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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low BP While On Spironolactone And Euflexxa?

two meds I added fairly recently, Spironolactone (3 months); and Euflexxa injections on 4/25, 5,? and last 5/5/1-ish. I had hives (3 and itching before 5/6). continued todate. over two weeks ago blood pressure gradually descended from my long time high about 160+ for couple years. never below 152. descending continued down to 96/98/107. never was I 96!. I called my cardiologist and did not get authorization to see him. I asked what to do. he said if it gets down too 115 stop taking cardeveral and losartan.. I f anything strange happens go to er. I now add he was not aware of the Euflexxa injections; and you now need to know I have a St. Judas Pacemaker. I have seen no doc. seems now through all this monitoring, I m stabilizing around 123/98/65. I m thinking I need my cardiologist to reset my pacemaker and check week heartbeat, beat varies a lot. in past, with other cardiologist in plan, he was able to get authorization and saw me quickly. my cardiologist said he would see me in oct for next visit. I complained to SCAN, which is over my plan and plan to move to another group July 1. hope that works. I m sure this is the gel, what are your thoughts and my next nxt steps. of course I am 80 and avoid er now as this is a done deal. I just figured this out on my own online. help!
Wed, 5 Sep 2018
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General Surgeon 's  Response
Hi,

The low BP is surely from the fluid electrolyte disturbances via diuretic spironolactone via its action on renal tubules. It is recommended for the dose adjustment or molecule change after discussion with your treating cardiologist.

Hope I have answered your query. Let me know if I can assist you further.
Regards,     
Dr. Bhagyesh V. Patel
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What Causes Low BP While On Spironolactone And Euflexxa?

Hi, The low BP is surely from the fluid electrolyte disturbances via diuretic spironolactone via its action on renal tubules. It is recommended for the dose adjustment or molecule change after discussion with your treating cardiologist. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel