Too early to start BP medication?

What caused the reluctance to take bp med, is it the cost or the side effect?

I have chronic pain that limits my ability to do any full time work but I don't qualify for SS Disabilty. The only way I have found to make a living is to do clinical research studies. I can not do those if I take any prescription meds. If I stop doing studies then I would have to get a full time job which would reduce my quality of life significantly and force me to take OTC pain meds all day every day and still have an increase in pain. My income is low as is my income potential so cost of meds is also a concern. Not too worried about side effects except frequent unination if I take a diuretic. I already pee more often than most people so if I take a water pill while i'm working it will look bad when i'm leaving my work area every 45 minutes to pee.
 
I find that sometimes when I consume a salty food, country ham does it, I have noticably more inflammation and pain in my joints, especially from my fingers up to my forearm.
 
BP meds are cheap. I’m on four different prescriptions now and they cost less than $5/month. I don’t have any side effects but. I had been on two different BP meds before, then after I lost weight it dropped to one for a few years. About a year ago the medication stopped working and my BP jumped into stroke territory at 209/105. It took months of trial and error to find the right cocktail of meds that worked without side effects. Now things are under control at 115/70 on average.
The high BP put a lot of stress on my kidneys, besides the risk of stroke. Keep an eye on your BP, it can do severe permanent damage if you ignore it.
 
OP, as you noted there is a considerable amount of added salt in many processed foods. Start by reading the ingredients - maybe a different brand of the same product type has a lower sodium level. Also, Google DASH Diet.
 
OP, as you noted there is a considerable amount of added salt in many processed foods. Start by reading the ingredients - maybe a different brand of the same product type has a lower sodium level. Also, Google DASH Diet.

My PCP gave me a handout of the DASH Diet at my last physical. It is not something I would do. I'm willing to exercise as much as my pain will tolerate but i'm not willing to eat like that. If that means I need to take BP meds then I guess I will.
 
aaron--has the dr rechecked your BP a second time during the exam (correctly, after resting 5 minutes, back straight in the chair, feet flat on the floor, arm supported and resting at heart level)
Is there a way you could purchase a monitor kit and check it consistently 2-4 times a day at home for several weeks? I bought a wrist one at local pharmacy for under $50.
Chronic pain definitely can increase blood pressure. It sounds like you may have a genetic disposition for hypertension. Medication may be the only way to help. If there is any way to decrease sodium from you diet, that may help some.
 
aaron--has the dr rechecked your BP a second time during the exam (correctly, after resting 5 minutes, back straight in the chair, feet flat on the floor, arm supported and resting at heart level)
Is there a way you could purchase a monitor kit and check it consistently 2-4 times a day at home for several weeks? I bought a wrist one at local pharmacy for under $50.
Chronic pain definitely can increase blood pressure. It sounds like you may have a genetic disposition for hypertension. Medication may be the only way to help. If there is any way to decrease sodium from you diet, that may help some.

If I have to start working full time then I won't be able to check BP more than twice a day. I guess maybe three times depending on my schedule. I will probably buy a monitor for home use. I will ask if a wrist monitor is acceptable or if it has to be an arm cuff. I would rather take the meds than eat the way I would have to to lower sodium by a large amount.
 
OP- I was put on HBP meds at your age. 8 years later, my company sponsored a healthy eating program called Naturally Slim. I went from 5'5"/ 155 lbs to 135 lbs with way more muscle. I was able to stop taking 2 HBP meds when I started to get lightheaded with low BPS. I weaned myself off of both and to this day I remain bouncing between 130/135. For my frame I SB 127, but I'm no saint. :cool:

The program was taught by a nurse PA was the teacher over 1 hour webx video + written worksheets, the usual deal of really tracking your food. The topic was not always how much you eat, but what, when & how. It is impossible to unsee what she held up an example of 5 lbs of fat- in living color YUK!

The biggest takeaways for me were:
1. budget and log your physical actv., nutrition & servings . I budget our sweet tooth first every day then backfilled from there. The food diary is easy; I use myfitnesspal.com.
2. Understand what a serving is. Your stomach is the size of your closed fist. How many of us eat that way? I sure hadn't been at the time.
3. Every day, once awake (and throughout the day) they had you drinking first thing b4 coffee an 8 oz mixture of 1 part orange juice to 7 parts cold water. It turns out that some of the time when I'd want to eat I was just thirsty. I always drank a lot of water but DH did not until he went through this process (he did it with as all classes were online).
4. Get active... log it all. House cleaning counts, be honest with all logs & try to figure out avoidable triggers.
5. We dumped alcohol completely for an amazing amount of food budget increase. I also learned how to cook healthier versions of our fav. restaurant foods.

During 2015 or so, we added intermittent fasting on a 9/13 schedule/ no food after 7pm. That also fixed our occasional need for tums. When we eat later, we just stay up later.

Good luck!
 
