Re: hypertension and tiazac

From: Dr. Andrew B. Chung, MD/PhD (andrew_at_heartmdphd.com)
Date: 08/15/04 

Date: Sun, 15 Aug 2004 17:09:33 -0400

Barbara Wells wrote:
>
> I am concerned about my blood pressure, and am not finding any answers. I
> have had tahcycardia for years and years, and have taken Tiazac for the
> condition. The Tiazac controls the problem. I do not take Tiazac for
> hypertension. My blood pressure has always been low, and I have done well
> with this drug. All of a sudden, this summer, my bp has gone up
> considerably. I am definiently in the pre-hypertension range, bordering on
> hypertension. This is a significant change from where I was several months
> ago. My lifestyle/weight/exercise and eating habits are virtually
> unchanged. However, my insurance company decided I needed to take the
> generic Tiazac instead the real thing. So, in June I started Diltiazem E-R,
> which should give me the same results as the Tiazac. I DO intend to go to
> my dr. and discuss this issue this week, as I realize its importance. I
> have logged my BP for one month. Any ideas what could be going on?

It is possible that the Diltiazem E-R may have different
pharmacokinetics compared to the Tiazac. Bottomline: the generic may
not be the same as the Tiazac in your case.

> I do
> suffer from depression, and at times am on medication for that. I am not
> taking anything now, and haven't for at least a year. However, I do feel
> those signs coming back, and I am stressed and worried about things. Could
> this affect my BP adversely?

Worsening depression can raise blood pressure.

> I still wonder about the drug change due to
> the timing of the BP change.

It remains a possible contributor along with the worsening depression.
Would suggest you speak to your doctor about it.
 
> Thanks,

You are welcome, Barb.

All praises belong to God whom I love with all my heart, soul and mind
:-)

Servant to the humblest person in the universe,

Andrew 

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/
**
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