Give Blood Pressure Drugs to All - page 3

From Medscape CME: May 28, 2009-Blood-pressure-lowering drugs should be offered to everyone, regardless of their blood pressure level, as a safeguard against coronary heart disease and stroke,... Read More

  1. Visit  kanzi monkey profile page
    1
    Not to go way off topic, but have you heard about the study on elevated c-reactive protein, cardiovascular risk, and prevention via a statin (Zocor, specifically)? (this sounds like it's leading into a very nerdy joke)
    Since CRP is such an imprecise measurement of inflammation, it may be elevated in many people for unknown reasons. This study showed that the risk of cardiovascular disease was increased in people with an elevated CRP, even with normal lipids and no obvious cardiovascular risk factors. It ultimately suggested routine CRPs for adults, and statin for all with elevation.
    It's interesting. I'm not putting an opinion out there. If anyone is interested I'll post the article in a new thread, even though it's a few months old.
    Oh, and if that's already been done, I apologize
    lamazeteacher likes this.
  2. Visit  lamazeteacher profile page
    0
    "you do not have to be overweight and inactive to have hbp, it can be caused by genetic predisposition." quote from fairy cari

    i'm so glad that you found out that you have htn, in time to be treated effectively. i once took the b.p. of a colleague (a msw) at work, as she wanted asa for a ha (back in the '60s - not as much use of tylenol then). i insisted on taking it before giving her the asa, and read 260/180. i almost fainted, myself.

    she told me that she'd had htn while pregnant 2 years ago and thought she'd left that behind her........ i insisted that she see a doctor within a half hour.

    once on anti htn meds, she hated feeling lethargic, and i told her that would "wear off", but the peppy, funny person she had been was gone; and a grumpy, somewhat depressed person remained. i informed her doctor that i thought she'd go off her meds, and he reduced the dose. the initial high dose lowered her b.p. sufficiently, and she did well on the lower dose.

    putting everyone on those drugs, is like giving insulin to all family members of diabetics. i remember when "insulin shock treatments" were given depressed patients, as an alternative to electro-shock treatment. it's anyone's guess what havoc that played in their pancreas(?es). it didn't work too well.....

    i would love to see a law against research being done by manufacturers of any drug. they love to claim that the high cost of their drugs is caused by pricey research, but all research is funded by grants!
    Last edit by lamazeteacher on Jun 6, '09 : Reason: typos
  3. Visit  GilaRRT profile page
    0
    Quote from lamazeteacher

    I would love to see a law against research being done by manufacturers of any drug. They love to claim that the high cost of their drugs is caused by pricey research, but all research is funded by grants!
    That does not make any sense. Most clinical trials are funded by drug companies. NIH grants fund smaller projects in the academic environment; however, the drug companies are paying for most of the identification, production, and testing of the latest and greatest therapies.
  4. Visit  Knoodsen profile page
    3
    Right on! Power to the pill. Everyone should be on lots of meds. Ask your doctor. I'm working on a study that proves all humans have fibromyalgia and ought to be taking vicodin, soma, and xanax.
  5. Visit  lamazeteacher profile page
    0
    Quote from GilaRN
    That does not make any sense. Most clinical trials are funded by drug companies. NIH grants fund smaller projects in the academic environment; however, the drug companies are paying for most of the identification, production, and testing of the latest and greatest therapies.
    Where did you get reliable information about pharmaceutical companies funding their own research? I'd like to see provable figures.

    I worked with the American Cancer Society's California Division Service Committee some years ago, evaluating and approving grants. None went to drug companies, but I was told the NIH and HHS funds them, by administrators at those government departments that I visited I(again, some years ago).
    Last edit by lamazeteacher on Jun 7, '09 : Reason: typo
  6. Visit  lamazeteacher profile page
    1
    "When my hypertension was first diagnosed, I was prescribed Zestril. It did a good job of controlling my BP, but it induced depression and a flat affect. I didn't care about anything and I had no motivation at all. I switched to another medication and the symptoms disappeared. And these aren't even among the listed side effects of the drug. " quote from Orca's post#

    Thank you so much for sharing your experience while taking the anti-HTN drug.
    I can only imagine (not quite, as I've been severely depressed) the effect it would have on those diagnosed with clinical depression before taking an ant-HTN drug; and those on an antidepressive might have the effect of that drug's therapeutic action cancelled........
    cursedandblessed likes this.
  7. Visit  GilaRRT profile page
    1
    Quote from lamazeteacher
    Where did you get reliable information about pharmaceutical companies funding their own research? I'd like to see provable figures.

    I worked with the American Cancer Society's California Division Service Committee some years ago, evaluating and approving grants. None went to drug companies, but I was told the NIH and HHS funds them, by administrators at those government departments that I visited I(again, some years ago).
    http://jama.ama-assn.org/cgi/content/full/290/1/113

    You can start here, then look at the article references. Even back in the early 2000's, drug companies funded many of the clinical trials. This is not a new concept.
    Teresag_CNS likes this.
  8. Visit  FireStarterRN profile page
    1
    Quote from Knoodsen
    Right on! Power to the pill. Everyone should be on lots of meds. Ask your doctor. I'm working on a study that proves all humans have fibromyalgia and ought to be taking vicodin, soma, and xanax.
    herring_RN likes this.
  9. Visit  Teresag_CNS profile page
    0
    Quote from GilaRN
    That does not make any sense. Most clinical trials are funded by drug companies. NIH grants fund smaller projects in the academic environment; however, the drug companies are paying for most of the identification, production, and testing of the latest and greatest therapies.
    Drug discovery is often funded by NIH, and then, after a drug proves worthwhile in initial trials, it is picked up by a pharmaceutical firm for further clinical trials. The pharmaceutical companies do some drug discovery of their own, as well. I wish I knew the portion that is funded publicly; it would be worth pursuing legislation to require the drug companies to reimburse the public for molecules that go on to make billions of $ for them.
  10. Visit  Teresag_CNS profile page
    0
    Quote from Knoodsen
    Right on! Power to the pill. Everyone should be on lots of meds. Ask your doctor. I'm working on a study that proves all humans have fibromyalgia and ought to be taking vicodin, soma, and xanax.
    Throw in a handful of Vioxx and a few benzos and I'll help with your study for free!
  11. Visit  WhyattMorgansMom profile page
    1
    I am a T1 diabetic on an insulin pump and take BP meds for kidney prophy, yet in the hospital and Dr, my BP it is always perfect and the hospital asks, "why are you taking HBP meds if your BP is fine." UGH! Trying to explain to yet another Dr about kidney prophy and diabetics. My A1C is 5.2%-5.6% even.
    Teresag_CNS likes this.
  12. Visit  GilaRRT profile page
    1
    Quote from WhyattMorgansMom
    I am a T1 diabetic on an insulin pump and take BP meds for kidney prophy, yet in the hospital and Dr, my BP it is always perfect and the hospital asks, "why are you taking HBP meds if your BP is fine." UGH! Trying to explain to yet another Dr about kidney prophy and diabetics. My A1C is 5.2%-5.6% even.
    Not unreasonable to put diabetics on ACE inhibitors. Too bad your other providers do not understand other indications for ACE inhibitor therapy.
    cursedandblessed likes this.
  13. Visit  WhyattMorgansMom profile page
    1
    I agree, I think that ALL diabetics, despite "type" should be on them for kidney prophy. Wish more Dr's were "up on D therapy" as us with D (that are int he loop) are. Scary to think that some ppl trust there Dr 100% and have no clue!
    cursedandblessed likes this.

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