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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Lorezepam, Terazaosin, Lisinopril, And Cipro Normal For High BP, Etc.?

Hello, I am concerned about the medications my husbands doctor just prescribed to him. He went to the doctor last Thursday, He went for a check up and came home with three medications. One was for high blood pressure, and the other one was for stress, and one? Well we ended back today a day earlier then hos original fallow up. He was in pain in his lower back, we thought it could be kiddney stones, he is in alot of pain? the Doctor said it was normal gave him another perscription ,Cipro we just got back home and he is tiered , so he goes to lay down and passes out on his way I am worried can you give me some kind of answer on whats going on? The medications are lorezepam,Terazaosin,lisinopril and now cipro
Thu, 25 Jun 2015
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Cardiologist 's  Response
Hello!

Thank you for asking on HCM!

Regarding your concern I would like to explain that there are some interactions between the drugs he is taking.

It has been shown that lisinopril and terazosin can cause an exaggerated first dose hypotensive response.
This means that when combined together in the first days they can cause an extreme decrease in the blood pressure.

Another drug that can cause fatigue and sleepiness is lorazepam, which is a drug which main effect is anxiolytic and sedative.

I would recommend you to closely monitor his blood pressure. If it is low, I recommend to consult with the GP and lower the doses of lisinopril and lorazepam.

Hope to have been helpful!

Greetings! Dr. Iliri
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Are Lorezepam, Terazaosin, Lisinopril, And Cipro Normal For High BP, Etc.?

Hello! Thank you for asking on HCM! Regarding your concern I would like to explain that there are some interactions between the drugs he is taking. It has been shown that lisinopril and terazosin can cause an exaggerated first dose hypotensive response. This means that when combined together in the first days they can cause an extreme decrease in the blood pressure. Another drug that can cause fatigue and sleepiness is lorazepam, which is a drug which main effect is anxiolytic and sedative. I would recommend you to closely monitor his blood pressure. If it is low, I recommend to consult with the GP and lower the doses of lisinopril and lorazepam. Hope to have been helpful! Greetings! Dr. Iliri