I have been on lisinopril 80 mg for five years. My blood pressure never went below 155/90. 2 weeks ago he changed it to 20mgLisinopril-HTCZ 12.5 mg. I told him I'm allergic to hydrochlorothiazide but he said "It's not much. You'll be fine." We argued a bit, but he refused to change it. Well, I wasn't fine. I had severe diarrhea, vomiting, swelling in neck and face. I contacted his nurse multiple times, but he still refused to change it. He refused to change it unless I went to ER and got documentation that I'm allergic to sulfa drugs, than ER would put me on a different blood pressure med, than I could make appt. with him for a new prescription. ER said they could only treat life-threatening emergencies. They had no way to test for sulfa allergies. And it was up to him to change the medication.
I called ER medical records and they had records of my allergy to hydralazine that caused anaphylaxis, putting me in ER in 2019. They faxed it to doctor, but it took three more days for him to contact me, even though I called daily. I was scared to stop taking it, and I ended up becoming so dehydrated, my blood pressure dropped from 165/110 to 108/70. I was so weak, my pulse was racing, sweating, the sickest I have been in years. I started getting things together to call an ambulance. About 5 minutes before calling an ambulance, my PCP's nurse called and said they got documentation from ER, so they called in new prescription. The prescription is losartan 100 mg. I'm afraid it's too high, and if I have an allergic reaction to it, he will refuse to change it. Plus, our pharmacist wouldn't let me pick it up till we had a consultation. At the consult, he said if I'm allergic to hydrochlorothiazide, I could have a similar reaction to losartan. He said he had to have my OK to fill it, not only to cover his butt, but to make sure I knew this and would be aware of this.
My roomate gave me some 20 mg of lisinopril he no longer takes, so I'm taking that twice a day. I no longer trust my PCP and am looking for a new one after 20 years with him.
I can't get into a Cardiologist until April.
I am allergic to amlodipine, naproxen sodium, hydralazine, contrast dye and sulfa drugs. Med. history: hypertension, COPD, hyperhomocystienemia, Barretts Esophagus, Osteopenia and decreased kidney function.
I didn't call 911 when dehydrated. I stopped the meds, and tried to rehydrate at home with PediaLite. I still feel very weak and shaky and just not right. I should have called 911. I was stupid not to. Don't ever be like me.
Knowing all of this... do you feel 100 mg of losartan for me to start with is too high?
High blood pressure - is 100 mg of losartan a safe dose to start with?
Question posted by Juliana727 on 17 Feb 2023
Last updated on 19 February 2023
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Answers
Usual Adult Dose for Hypertension
Initial dose: 50 mg orally once a day
Maximum dose: 100 mg orally once a day
Comments:
If hypertensive patients with left ventricular hypertrophy or type 2 diabetic nephropathy patients require titration from initial dose, increase to 100 mg orally once a day.
Antihypertension is substantially present within 1 week but in some studies the maximal effect occurred in 3 to 6 weeks.
Source: Drugs.com
Thankyou Masso,
The strange thing? Since dropping my Lisinopril from 80mg, (40 mg 2 x day) to
40 mg (20 mg 2 x day), my blood pressure is now normal. First time in 5 years!
Now I don't want to go on Losarton and see how this lower dose of Lisinopril does.
I wonder if the side effects of the higher dose of Lisinopril caused my blood pressure to sky rocket? (Shortness of breath, not able to exercise, overworking the kidneys).
Thanks again.
You are welcome and I wish everything works out just fine for you in everything aspect of your life.
"Every aspect "
Thank you.
Related topics
high blood pressure, allergic reactions, hydrochlorothiazide, lisinopril, losartan, congestive heart failure, hypertension, dosage, blood pressure, safe dose
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