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Understanding Heart Medications: Concerns for Mitral Valve Prolapse and Autonomic Dysfunction

Cardiac medications I have mild mitral valve prolapse and symptoms of autonomic nervous system dysfunction. I have been taking Kankin 1.25 for one month. I measured my blood pressure once, and it was 127. The medication packaging states that it is indicated for stable chronic mod...


Dr. Xie Weigong reply Pharmacology
Hello Miss Wenwen: 1. Mitral valve prolapse is currently explained in medicine as related to autonomic nervous system dysregulation. 2. Bisoprolol (Concor), approved by the Ministry of Health and Welfare, is indicated for hypertension, angina pectoris, and stable chronic moder...

[Read More] Understanding Heart Medications: Concerns for Mitral Valve Prolapse and Autonomic Dysfunction


Is It Safe to Split Hyzzar for Blood Pressure Management?

Can Hyzzar be used in a half dosage? I visited the doctor due to high blood pressure of 150/95, and the physician prescribed Hyzzar 1 tablet daily. After using it for a period, my blood pressure stabilized around 120/80. Recently, I started taking half the prescribed dosage for a...


Dr. Xie Weigong reply Pharmacology
1. The usual starting and maintenance dose of Hyzaar® is one tablet taken once daily. Generally, antihypertensive effects can be achieved within three weeks after initiating treatment. 2. The recommended maintenance dose is one tablet taken once daily. Therefore, it is not reco...

[Read More] Is It Safe to Split Hyzzar for Blood Pressure Management?


Does Mestinon Affect Blood Pressure in Patients with Hypertension?

Mestinon I have hypertension. Will taking this medication cause fluctuations in my blood pressure? Medication: Mestinon. Thank you!


Dr. Xie Weigong reply Pharmacology
Mestinon is clinically used to treat myasthenia gravis, but there are also studies suggesting its use for treating orthostatic hypotension. Therefore, it is recommended to discuss the cautious use of this medication with your primary care physician if you have high blood pressure...

[Read More] Does Mestinon Affect Blood Pressure in Patients with Hypertension?


Managing Chronic Vascular Inflammation in Elderly Men: A Case Study

Chronic vascular inflammation in elderly males? My father is 93 years old. In mid-January, he experienced severe pain along the right side of his head, which was diagnosed by a neurologist as chronic vasculitis, a condition common in elderly males. He has been prescribed a low do...


Dr. Xie Weigong reply Pharmacology
Dear Sir/Madam, Corticosteroids have significant therapeutic effects on various inflammatory responses, allergies, endocrine disorders, rheumatic diseases, and asthma. Physicians will adjust the dosage of corticosteroids based on the individual's disease condition to achiev...

[Read More] Managing Chronic Vascular Inflammation in Elderly Men: A Case Study


Potential Complications After Long-Term Steroid Use: What to Know

Complications arising from steroid use? Hello, I would like to ask about my girlfriend who was in a car accident and has been taking steroids for nearly a year. She has now stopped taking them and has undergone abdominal ultrasounds, electrocardiograms, whole-body bone density te...


Dr. Xie Weigong reply Pharmacology
Hello AKWAY: Corticosteroids are medications that can be used to alleviate inflammation caused by various diseases, such as rheumatoid arthritis, gout, and skin inflammation. They are also utilized to treat severe asthma, allergic reactions, gastrointestinal and hematological dis...

[Read More] Potential Complications After Long-Term Steroid Use: What to Know


Safe Blood Pressure Medications for Breastfeeding Mothers: What You Need to Know

Antihypertensive medication Due to having hypertension, I have been taking long-acting NORVASC and CONCOR for control. Later, upon becoming pregnant and following my doctor's advice, I switched to the shorter-acting ADALET to manage my blood pressure, as it is less likely to...


Dr. Xie Weigong reply Pharmacology
Hello Mary, Norvasc is a calcium channel blocker that inhibits the influx of calcium ions into the heart and smooth muscle, and it is a derivative of Dihydropyridine. This medication has a relaxing effect on vascular smooth muscle, leading to vasodilation and improved blood flow...

[Read More] Safe Blood Pressure Medications for Breastfeeding Mothers: What You Need to Know


Safe Medication Options for Women with Mild Hypertension and Anxiety Planning Pregnancy

excuse me? I am planning to get pregnant, but I have mild hypertension and autonomic nervous system dysfunction. I am quite troubled about my medications; currently, I take Xanax XR half a tablet daily (for autonomic nervous system dysfunction) and Betaloc (a blood pressure medic...


Dr. Xie Weigong reply Pharmacology
Dear Ms. Huang, In principle, it is advisable to avoid taking any medications (including traditional Chinese medicine) during the first three months of preparation for pregnancy or after becoming pregnant. Xanax is a non-barbiturate anxiolytic used to treat anxiety disorders or ...

[Read More] Safe Medication Options for Women with Mild Hypertension and Anxiety Planning Pregnancy


Do I Need Blood Pressure Medication for My Daily Readings?

Should I take medication for this blood pressure? I experience dizziness every day, and my blood pressure readings upon waking range from 145 to 158 over 97 to 106. Should I take antihypertensive medication? Please advise on medication options. Additionally, once I start taking m...


Dr. Xie Weigong reply Pharmacology
Hello Vivian: Hypertension patients should regularly monitor their blood pressure. It is advisable for both yourself and your family to learn how to measure blood pressure. Control your salt intake, limit fat consumption, and follow the same principles for managing blood lipids. ...

[Read More] Do I Need Blood Pressure Medication for My Daily Readings?


Can Dialysis Patients on Hypertension Medications Take Cialis?

Medications Can dialysis patients who are taking antihypertensive medications use "Sildenafil"?


