Too early to start BP medication?

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.

This is an issue for my wife and taking her BP meds. We're both big coffee drinkers so that doesn't help to begin with.

My BP is borderline, and it's admittedly stupid, but this is why I'm resistant to take BP meds. Especially in these covid times, I don't want to be running to public bathrooms all the time.
 
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.


There are alternatives that are lower sodium and don't require cooking beyond heating stuff in a microwave or oven. These are ideas. Some may not work for you but it may give you an idea of what can.

1. Rotisserie chicken - I eat this removing skin which is where a lot of the seasonings are located. Very easy. Sometimes I just eat the chicken by itself. Other times I make a salad. When I want a little more flavor I put just a little BBQ sauce on it. It is cheaper to cook the whole chicken yourself and is easy. But, honestly, the difference in cost is not that much so the already cooked is fine.

2. Frozen already cooked chicken breasts (or fish or whatever). I have bought from Walmart their already cooked frozen chicken breast. It has a little more sodium than if I bought raw and cooked it myself but it is not bad at all. These can be microwaved or baked. Very easy as they are already cooked. They also come in other brands and flavors.

3. Frozen vegetables. Plain frozen vegetables have very little sodium. Even if you like with some sort of flavoring it is minimal. These you can just stick in the microwave and heat.

4. Eggs - If you don't want to hardboil themselves (a Dash egg cooker is very cheap extremely simple. You just basically put the eggs in and plug it in. But, again, you can buy already cooked hardboiled eggs and that reduces sodium again.

5. Salads - You may not like putting salads together but it is easy especially if you buy already bagged greens and already chopped vegetables. If you don't want to do that buy the already made salads. There is some sodium but not as much as a lot of meals. You can also do your own salad dressing that has no sodium. I often use a mix of 3 T. of lemon juice (the kind that is refrigerated) and 1 T. olive oil. I just put them each on the salad and then mix it. Very easy.

6. Do you eat bread? If so usually what you get from the bakery has less sodium. If you eat tortillas buy them freshly made. No cooking required.

7. Fresh fruit -- I don't love fruit but I have blueberries for breakfast. No sodium. Other people like bananas (I don't) and other fresh fruit.

8. Nuts unsalted. I have unsalted almonds with my blueberries and it is very good and low sodium.

9. For an easy small meal that is lower sodium I often have a Quest bar. There are other brands but look for something that has say under 250 mg of sodium.

10. Many products do come in a lower sodium version. Check that out.

11. Some brands of frozen meals are better overall on sodium. Look at the labels.

12. A lot of cheese products are low sodium.

Now on the issue of cooking. I can cook but I don't love doing it. But, I have been willing to....assemble. That is, I can assemble a salad. It is easy.

Something that is just a step past that is making a frittata. I can cooked some frozen stir fry veggies in the microwave. Dump those in a small skillet. Mix some eggs and some already shredded cheese. Poor over the eggs. Add any cooked chicken if I want to. Put it on low and cook it 10 minutes. Done. Even I can do that. If it is a large frittata I can get 4 meals out of it (they can be frozen and just microwaved later on).

There are a lot of very simple things like that which help. I would rather cook something that will last for 4 days so I don't have to do it often.

Another assembling one. Packets of tuna fish (again, already cooked). Mix with mayo, chopped up hardboiled eggs (you can buy those already cooked if you want). There, I have a tuna fish salad. I can eat alone or make a sandwich.
 
I like you have BP that is all over the place. Finally as the result of Life Insurance exam I went to see my GP. He said at my age (70 y/o) over 85% of the people have High BP and are put on med's.

But it was what the nurse said during a follow-up that made all the difference in the world. She always would ask if I was in pain. Pain will drive the BP up. She also asked if I had to go to the bathroom. Needing void will cause a reaction also.

She explained the procedure to take BP at home is as follows:

THIS IS MOST IMPORTANT Sit is a straight back chair for at least 8-10 minutes QUIETLY, Relax before starting.
The cuff should be on your arm and your arm resting on a desk or the chair handle. Not hanging down or extended over something.

