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Q: what are the indications and doses of plendil?

A: Plendil – felodipine – is an antihypertensive medication. The recommended starting dose is 5 mg once a day. Depending on the patient’s response, the dosage can be decreased to 2.5 mg or increased to 10 mg once a day. These adjustments should occur generally at intervals of not less than 2 weeks. The recommended dosage range is 2.5–10 mg once daily. There are some contra indications that state that in clinical trials, doses above 10 mg daily showed an increased blood pressure response but a large increase in the rate of peripheral oedema and other vasodilatory adverse events. Modification of the recommended dosage is usually not required in patients with renal impairment. Plendil should regularly be taken either without food or with a light meal and should be swallowed whole and not crushed or chewed.
I add a link which contains details of this subject.

http://www.astrazeneca.ca/documents
/ProductPortfolio/PLENDIL_CIL_en.pdf

Hope this helps
Matador 89

Q: Does Plendil, Enalapril & Lovastatin contain any Nitroglycerin?

A: Plendil is in a class of drugs called calcium channel blockers.

http://www.drugs.com/plendil.html

Enalapril is in a group of drugs called ACE inhibitors.

http://www.drugs.com/enalapril.html

Lovastatin Tablets is an HMG-CoA reductase inhibitor

http://www.drugs.com/cdi/Lovastatin_Tablets.html

These sites contain all the info you need including side effect & drug interactions.

Q: Is plendil could cause gum disease? or make my gum bleed?
my gums are bleeding a lot, and if i have a disease do I have hope?

A: Both.

Q: Can someone advise best natural remedy for high blood pressure?
My mom has essential high blood pressure sometimes reaching over the 200/160 mark. As her blood pressure has been high for a while she has an enlarged right ventricle which will and is leading to CHF. Her breathing is already heavy. Her doctor has given her Betaloc, Plendil, Inhibace, Dosan, Cartia a blood thinner, Lipex for high cholesterol and Quinine for night cramps. She’s in her early 70’s and she complains of head aches, extreme fatigue and loss of energy. She has increasing dark circles around her eyes as if she hasn’t slept in months with shortness of breath like she’s gasping for air. I would like her to try natural remedies because these synthetic drugs don’t appear to be doing much for her overall health. Can anyone advise some really good and effective natural remedies to treat both high blood pressure and CHF? I know Celery is good for lowering blood pressure.

A: It’s great that you are concerned for your mother. She has a lot of stuff to be concerned about, and I hope you can take the time to learn about all of the issues.

I feel for you and your mother. It’s hard to believe that they can’t get her BP under control. I’ll give you my best answer on natural means for reducing BP, but I strongly recommend you find a hypertension specialist. The bloodpressureline Yahoo! group is a great resource, as well. It is run by a hypertension specialist who can help you to find someone in your local area.

On the CHF side, you should find a heart failure specialist, as well. (Not just a regular cardiologist!)

Now, as to how to treat it:
1. Do *all* of the obvious things:
a. No smoking
b. Cut out caffeine and alcohol
c. If her BMI isn’t < 25, help her figure out how to get it down there. Obesity, more than anything else, is a huge issue. Check out the DASH diet and the rice diet.
d. Reduce sodium intake and increase potassium intake (fresh fruits such as oranges and bananas can help here). — This is actually a very easy thing to do and might bear fruit, so to speak.
e. Make sure she doesn’t have sleep apnea. It can cause high BP.
f. Get her regular exercise, even if it is just walking around a few times a day or doing water aerobics. Build up her stamina. Create a log for this, if necessary, so that she can visually see her own progress.
2. Take her BP regularly. If she doesn’t have a digital BP cuff, get her one and make sure she knows when and how to use it. (They’re remarkably inexpensive… around $50 for a good one at your local pharmacy.) Have her log BP as well as exercise.
3. Work with the hypertension and heart failure specialists to determine if her medications and their dosages are appropriate. Is Betaloc the right beta blocker? Is a calcium channel blocker such as Plendil indicated? Is her ACE inhibitor (Inhibace) at the right dosage, and does she understand the best times of day to take it? Cartia is a calcium channel blocker. Why is she on two different CCBs? Quinine is not FDA-approved for the treatment of leg cramps. There should be a better way for that, IMO. And if she has shortness of breath at night, why in the world isn’t she on a diuretic to get the fluids out of her lungs?!
4. Check out chfpatients.com for more information on CHF treatment. Start by reading “the manual”. You might also be interested in the “nutrient stew” section.
5. Ask your mother if you can sit in on her doctor appointments. Write out as many questions in advance as possible and send them to the doctor beforehand. You’ll get much more thoughtful responses this way.

Please feel free to contact me if you want to chat about any of this…

Good luck!

Q: Can I use Viagra? I am taking Plendil 10mg,Enalapril 10mg,Lovastatin 20mg for Hypertention.?