Dr. Xie Weigong reply Pharmacology
Hello HANS: 1. Before considering pharmacological treatment, it is essential to conduct a thorough medical history and physical examination to accurately diagnose erectile dysfunction and identify any underlying causes. Prior to initiating treatment for erectile dysfunction, a ...

[Read More] Can Dialysis Patients on Hypertension Medications Take Cialis?


Managing Hypertension: Is It Necessary to Switch Medications Regularly?

Antihypertensive medications Dr. Hsieh: Hello, thank you for taking the time to answer. I have heard information regarding hypertension medications that they should not be taken long-term in the same type, and that a change in medication is necessary after a certain period. Is th...


Dr. Xie Weigong reply Pharmacology
Hello MINI: Please take the medication as directed by your physician and at the same time every day. If you miss a dose but it is still within a reasonable time frame, take it as soon as possible. If several hours have passed or it is close to the time for your next dose, do not ...

[Read More] Managing Hypertension: Is It Necessary to Switch Medications Regularly?


Understanding Steroid Use: Risks and Concerns for Young Patients

Corticosteroids Hello, I would like to ask a question. My sister had a severe car accident when she was young, which resulted in abnormal hypertension. She visited a neurologist at Tzu Chi Hospital, who prescribed some medications, including steroids. The doctor mentioned that sh...


Dr. Xie Weigong reply Pharmacology
Hello Abby: I am not sure which type of steroid your sister is taking. Generally, the effects of steroid medications are as follows: Pharmacological Effects: Steroid medications can be used to eliminate inflammation caused by various diseases, such as rheumatoid arthritis, gout...

[Read More] Understanding Steroid Use: Risks and Concerns for Young Patients


Is Natrilix Safe for Patients with Pancreatic Cysts?

Is Natrilix (Indapamide) suitable for patients with pancreatic cysts? According to the manufacturer's documentation, it is rarely but potentially possible for serious pancreatic issues to occur. I have previously experienced pancreatitis due to biliary obstruction, which led...


Dr. Xie Weigong reply Pharmacology
Hello Martin, 1. The mechanism of action of Natrilix is to regulate the ion concentration in the arterial vessel walls, thereby reducing the excessive reactivity of peripheral small arteries to pressor agents. Pressor agents (such as Adrenaline, Noradrenaline, and Angiotensin) a...

[Read More] Is Natrilix Safe for Patients with Pancreatic Cysts?


When to Start Medication for High Blood Pressure: A Comparison of ACE Inhibitors and ARBs

When is medication needed for hypertension? 1. At what blood pressure level is medication necessary for hypertension? 2. Is the blood pressure-lowering effect of ACE inhibitors (Enalapril) significantly different from that of Cozaar (Losartan)?


Dr. Xie Weigong reply Pharmacology
Hello, Miss Shuping: The normal blood pressure for adults is a systolic pressure of less than 130 mmHg and a diastolic pressure of less than 85 mmHg. Generally, if the systolic pressure is greater than 140 mmHg and the diastolic pressure is greater than 90 mmHg, it may indicate h...

[Read More] When to Start Medication for High Blood Pressure: A Comparison of ACE Inhibitors and ARBs


Do Blood Pressure Medications Harm Your Liver or Kidneys?

Do antihypertensive medications harm the liver or kidneys? Why? Does long-term use of antihypertensive medications harm the liver or kidneys? Why?


Dr. Xie Weigong reply Pharmacology
Hello, Miss Bacon: 1. Medication can be toxic; if medications are not taken for the appropriate condition or if the dosage is too high, they may have adverse effects on the liver and kidneys. 2. If you have hypertension, you should consult a physician for a diagnosis. There are...

[Read More] Do Blood Pressure Medications Harm Your Liver or Kidneys?


Understanding Abdominal Pain and Symptoms: What Could Be Wrong?

What illness might I have? For the past month, I have experienced a slight dull pain in my right abdomen. Yesterday at noon, I had several sharp pains in my right flank. By 5:30 PM, I suddenly began to shake, felt cold, had palpitations, dizziness, overall weakness, and a strong ...


Dr. Xie Weigong reply Pharmacology
Hello Ms. Huang: 1. You are experiencing dull pain in the right abdomen and sharp pain in the right flank. Please visit your physician for further evaluation. 2. You have symptoms of dizziness, a feeling of pressure in your head, palpitations, stiffness in your neck, slight blur...

[Read More] Understanding Abdominal Pain and Symptoms: What Could Be Wrong?


Can My Father Safely Take Both Blood Pressure and Heart Medications?

Antihypertensive medications My father regularly takes antihypertensive medication, but he experienced a myocardial infarction earlier this year. After undergoing a cardiac catheterization, the doctor stated that it was not serious and that he only needed to take heart medication...


Dr. Xie Weigong reply Pharmacology
How is your father's blood pressure control? The doctor mentioned that it is not serious, which means we should clarify whether it is related to myocardial infarction or hypertension. He is taking both medications, and if his blood pressure drops too low, he should follow th...

[Read More] Can My Father Safely Take Both Blood Pressure and Heart Medications?


Managing Hypertension: Dealing with Medication Side Effects and Alternatives

Hypertension I have hypertension, and my doctor prescribed the following medications: Atenol 100mg and Norvasc 5mg. After taking the medication, I noticed difficulties with erections. I later learned online that Atenol is a beta-blocker and can have this side effect. I also under...


Dr. Xie Weigong reply Pharmacology
1. If blood pressure is not well controlled, immediately discontinue Atenolol and switch to another medication. If blood pressure is well controlled, consider reducing the dosage. 2. Alternative medications may include other ACE inhibitors such as Capoten, or switch Atenolol to a...

[Read More] Managing Hypertension: Dealing with Medication Side Effects and Alternatives