Think about these recommendations next time your escorted into a treatment room at your GP's. You just walked from the parking lot into the office. Then into a treatment room. Where your told to hop onto the litter. Where Suzy wraps your arm in the BP cuff while she asks questions about your heath. No wonder so many people are on BP med's

Supposedly talking also increases BP which is something happening while they are taking your blood pressure. I try to take it regularly at home because it always runs high at the doc's.
 
My doc didn’t prescribe BP meds until it climbed up over 140/90. I went on them for 6ish months at age 50 due to a high stress situation at w*rk. I retired just after 51, and once my stress level moderated, I was able to get the BP down without the meds and went off of them for the following six years. I kept a close watch with my own monitor, and 5 years later it went up again. While having it checked by the doc, he also found cancer, which was surgically rectified 3 months later, but the BP never went back down without meds. I eat pretty well, but I do overindulge in the salt. But, I also exercise daily, with a run or a long walk. The only option now to get off the meds is to get younger...but that ain’t gonna happen. I don’t think the BP meds are anything to fear so long as you have your doc follow up with you a couple times a year to watch for side effects that can show up in your blood test but not with any symptoms.
 
I recently started on metoprolol not for my BP which was only very slightly elevated but to control episodes of PVC's (premature ventricular complexes or contractions) that had scared me enough one Sunday evening that I went to the E.R. Being on the lowest possible dose and taking it at night hasn't much affected my daytime activities but has clearly reduced my blood pressure by about 10, my heart rate by ~5-20 and pretty much eliminated the PVC's so I'm happy. Very rarely do I feel a bit light headed getting up suddenly. Cost of the drug on my el cheapo Part D drug plan is $0.00 a month.
 
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.

I started BP medicine at age 37. It was borderline high, but there is a history of high BP in my family (both parents), and my doctor recommended I start taking it. I have been on it since then. In addition, I cut way back on salty foods, and DW stopped cooking with salt. Interestingly, I believe (I do not have it on hand) my DNA test I did a few years back indicated that salt should not affect my BP, but I have not changed my lower salt habits.

I have not had any side effects that I noticed. My weight is lower since then, and my BP now is regularly in the 110/70 range. BP meds are cheap for me n my medical plan, I pay about $3.00 for a 90 day supply.
 
I had some response with lifestyle, low carb and regular exercise, also losing some weight. I need to lose more though. I started BP medication. Many BP meds are free through insurance. One thing also is to avoid more than minimal alcohol, as that definitely can elevate BP. A lot of it is genetic. I am cutting salt as well. I hope I can go off of it if I can lose some weight. The current recommendations are to treat if over 130/80.

I bought a Welch Allyn digital BP device, that connects bluetooth to my iPhone or iPad. I can send all the reading to my doctor, which is helpful. Welch Allyn is a state of the art medical company-most doctors use Welch Allyn oto-ophthalmoscopes. It was about $100 but it beats having a heart attack or a stroke.
 
Do you drink beverages with caffeine? Caffaine can raise your blood pressure, so you can avoid it to see if it will improve your BP.
 
I had BP issues for over a decade and had a low dose prescription for Lisinopril. I was able to lower my BP with diet/IF. I posted about my experience in another thread: https://www.early-retirement.org/fo...asting-yes-it-works-101778-3.html#post2447433

My BP has gone up a little bit since I stopped Whole 30, but it's still consistently in the 120/80 range. I'm still not a 100% sure why my BP went lower, but I suspect it's less sodium from eating out. Plus, my diet overall is much better because I mostly prepare my own food. I credit diet with lowering my BP, since I've always exercised, etc, with no change in BP.

Good luck with whatever you decide. It's not fun having to taking BP meds regularly, but better than the alternative.
 
When we "used" to go out to eat, I would ask for my meal to be cooked without salt, or no salt alternatives. If they could not we would not eat there. Eating out in general at most places, food is way over salted to make up for poor "mass" meal preparation. Salt is one of the main reasons we stopped eating out so much.
 