Interesting discussion. For truck drivers, the magic number to be under is 140/90. That gets you the maximum time between required physicals, 2 years. That makes me think anything below 140 / 90 is a 'good' blood pressure. As a former trucker myself, I was alarmed one year to get a reading of 160 / 105 ! I figured out it was caused by my taking a lot of sodium bicarbonate for acid reflux control. I stopped the Sod bicarb intake and the bp came back to my usual 125 / 90, and often 120 / 80. When I take my bp at the drug store bp chairs, it is almost always at or below 125 / 90. But it is always around 140 / 95 at the doctor's office. But they aren't pushing bp meds on me, although they did suggest it. I don't want them. But it's good to know a lot of folks here say they have no side effects, so I may consider it in the future as a 'very low risk' way to improve my health. Aaron, I cook almost all of my food and I enjoy it. Maybe one day you'll like cooking too. Who knows, right?
 
Anecdotal evidence here. Real good friend of mine at the age of 52 refused to go on blood pressure medicine and decided to get in shape at the gym instead. He had 3 daughters in college. I died of a massive heart attack.

I went to the funeral, his wife and 3 daughters were miserable and so sad.
 
aaron--has the dr rechecked your BP a second time during the exam (correctly, after resting 5 minutes, back straight in the chair, feet flat on the floor, arm supported and resting at heart level).

When I take my bp at the drug store bp chairs, it is almost always at or below 125 / 90. But it is always around 140 / 95 at the doctor's office.

This seems to be common. When the nurse at the doc's office takes my BP it is NEVER done properly, and always immediately upon entering the exam room. The doc always takes it again later after I'm rested, and it's OK.

I've mentioned this to several different doctors, and always get the same reaction: they roll their eyes and say "I know, but that's just the way they do it." :facepalm:
 
As with others here, as someone who has suffered with HBP for the last 30+ years, all Docs. seem to do, and I have seen many, is adjust Meds to "attempt" to control it. I would much prefer them trying to analyze why BP is high and address the root cause as opposed to just throwing meds at the problem.

Maybe that is what they do, I am no doctor? But as a diagnostic MEE, we had to diagnose and fix underlying issues, not just add another piece of electronics or software to address the flaws of the first. Yes I know it is different, and complex Electronic Equipment is no comparison to the human anatomy, but it is just the throwing meds at an problem mindset that I find hard to get my arms around. This is not just limited to HBP.
 
I went on BP meds at 35, it's was due to my inability to control my work environment. They put me on beta blockers and I thought I was ok. Funny drinking 12 cups of coffee will help reduce the downer beta blockers but it stunk.

Finally one year I felt worse than most, ended up in the ER with my heart rate at 33BPM, my life on BP meds was greatly impacted by my need for the meds.

I took different meds until after I retired and lost weight. You have no need to drop weight. Reducing sodium may help but your numbers don't seem to be more than a little white coat hypertension.

Had to chuckle at your reference to beta blocker and coffee. After heart surgery a year ago, the doc put me on a low dose of beta blocker along with Norvasc for BP. I had been borderline-ish with BP for about 15 years (140 or so). The beta blocker resulted in constant fatigue, multiple naps per day, easily breathless, light head-ness. Convinced the doc that this was not a good thing, and it was driving my resting heart rate into the lower 40s. Went off the beta-blockers in Jan after 4 months and finally started to feeling normal again. I hope I never need to go back on a beta-blocker again, at least for the next ten years! Now back to running, biking and all the activities I could do before the bypass surgery. And four cups of coffee a day, resting heart rate back to my normal 50s. The Norvasc drops my BP down about 10 points. I didn't take any meds until the heart issues at age 70 but was not surprised as both parents had heart and BP issues in their 50s.
 
Last edited:
As with others here, as someone who has suffered with HBP for the last 30+ years, all Docs. seem to do, and I have seen many, is adjust Meds to "attempt" to control it. I would much prefer them trying to analyze why BP is high and address the root cause as opposed to just throwing meds at the problem.

Maybe that is what they do, I am no doctor? But as a diagnostic MEE, we had to diagnose and fix underlying issues, not just add another piece of electronics or software to address the flaws of the first. Yes I know it is different, and complex Electronic Equipment is no comparison to the human anatomy, but it is just the throwing meds at an problem mindset that I find hard to get my arms around. This is not just limited to HBP.

I'll suggest that maybe doctors find that patients just don't change their behaviors or habits, or lie about changing them. "Gee doc - I've cut out all fast foods and am exercising every day for at least 20 minutes - why isn't the weight coming off?". More reliable result by prescribing pill "A" and seeing the results. Taking a pill or two a day, that they can get us to do.
 
I have been on BP meds (Lisinopril) for about 10 years (since mid 30's) and didn't have a choice since I was on flying status. I haven't had to increase my low level dosage since starting. Like Aaron, there are lifestyle choices that I make that probably don't help too much but that's on me (and him). What I do know is that if you eat processed food, it's going to have either 1) a lot of salt, or 2) a lot of sugar. It can't be processed otherwise...well, unless you don't like it to have flavor! :) Most BP meds are dirt cheap and shouldn't be an issue for *most* people.

