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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Medication Is Suggested For High BP?

Hi Dr.Grief, I am interested in your opinion on Benicar HCT 40mg/12.5mg to treat HBP. I have a history of having low to normal BP. My BP & HR have been at approx. 155/110 & HR 90-100 for the past 4 months. There is no family history of HBP, in fact most have lived into there 90 s. I have been taking Venlafaxine ER 150mg 1xdaily for the past 6 months and understand that this may affect my BP. (I am on no other meds or supplements) I also understand that the olmesatan medoxomil and the hydrochlorothiazide are meant to work together. I currently do not have any signs of water retention. I am concerned because last year I was hospitalized for severe dehydration, (possible a side effect of some meds my Dr. had me on) and don t want that to happen again!!! In your opinion do you think this is overkill for lack of a better word? Do you think just an antiotension receptor blocker alone would be a better choice considering my history? I need to get my BP down regardless but I really would appreciate your input. Thank you, Julie Pratt, RDH, BS
posted on Fri, 17 Jan 2014
Twitter Sat, 18 Jan 2014 Answered on
Twitter Mon, 20 Jan 2014 Last reviewed on
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General & Family Physician,  's  Response
Hello
Thanks for the query to HCM Forum.
Benicar HCT ( olmesartan medoxomil+hydrochlorothiazide ) is most potent anti hypertensive drug .
As you mentioned in your query that you are taking venlafaxine as an anti depressant drug so need not to worry about that.
Now your main concern is about hydrocholrothiazide ( as antidiuretic ) .
You want to take olmesartan alone as you were hospitalized for dehydration previously.
The main side effect of olmesartan alone is PERIPHERAL EDEMA , hence your treating physician advised you BENICAR HCT instead olmesartan alone .
Other side effect of olmesartan are facial edema , angioedema , acute renal failure .
I would like to advise you consult your treating physician about these side effects and thereafter start this drug ( if alone).
Good luck.
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What Medication Is Suggested For High BP?

Hello Thanks for the query to HCM Forum. Benicar HCT ( olmesartan medoxomil+hydrochlorothiazide ) is most potent anti hypertensive drug . As you mentioned in your query that you are taking venlafaxine as an anti depressant drug so need not to worry about that. Now your main concern is about hydrocholrothiazide ( as antidiuretic ) . You want to take olmesartan alone as you were hospitalized for dehydration previously. The main side effect of olmesartan alone is PERIPHERAL EDEMA , hence your treating physician advised you BENICAR HCT instead olmesartan alone . Other side effect of olmesartan are facial edema , angioedema , acute renal failure . I would like to advise you consult your treating physician about these side effects and thereafter start this drug ( if alone). Good luck.