You mentioned earlier that you suffered from chronic pain, are you taking NSAID's regularly? daily use of Ibuprofen or Naproxen can cause your BP to rise significantly.

Mention this to your physician the next time you visit. There may be other ways to manage the pain and also control your BP.
 
One of the reasons low carb probably helps with BP is that it has a natriuretic effect-you excrete more sodium. Higher insulin levels from a higher carbohydrate diet are linked to sodium retention, which raises BP. The mechanism appears to be by direct action of insulin on the kidney.

https://pubmed.ncbi.nlm.nih.gov/1988777/
 
There are a lot of inexpensive bp meds. Walmart has a $4/ month list. Your doctor should be able to accommodate your finances
 
There are a lot of inexpensive bp meds. Walmart has a $4/ month list. Your doctor should be able to accommodate your finances

What I found earlier in my BP med saga (and any other med for that matter) was I had to take the lists in for the cheaper drugs and actually show them to the doctor. Otherwise they simply type the requirements into their Phone or Tablet and prescribe what pops out. Many times I had to call them after I found the prices and get much cheaper alternatives. Now we have our docs trained, but it did take time. We can but just guess who writes the apps they use.
 
You mentioned earlier that you suffered from chronic pain, are you taking NSAID's regularly? daily use of Ibuprofen or Naproxen can cause your BP to rise significantly.

Mention this to your physician the next time you visit. There may be other ways to manage the pain and also control your BP.
I heard a Dr. once mention that he retains water on Ibuprofin. So, I looked up (one) link.


"Ibuprofen (Advil, Motrin) sometimes causes newly developed fluid retention. This occurs primarily because the kidneys tend to retain extra salt and water under the influence of ibuprofen -- although noticeable fluid retention is uncommon and the risk differs among people. Young people in good health who occasionally take ibuprofen for minor pain or an illness rarely develop symptoms of fluid retention, such as eye or finger puffiness, swelling of feet and ankles, or weight gain. However, people with heart, liver or kidney disease and those with high blood pressure are more likely to develop fluid-retention symptoms"
There is more to it.
https://healthfully.com/ibuprofen-and-fluid-retention-8369017.html
 
There are a lot of inexpensive bp meds. Walmart has a $4/ month list. Your doctor should be able to accommodate your finances
The Edarbyclor that I'm prescribed was $10 on my BCBS insurance, when I went on Medicare, it jumped to $204, Good RX has a coupon for $166. But, I pushed the issue and got refered to the manufactuer and got it for $15 per month.
However shortly after that I was prescribed a BPH med that lowered my BP and I can't even take a 1/2 a BP pill or my BP goes to low and I can't stand up without getting light headed.
 
IMHO there is no real excuse for having undiagnosed HBP these days. With all the hype and warnings being advertised for the last 10 years or more.

Sphygmomanometers are cheap and reliable. I have had a few over the last 30 years and take my BP regularly.

Besides whenever I go to the Docs my BP goes up by at least 30/30 points, so I do not rely on the docs numbers, neither do they. Most ask me to take mine for a couple of weeks and email them the numbers.

And before anyone says, I have my meter checked at my docs offices at least once every six months.
 
Besides whenever I go to the Docs my BP goes up by at least 30/30 points, so I do not rely on the docs numbers, neither do they. Most ask me to take mine for a couple of weeks and email them the numbers.

And before anyone says, I have my meter checked at my docs offices at least once every six months.

It's the white coat effect:

"White coat hypertension: When blood pressure rises at the doctor's office

You could have a condition known as white coat hypertension. White coat hypertension occurs when the blood pressure readings at your doctor's office are higher than they are in other settings, such as your home"


https://www.mayoclinic.org/diseases...-answers/white-coat-hypertension/faq-20057792
 
What I found earlier in my BP med saga (and any other med for that matter) was I had to take the lists in for the cheaper drugs and actually show them to the doctor. Otherwise they simply type the requirements into their Phone or Tablet and prescribe what pops out. Many times I had to call them after I found the prices and get much cheaper alternatives. Now we have our docs trained, but it did take time. We can but just guess who writes the apps they use.

