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Medical Forum / General / General / August 2005Which HBP Medications
I have livber disease and do not want to take any HBP meciatrion that'll aggarvate the problem. Diovan seems like a good hbp drug but it's contraindicated for folks w/ livber problems. Any suggestions? Thanks, Joe Same message after running spell ((not a very good typist)) I have liver disease and do not want to take any HBP medication that'll aggravate the problem. Diovan seems like a good hbp drug but it's contraindicated for folks w/ liver problems. Any suggestions? Thanks, Joe while valsartan (diovan) wouldn't be a good idea for someone with severe liver disease, it wouldn't be an absolute contraindication for someone with chronic/mild/moderate liver disease... There are many many other choices -- and you may require more than one medication to control your blood pressure. There is simply no way to give you reliable personal medical advice over the internet. I simply wanted to correct the notion that an angiotensin receptor blocker is contraindicated for anyone with liver disease. > Same message after running spell > ((not a very good typist)) [quoted text clipped - 7 lines] > Thanks, > Joe Thanks for the reply. I've never had a liver biopsy so I don't know how severe it is. LFT values are normal. Cannot drink etoh or use prescription drugs that are metabolized by the liver. Don't use illicit drugs. Current symptoms bloating, lack of engergy. Over the years most dos have ignored it ie prescribe drugs that cause more damage. Mike > while valsartan (diovan) wouldn't be a good idea for someone with severe > liver disease, it wouldn't be an absolute contraindication for someone [quoted text clipped - 19 lines] >> Thanks, >> Joe > Thanks for the reply. I've never had a liver biopsy so I don't know how > severe [quoted text clipped - 5 lines] > > Mike Mike, You might try (at least for two weeks) a vegetarian diet. Don't use any salt. I recently read an article indicating that vegetarians rarely ever have problems related to blood pressure. Before you try the experiment, do a google search and try to find a good book related to a vegetarian diet. You should also ask your doctor if he or she agrees that it's a safe option for you. Jason  SignatureNEWSGROUP SUBSCRIBERS MOTTO We respect those subscribers that ask for advice or provide advice. We do NOT respect the subscribers that enjoy criticizing people. Thanks jason, I'll look into it. Mike >> Thanks for the reply. I've never had a liver biopsy so I don't know how >> severe [quoted text clipped - 16 lines] > option for you. > Jason > Thanks for the reply. I've never had a liver biopsy so I don't know how > severe > it is. LFT values are normal. COMMENT How do you know you even HAVE liver disease? Don't just say "because doctor so-and-so told me I did." That just removes the question to the doctor. Without a liver biopsy (and bilirubin and ammonia levels), how did the DOCTOR know? Did you see Dr. Superman with the microscopic X-ray vision, maybe? Go see somebody who knows how to evaluate your problem, so you have some information. It's possible you're crimping your lifestyle for no good reason at all. SBH > > Thanks for the reply. I've never had a liver biopsy so I don't know how > > severe [quoted text clipped - 13 lines] > > SBH SBH, A high bilirubin level is not always a sign of liver problems. Gilbert's Syndrome (Hyperbilirubinemia) is a not disease--it's a normal variant and is usually an incidental finding of routine testing. source: H. Winter Griffith, M.D. SignatureNEWSGROUP SUBSCRIBERS MOTTO We respect those subscribers that ask for advice or provide advice. We do NOT respect the subscribers that enjoy criticizing people. > > > Thanks for the reply. I've never had a liver biopsy so I don't know how > > > severe [quoted text clipped - 19 lines] > is usually an incidental finding of routine testing. > source: H. Winter Griffith, M.D. COMMENT: I KNOW that. But the increased bili's in Gilbert's are usually small, (particularly when the subject hasn't fasted long) and are of the unconjugated (indirect) type. Liver dysfunction of the pathological type typically produces large increases of the direct/congugated bilirubin. They are not difficult to differentiate. SBH > > > > Thanks for the reply. I've never had a liver biopsy so I don't know how > > > > severe [quoted text clipped - 28 lines] > > SBH SBH, I agree with you. However, as you may know, some doctors such as those that got there MD degrees from other countries (e.g. South America) may not even know about Gilbert's Syndrome and end up telling there patients that they have liver disease or liver problems. Mike said in his post that the doctor had NOT done a liver biopsy. I just hope that Mike's doctor did not make this mistake. Jason SignatureNEWSGROUP SUBSCRIBERS MOTTO We respect those subscribers that ask for advice or provide advice. We do NOT respect the subscribers that enjoy criticizing people.
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