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8 Responses to “why would I still have high blood pressure on these doses of medications?”
To answer the question real bluntly the pain you are in can be causing you to have high blood pressure. If your pain gets controlled then your BP might stabilize.
You never mentioned your age. Verapamil and Propranolol are unusual anti hypertensives (not commonly prescribed as anti hypertensives). They may be used as anti-migraine, which in your case you may have, from what you describe. Then again Verapamil is also used as a drug to regularize heart rate that was not regular to begin with.
If you are worried from your hypertension perspective, see a Cardiologist. Get to know your B.P, ideal body weight, serum creatinine, Lipid profile, urine for micro-albuminuria, ECG, chest Xray and a 2D Echo if your insurance permits.
Take it from there….
You might need to see a cardiologist. many people with high blood pressure need to be on multiple drugs you might need to be on a “cocktail”. Also do not discount the effect of pain, diet (sodium) and stress.
Years ago I was in a high pressure job and had uncontrolled migraines.After I quit the job from hell, got the correct daily medication for the migraines. My B/P went from 220/120 on three medications to normal on a single med in two months. There is hope for your migraines and your BP you need to talk to your docs and make sure your docs talk to each other.
there are different psyiological reasons why high blood pressure occurs. and their are different drugs that act on different things. for instance verapamil acts on the smooth muscle in the arteries and the heart. it stops the influx of calcuim into the muscle which in turn acts on the contractility of the heart and dialates the ateries in turn lowering blood pressure. but there could be other issues causing blood pressure to be high. to much blood volume. it could be kidney related. many people are on a diuretic just for hypertension. if you flush water out you are not letting it be absorbed in the kidney and put into the blood so there for the over all volume is lower so the pressure is lower. idural is a beta blocker that slows heart rate and affects contractility as well.
Different drugs act on different targets. usually those with hypertension find their self on several different medications. and the fact that you have been on them for a while my indicate that you may have more of a tolerance to the medication maybe it needs to be switched. different people react differntly to medications. you should be talking to your doctor regulating blood pressure can take a while and can be a pain. good luck.
given the multitude of BP meds available, each can act differently on the body and each body can respond differently to the drug…many of the meds are used for purposes other than primary treatment of hypertension…just because one med is classified as an anti hypertensive, or if it is known to decrease BP, or the side effect is it may decrease BP, doesn’t always mean that your BP will drop when you take this drug…and so just because you are on these meds to treat your migraines, if your BP remains high, you may require an increased dose or an additional drug or two.
Blood pressure (strictly speaking: vascular pressure) refers to the force exerted by circulating blood on the walls of blood vessels, and constitutes one of the principal vital signs. The pressure of the circulating blood decreases as blood moves through arteries, arterioles, capillaries, and veins; the term blood pressure generally refers to arterial pressure, i.e., the pressure in the larger arteries, arteries being the blood vessels which take blood away from the heart. Arterial pressure is most commonly measured via a sphygmomanometer, which uses the height of a column of mercury to reflect the circulating pressure (see Non-invasive measurement). Although many modern vascular pressure devices no longer use mercury, vascular pressure values are still universally reported in millimetres of mercury (mmHg).
The systolic arterial pressure is defined as the peak pressure in the arteries, which occurs near the beginning of the cardiac cycle; the diastolic arterial pressure is the lowest pressure (at the resting phase of the cardiac cycle). The average pressure throughout the cardiac cycle is reported as mean arterial pressure; the pulse pressure reflects the difference between the maximum and minimum pressures measured.
Typical values for a resting, healthy adult human are approximately 120 mmHg (16 kPa) systolic and 80 mmHg (11 kPa) diastolic (written as 120/80 mmHg, and spoken as “one twenty over eighty”) with large individual variations. These measures of arterial pressure are not static, but undergo natural variations from one heartbeat to another and throughout the day (in a circadian rhythm); they also change in response to stress, nutritional factors, drugs, or disease. Hypertension refers to arterial pressure being abnormally high, as opposed to hypotension, when it is abnormally low. Along with body temperature, blood pressure measurements are the most commonly measured physiological parameters.
1st, if the avg is 133/88, it is not bad…yet. Kudos for wanting to keep it healthy. 2nd, I wonder, have you had a sleep study? Undiagnosed sleep apnea (wether central or obstructive) can cause hypertension. 3rd, and probably less likely, would be something less common like a renal artery stenosis. As another response stated, thoses meds are not the best for blood pressure.
Side note: See your primary doc more often and find out why he isn’t concerned about your blood pressure. He might be able to help you figure something out or be able to say which specialist to see.
November 6th, 2008 at 5:02 pm
Guy Kamm
Proabably genetics or a reaction to the medicine. Are you stressed out????
November 8th, 2008 at 12:23 pm
Bryan Haydon
To answer the question real bluntly the pain you are in can be causing you to have high blood pressure. If your pain gets controlled then your BP might stabilize.