A: You should always consult with your primary care physician before taking any new medication, but here is a list of contraindications (when NOT to use a medication) for Viagra, according to wikipedia:

“Contraindications include (do not use Viagra…):

* When taking nitric oxide donors, organic nitrites and nitrates, such as glyceryl trinitrate, sodium nitroprusside, amyl nitrite (“poppers”)[5]
* In men for whom sexual intercourse is inadvisable due to cardiovascular risk factors
* Severe hepatic impairment (decreased liver function)
* Severe impairment in renal function
* Hypotension (low blood pressure)
* Recent stroke or heart attack
* Hereditary degenerative retinal disorders (including genetic disorders of retinal phosphodiesterases)”

Q: i am taking plendil 5 mg dose it cuse fatty liver and elevait liver enzym ggt . i do not drik alkhol..thanks

A: I am not certain what your question is, but assume it has a question regarding the possiblity of liver problems with plendil.

The link below from the FDA lable information about the drug (2004) states that there were 2 cases of increased liver enzymes (ALT) (an indication of liver damage) that improved when the drug was withdrawn.

Fatty Liver?, people who are overweight and diabetic or prediabetic might have fatty liver. Fatty liver might require a lower dosage of plendil since the liver is needed to eliminate it. It is good you do not drink alcohol, since alcohol makes many other drugs more toxic to the liver, including tylenol like products containing acetaminophen.

http://www.fda.gov/cder/foi/label/2004/19834slr022_plendil_lbl.pdf

Q: How to stop/prevent chilblains?
I used to have really bad chilblains all over my hands and feet
The doctor gave me Plendil which lowers your blood pressure and that really helped keep them away.
Except now they’ve started to come back and really bad all over my hands
What else can i do to prevent them?
I live in New Zealand, not an extreme climate. Does get cold in winter, but not amazingly hot in summer, then freezing in winter

A: I’ve only ever had minor chilblains but they are so horrible. I find Sudocrem gives immediate relief and seems to stop them flaring up – it keeps the skin moisturised without irritation (it’s in the nappy section at the supermarket – in a plain grey tub).

The main thing for prevention is to keep the areas warm – which means thick hiking socks and warm gloves for me at the first sign of a breeze outside!

It’s also recommended to exercise before going out in the cold to improve ciculation. And despite the temptation don’t try to heat your hands and feet up too quickly when you come in from the cold (such as running your hands under the hot tap) because this can aggravate them.

I’ve also heard that steroid creams can help, but mine have always cleared up within a few days of keeping my hands warm and applying Sudocrem.

Perhaps someone else on here has some more ideas… and I hope you feel better soon.

Q: i feel dizzy when i suddenly move my head, or when i look up and down. I can’t have a good balancing.?
3 months ago, my blood pressure was quite high, 140/100. a doctor prescribed me of taking plendil 2.5 mg. When I reached here in the middle east, the only available drug in our clinic is amlor 5mg. However, I regulary had maintained the blood pressure of 110/70. I wonder if i am having low blood pressure or lack of iron. What could be the best for me to do?

A: You sholud go to a doctor for a check up. Your doctor will help you about continuing the medicines or not.

By the way from a Dieticians view,a BP of 110/70 it is normal. You donot have to have medications if it is controlled or mantained with a low salt – low fat diet 2-4mg salt /day.
Eliminate processed food, chips, pickled foods and fried foods, Salted nuts.
Opt for baked or grilled lean meat, chicken breasts. Use only 1-2 teaspoons of Olive/Canola oil for cooking both are healthy for the heart.
Go in for lowfat dressings in salads, or opt raw salads.
From the dairy side do go in for low fat/Skimmed milk & low fat/skimmed yoghurt.
Have a handful of Walnuts (unsalted) , daily they are healthy for the heart.
Always count your portions and wish you good luck to maintain your health.

Q: Have diabetes and hbp…had a stroke & severe pneumonia, survived…sugar lev in gd ctrl…try to lower bp.?
Currently taking Plendil (bp), aspirin (quarter of a tablet), Gliclazide (Diabetes) and Lovastatin…cutting alot of food inappropri ate have help…do take some supplements like multivitamins, catamin A, Multi Bs, E, fish oils with Omega-3, herbal products (Himilaya’s Diaguard and Cystone)…do a little bit of excercise (probably 10 minutes dayly eventhough used to be a sportman before but being much more restricted after my stroke)…reading over the net often confused me with the coflicting infos…I can be a discilpine person should I know the right way of achieving my health target…Yesterday, at my half-year eye checkup with the specialist was very positive as he told me that I have slightly improved…I am 52, single straight male, non-smoker and non-drinker…want to get healthier and travel again (apart from the limited mvement, now)…anyone, have anything to share?…think, I am a very positive as far as getting better is concerned…any advise?…tq in advance.

A: I rarely seen someone with such positive attitude and determination, bravo. With those qualities, the only other thing that you need now is to keep it that way. Do not over do it.
I personally thing that you did not need so many supplements, but if you do feel better taking them, go ahead. However, make sure the supplements are medically tested and approved by your local authorities. Some of the ‘junks supplements’ contains substance that can be hazardous. (Believe me I’ve seen patients developed liver failure and renal failure taking these junks supplements).
Exercise is the other key point, keep it that way, 10 minutes is better than none.
DO NOT TRUST YOUR LIFE with the internet infos… Some info are not evidence-based and can be dangerous. The best way is to hire a family doctor, preferably nearby your home, and to have him follow you up regularly. It is better to have one doctor who know everything about you. You can discuss health plans specifically tailored for you.
Also, if you have extra money, you can invest in a blood pressure machine. This way you can monitor your BP better, and so you’ll know when you should have the visit to the doctor.
Hope this help.

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