I wouldn't be surprised if drug companies sponsored apps. Cost is low on the list of the doc's priorities and a lot of people don't care about cost if they only have the copay.
 
You mentioned earlier that you suffered from chronic pain, are you taking NSAID's regularly? daily use of Ibuprofen or Naproxen can cause your BP to rise significantly.

Mention this to your physician the next time you visit. There may be other ways to manage the pain and also control your BP.

I was taking NSAID's regularly when I had my last physical a little over a year ago. I have since stopped working full time so my pain is manageable without meds if i'm careful not to over exert myself. Hopefully that and the biking will be enough to overcome my not-so-good diet and I won't have to go on BP meds quite yet.
 
I’m more concerned about having a stroke from high blood pressure than cost of both meds
 
Hi,


I have had high BP for about 10 years. Typically 145/95. Once was 250/150 at Drs office as I was running late and knew I was jacked up...This year I tried 3 different meds so far. one caused a cough. one made me a jerk and last one gives me terrible back pain/stiffness.


Go to Dr. end of October and guess I'll try another:facepalm:


Good Luck


Wally
 
I worked as a study coordinator for drug studies for a number of years. I will be surprised if you can make it into a study with “uncontrolled” hypertension.
 
I worked as a study coordinator for drug studies for a number of years. I will be surprised if you can make it into a study with “uncontrolled” hypertension.

I can't do studies with controlled(medicated) BP or high uncontrolled BP. The limit for most studies is 140/90 and you can't take any RX if you want to do studies. At check in for my last study my BP was 136/80-something so just made it. Won't be long before I have to stop doing them one way or the other. It would be too dangerous to take meds before the study then stop for the duration of the in-house portion which can be weeks. Not going to do that.
 
I'm still curious why you are so resistant to changing your diet, although I sorta went through the same thing with exercise myself for a number of years.

For me the pros were something like: helps my mood, helps my blood pressure, helps me maintain my weight, improves my cholesterol profile, helps me live longer, helps maintain my blood sugar level, improved mental clarity and focus, improved sleep, reduced chance of dementia, improved daily functionality, and reduced aches and pains.

The cons were I got sweaty and would have to take a shower, it took time, and I didn't want to. Also, it was a change that I could not envision as being permanent.

About a year ago I decided the pros outweighed the cons, buckled up, joined a gym, and have been exercising consistently for about a year or two now. Interestingly, the pros are all there, and the cons were one time, transitional, or faded away.

For you so far on diet you have:

Pros: could continue doing medical studies, save (a little) bit of money not taking BP meds, would address concerns about starting BP meds at age 41, wouldn't have to take your BP multiple times a day.

Cons: you don't want to.

To the above list of pros I would add: could help with chronic pain - I think you were in an industrial accident a number of years ago, so obviously most of your pain is probably due to that, but I also had a bunch of chronic pain that went away when I ate better (mainly stopping gluten and reducing sugar) - could improve mood, stamina, energy levels. In addition, you mentioned you were on low income, and processed foods usually are quite a bit more expensive than cooking for yourself. It is also something that, surprisingly, was fun and interesting for me to learn about. There are also all of the deleterious health effects that come with high BP that people have alluded to; I'm pretty sure that strokes and heart disease are included in that list.

To the cons I would add: there is a transition/learning curve/change that takes some time and effort at first, and cooking for yourself is more time consuming than popping something in the microwave.

I think if you objectively listed the pros and cons of a better diet (vs BP meds) and decided to give it a serious try, you'd find the same thing I did with exercise: the pros would all actually be there, you might find some additional benefits you didn't predict, and the cons would be one time, transitional, or fade away over time.

In any case, good luck to you.
 
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