Ask Dr. Rowena

Photo Dr. Rowena Your questions about high blood pressure answered by a board certified doctor. Browse the categories in the left menu.

Getting off of beta blockers.

Q: How do I get off of Beta Blockers? I’m currently taking Propranolol, 20 mg 3 times a day and have over 7 side effects. I’ve heard you have to wean off very slowly and carefully. I also take Captopril.

A: You should always discuss stopping...

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The effect of salt solutions on blood pressure.

Q: When preparing for a colonoscopy, the doctor requests a person to drink a solution that contains 5500 mg sodium. He maintains it passes right through and won’t affect blood pressure. My mother had a heart attack after consuming the solution. Your comments please?

A: The...

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How fast blood pressure can be lowered.

Q: How fast can blood pressure be lowered, and what would you have to do, i am scheduled to have surgery and it can’t be done if my pressure is not down, i am taking 3 different types of medication for this and fish oil....

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Best ways to minimize medication or combination of medications.

Q: 3-and-a-half years ago, at age 60, I had a massive hemorrhagic stroke. A neurologist believes the stroke was a secondary effect of an explosion in which I was previously. I am fortunately doing well. My blood tests are good, including no heart or kidney...

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Diuretics and high blood pressure.

Q: I am taking Diovan 320 but I still get high blood pressure at various times, particularly in the morning or late in the afternoon. My doctor wanted to add a diuretic but I didn’t fill the prescription bacause they cause a loss of sodium...

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Natural remedies to lowering blood pressure.

Q: I havea rare type of blood pressure called NMH (neurally mediated hypotension) which causes my blood pressure to go high and then drop instantaneously to a low blood pressure–my heart specialist has me on a two combo pack of high blood pressure pills -80...

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Systolic rising during exercise, diastolic stays the same.

Q: With medication, my normal BP averages 125/70. Exercising (HR 120>) causes the systolic to rise significantly while the diastolic remains the same. (Difference can be 100 points). Cause and solution?

A: With exercise, diastolic blood pressure normally does not change or just drops slightly.  Systolic...

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Overcoming side effects of drugs.

Q: I am an otherwise robust and healthy 58 year old woman (6 ft tall, 160 lbs, excellent blood cholesterol) taking carvedilol, 6.25 mg 2x/day for high blood pressure. I know the hbp is directly linked to the stress of my job, but the...

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Experiencing atrial fibrillation while at rest.

Q: I am 75 and have always been in good shape. Lately, I am experiencing some atrial fibrillation when at rest. My heart rate is very low (low 40th) when at rest. My blood pressure at rest is usually less than 100 over 60. Should...

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Weight gain from hypertension medication.

Q: I am on Sular,Metatoprol XL(both generic) and Diovan, I am having trouble losing weight after a 80 lb drop, my fitness is much improved and working out and jogging several times a week, Can any of these meds hinder weight loss?

A:...

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