CO: Here we go again
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Has anyone told you that you see life through IR colored glasses LOL
I do think it's an important topic but that doesn't mean the shoe fits all, especially if someone RVRd. And speaking of IR and related, the drugs used to control it are not without risks which seems rarely pointed out here.
Someone posted a few weeks ago that their doctor already has one patient who needed a transplant, the damage caused by one of the IR drugs. Let's use these drugs when needed, but not as a first line defense (let's try diet/weight loss and exercise first) or because we think that someone *may* develop IR on treatment when in fact they are not. OK, here we went again :)
-- Jim
what are the better options when i cant take bepridil, verapamil, diltiazem, felodipine, nifedipine, nisoldipine.. and i already filled the prescription.. these drugs are BP meds that cant be takin with the PI.. Does anyone know of an Bp med that i would not have a problem with..
But don't stop taking it until they replace it with something else.
Co
(see my post to Jim)
I would ask the doctor to change it. If he asks why, I would say.....
1. Because I have a family history of diabetes and beta blockers are known to cause diabetes.
2. Because interferon can cause insulin resistance/diabetes.
3. Because PI's can cause insulin resistance.
4. Because insulin resistance and diabetes can lower SVR greatly.
5. Because there are better options.
Co
so what do u think i should do?? im on 25mg of atenolol and the doc told me to take it two times aday.. she said its a low dose but im not to sure if it is..
"Are you IR or diabetic? If not, I doubt that will happen on treatment regardless of what bp meds you take"
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Here we go again.....
He has a family history of diabetes, he's on a PI, which can cause IR, on interferon which can also cause IR, he's just been put on a beta-blocker which can cause diabetes and he'll be on tx for months.
That is tempting fate if you ask me.
"and I assume your blood will be monitored on a reg basis. Personlly, I'd go with whatever works at least during tx."
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A 27 year old who suddently develops high blood pressure (which is part of the metabolic syndrome, BTW), has a family hx of diabetes, and is on a tx that can cause IR/diabetes....I would say he should have been checked for IR before handing him the Rx for a bp med...and I bet you they didn't do it (and I doubt his insulin level was checked pretreatment).
Putting a 27 year old with a family hx of diabetes on a medication that is well known for causing diabetes and which he may have to take for the rest of his life (because I doubt his bp will normalize after tx), is like inviting diabetes to come and get him. And you think that doctor is going to "monitor him on a regular basis"? Yeah, right!
Co