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Labile Blood Pressure


rje11

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I have what my docs call labile blood pressure. Today it went from 183/115 (and a few times the diastolic went over 120) down to 108/70. During the night it drops into the 80's/50's and sometimes lower, so it is difficult to treat. Does this fit in with any type of dysautonomia?

Thanks

Rje

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Oh, this just gets more complicated as I seem to look into it. My bp actually drops when I stand up - it is just occasionally that I get the spikes like that. I am on four meds for high blood pressure already.

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I have what is also called a labile blood pressure. It can be anywhere from 80s/40s to 200/110. I have been tried on numerous b/p meds over the years but am now on just 0.05mg Clonidine at bedtime because it's not possible to treat the high end of my b/p without ending up with hypotensive episodes and risk passing out or just too much tiredness from the medication. I had an apt with one of my local docs on Friday and my b/p was 177/105. He just rolls his eyes. Although I am concerned I have just had to accept this issue. My pots type is neuropathic with a hyperadrenergic component. As you can see I have other diagnoses as well.

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Yeah, my internal med doc is frustrated and told me we will just have to treat the highs as needed, on top of the four meds I already take for the blood pressure. I think my nighttime lowest one was 60's/30's but it is usually 70's and 80's/50's during the night. My oxygen sats are low, too, but I'm not sure how low they go. I just ordered a pulse oximeter with software so I can see what is going on. I have just a regular one and I know the sats go into the high 80's, but that is when I am awake. I am curious to see what is going on when I sleep. The last sleep study I had showed my apnea had improved but that was two years ago.

I guess I need to finish my profile and list all of the stuff I have going on. That is pretty depressing, though, so I will put it off for a while longer. ;-)

Thanks!
Rje

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I take Coreg 40 mg, once a day, Lisinopril 10 mg, once a day, Losartan 50 mg once a day (and an extra one during the day if my systolic stays over 160), and Adalat ER 30 mg twice a day. I am not able to take a diuretic, as it throws my electrolyte balance all out whack.

I also take a ton of other meds for various medical issues, so there is no telling what interactions I may be getting...

Thanks

rje

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