provide heart and diabetic education with her patients amongst other care given. She sat me down yesterday and had a long talk with me because I, in her eyes, was over reacting to the situation. She was the nurse and had told me that she just needed to sleep on Saturday, and for the record, she had said she was not taking any more until she had spoken with her doctor.

My wife was not always heavy set. She was very much trim and in shape in her early adult years. Her weight issues began after an auto accident that left her temporarily paralyzed from the neck down for almost 2 months while she was pregnant many years ago. She had a lot of hills to climb due to that accident to get better. However, her weight gain was medicationally induced; it was not because of bad eating habits, binging, laziness, etc. She has been on a heart friendly / diabetic diet for many years now also.

As for an update, she spoke with her doctor and she has eliminated the Inderal as a migraine preventative. She's suffered from migraines since she was in her teens and has run the gamant on meds to prevent them over the years.

The doctor said they would eventually try something else.

We know the Treximet worked to stop her migraines. This was a plus. It's the preventative side we're looking at.

As for Saturday - my wife had educated me on everything Friday after going to her doctor and this new process was beginning.

Sorry, but I can't help but loving her and kinda tend to worry even when she has the sniffles. She rolls her eyes at me and shakes her head but I'm not as even keeled as she is and I tend to overreact with concern when something is not right. If it were me or one of our children with an issue... she'd just calmly deal with it, evaluate the situation and go from there.
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MandMs
replied on October 21st, 2008
Extremely eHealthy
lesliebaker1!
You are welcome!

Please, don't take Fairy Godmother's statement as something insulting!
Her attends are always supportive and helpful.
She just shared the personal experience she had with her mother.

Weight gain or increased difficulty losing weight despites diet and exercise, can be a symptom of under active thyroid gland or hypothyroidism.
Joint and muscle pain and stiffness are common hypothyroid symptoms that usually improve with thyroid hormone replacement therapy. Some patients may have Rheumatoid Arthritis as a co-morbid to autoimmune thyroid disease.
Fibromyalgia has autoimmune nature like the most frequent cause of hypothyroidism, Hashimoto thyroiditis.
Some experts think that fibromyalgia symptoms are due to low metabolism in hypothyroidism sufferer.
Diabetes is frequent scenario in patients with hypothyroidism.
Hypothyroidism when present leads to hypertension, too.

My suggestion will be to get checked for thyroid hormones if she hasn't been recently.
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