What I do know is that I saw the effects of HBP when my ex-wife's father had a stroke while having breakfast at Shoney's. He was in his mid 50s and lived another 15 years with the mental abilities of a 5 year old. Do you know how challenging it is for a spouse to take care of a 6'4" 250+ pound 5 year old? Yeah...both of them would have been a lot better off if he had died instead. I recall the ER doc saying that these "stupid strokes" are preventable if you "just take the stupid medicine!!"
 
Last edited:
Another thing to consider is too much sugar in your diet. Easy to google sugar and high blood pressure to find articles about the issue.

I love desserts. This year I was having problems with knee pain. I assumed old age and treachery had finally caught up. Then I reminded myself of the inflammatory problems that sugar causes and have cut back. Low and behold, no knee pain. Perhaps only coincidence, but I'll continue on this path for now.
 
Ever had a phlebotomy or donated blood? Easy way to reduce your BP for a while.
 
Stopped adding Salt to anything and same with sugar 20 years ago. Salt is my Nemesis as I love savory food. But I have got used to not adding salt to anything.
 
We still eat salt, but far less than we used to - and our blood pressures responded to the change. Thank goodness, because, frankly, spraying lemon juice and sprinkling herbs on food does not do salt's job.

Chips and crackers disappeared from the menu long ago; it wasn't enough to make a difference. So, I got serious. Our beloved pretzels (even homemade ones, which need to boil in water with baking soda added - tons of sodium) are just a memory, sob. The processed foods we eat are bread, yogurt, bran flakes, cheese (not that much of it), occasional ice cream, and jar spaghetti sauce. Most everything else is from scratch. Even salad dressing is just a homemade mix of olive oil, vinegar, and herbs. I add no salt to anything during baking or cooking, and we add only a little shake of Kosher flake salt at the table.
 
Yes it is too early. It is the food.

That is the answer to nearly all medical issues. It is the food you are eating.

I won't tell you what to eat/not eat. You can research that yourself.

You should make a plan to not even start BP meds. Otherwise you are a lifer.
 
My high BP is caused by high salt intake(over 2000mg most days) and genetics. I am reasonably active and very thin. My stress has been high most of the last 3 years due to injury and surgeries but its getting better now.
It is my uderstanding that salt is not always the cause. From one article,

"Realistically, there’s only one food you need to lower if you have high blood pressure. And aside from reducing hypertension it addresses the Syndrome X (triglycerides, insulin resistance, obesity) that’s causing it.

I’m talking about lowering your carbohydrate (sugar) intake; which among other things:



And drops your blood pressure!

Since low insulin levels make us release salt, while high insulin (from excess carbohydrates) makes us hold onto it."
Comes from,


https://tinyurl.com/y632otlj
after I searched, does salt always cause bp increase.


Years ago, my doc wanted to put me on BP meds, I suggested I get a BP machine a monitor it for a while rather than rely on a once a year measurement. On my next visit, he put me on meds. We went through 3 or 4 iterations before Edarbychlor, but the first day I found 1 pill was too much, so I started spltting on pill, and that worked well, without my BP going to low. I'm now on a couple of meds for BPH,
and one of htose also lowers BP, so I had to stop the Edarbyclor, temporarily. At least I hope I can stop the BPH meds, some guys say the can't or symptoms return.
 
Last edited:
I have never added salt to any meal in my life. However, I eat mostly processed foods which are high in salt. I don't cook anything ever and don't plan to start. I wish the canned foods I eat had less salt but they don't.

What is your resistance to cooking? Honestly you can save a little money, eat a little healthier and maybe lower your BP.

Simple cooking for one requires minimal cooking skills.
 
My BP is borderline, being usually around 137/85 and it has been for years.

My doc would like me to bring it lower with meds, but I've tried them twice and although there was a slight drop I had the side effect of getting lightheaded whenever I stood up. That was so unpleasant that I stopped the meds and just accepted that this level of BP is "normal for me."

My understanding is that the old level for high BP was something like 140/85 but it was lowered to 130/80, which added a lot of people to the high blood pressure count.
 
My understanding is that the old level for high BP was something like 140/85 but it was lowered to 130/80, which added a lot of people to the high blood pressure count.

Yes, and then it was lowered again to where anything over 120/80 is now considered high.

I think my real problem is that I don't own any drug company stock. :facepalm:
 
At my annual physical last year my blood pressure was 136/86. My Dr said that if it's that high this year she will likely want me to start BP medication at age 41. My physical is next week. I have taken my BP periodically and it is all over the place but usually in the 120s or 130s/80-ish. There is no more I can do with lifestyle changes. Lets say my BP is low 130s/low 80s, should I try to get out of taking meds or start taking them even though I am only 41? Are there certain meds that would be recommended? How much do they cost? I am low income and don't want to spend more than I need to.
@aaronc879, think about this: You have a doctor. You either trust the doctor or you don't. If you do, it's crazy to ask SGOTI to be your doctor, too. If you don't, you need a new doctor. That new doc should not be SGOTI, even if find someone to give you advice that you like. Being healthy is not about like and dislike; it's about applied medical expertise.
 
Back
Top Bottom