November 10th, 2008 at 4:46 pm
Dianne Bisson
You never mentioned your age. Verapamil and Propranolol are unusual anti hypertensives (not commonly prescribed as anti hypertensives). They may be used as anti-migraine, which in your case you may have, from what you describe. Then again Verapamil is also used as a drug to regularize heart rate that was not regular to begin with.
If you are worried from your hypertension perspective, see a Cardiologist. Get to know your B.P, ideal body weight, serum creatinine, Lipid profile, urine for micro-albuminuria, ECG, chest Xray and a 2D Echo if your insurance permits.
Take it from there….
November 10th, 2008 at 9:23 pm
Douglas Funke
You might need to see a cardiologist. many people with high blood pressure need to be on multiple drugs you might need to be on a “cocktail”. Also do not discount the effect of pain, diet (sodium) and stress.
Years ago I was in a high pressure job and had uncontrolled migraines.After I quit the job from hell, got the correct daily medication for the migraines. My B/P went from 220/120 on three medications to normal on a single med in two months. There is hope for your migraines and your BP you need to talk to your docs and make sure your docs talk to each other.
Good luck.
November 11th, 2008 at 7:39 pm
Maggie Munro
there are different psyiological reasons why high blood pressure occurs. and their are different drugs that act on different things. for instance verapamil acts on the smooth muscle in the arteries and the heart. it stops the influx of calcuim into the muscle which in turn acts on the contractility of the heart and dialates the ateries in turn lowering blood pressure. but there could be other issues causing blood pressure to be high. to much blood volume. it could be kidney related. many people are on a diuretic just for hypertension. if you flush water out you are not letting it be absorbed in the kidney and put into the blood so there for the over all volume is lower so the pressure is lower. idural is a beta blocker that slows heart rate and affects contractility as well.
Different drugs act on different targets. usually those with hypertension find their self on several different medications. and the fact that you have been on them for a while my indicate that you may have more of a tolerance to the medication maybe it needs to be switched. different people react differntly to medications. you should be talking to your doctor regulating blood pressure can take a while and can be a pain. good luck.
November 14th, 2008 at 6:09 am
Martin Falls
given the multitude of BP meds available, each can act differently on the body and each body can respond differently to the drug…many of the meds are used for purposes other than primary treatment of hypertension…just because one med is classified as an anti hypertensive, or if it is known to decrease BP, or the side effect is it may decrease BP, doesn’t always mean that your BP will drop when you take this drug…and so just because you are on these meds to treat your migraines, if your BP remains high, you may require an increased dose or an additional drug or two.
November 15th, 2008 at 5:41 am
Susan Shears
Blood pressure (strictly speaking: vascular pressure) refers to the force exerted by circulating blood on the walls of blood vessels, and constitutes one of the principal vital signs. The pressure of the circulating blood decreases as blood moves through arteries, arterioles, capillaries, and veins; the term blood pressure generally refers to arterial pressure, i.e., the pressure in the larger arteries, arteries being the blood vessels which take blood away from the heart. Arterial pressure is most commonly measured via a sphygmomanometer, which uses the height of a column of mercury to reflect the circulating pressure (see Non-invasive measurement). Although many modern vascular pressure devices no longer use mercury, vascular pressure values are still universally reported in millimetres of mercury (mmHg).
The systolic arterial pressure is defined as the peak pressure in the arteries, which occurs near the beginning of the cardiac cycle; the diastolic arterial pressure is the lowest pressure (at the resting phase of the cardiac cycle). The average pressure throughout the cardiac cycle is reported as mean arterial pressure; the pulse pressure reflects the difference between the maximum and minimum pressures measured.
Typical values for a resting, healthy adult human are approximately 120 mmHg (16 kPa) systolic and 80 mmHg (11 kPa) diastolic (written as 120/80 mmHg, and spoken as “one twenty over eighty”) with large individual variations. These measures of arterial pressure are not static, but undergo natural variations from one heartbeat to another and throughout the day (in a circadian rhythm); they also change in response to stress, nutritional factors, drugs, or disease. Hypertension refers to arterial pressure being abnormally high, as opposed to hypotension, when it is abnormally low. Along with body temperature, blood pressure measurements are the most commonly measured physiological parameters.
November 17th, 2008 at 12:31 pm
Ted Gean
1st, if the avg is 133/88, it is not bad…yet. Kudos for wanting to keep it healthy. 2nd, I wonder, have you had a sleep study? Undiagnosed sleep apnea (wether central or obstructive) can cause hypertension. 3rd, and probably less likely, would be something less common like a renal artery stenosis. As another response stated, thoses meds are not the best for blood pressure.
Side note: See your primary doc more often and find out why he isn’t concerned about your blood pressure. He might be able to help you figure something out or be able to say which specialist to see.