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Chest pain is not to be ignored

Written by: Dr. Rowena | Posted: Feb 16 2009

Q: I’m wondering if my meds for high blood pressure should be changed. I have been on lisinopril-hctz 12.5 mg. My chest hurts alot and there’s some numbness in my arm but I check my BP and it’s usually not that bad. I am just curious what questions I can ask my doctor so I don’t sound like a whiner. I just want to feel better.

A: Chest pain, even with normal blood pressure, should not be ignored. You need to be evaluated immediately. Chest pain, especially when associated with arm symptoms, can be a sign of heart trouble. In this situation, don’t worry about what your doctor thinks about how you sound. It is better to be considered a whiner than suffer a massive heart attack.

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Can peripheral neuropathy be aggravated by the drug lotrel?

Written by: Dr. Rowena | Posted: Sep 03 2008

Q: I have peripheral neuropathy which has been extremely mild for years. Since I started on Lotrel it has gotten significantly worse. Can Lotrel aggravate neuropathy?

A: Lotrel is a combination of an angiotension–converting enzyme and a calcium channel blocker. Abnormal sensations to the skin such as numbness and tingling have been reported with this drug. A peripheral neuropathy can also cause similar symptoms so it is likely that the Lotrel is making your condition seem worse. You should discuss the worsening of your neuropathy with your doctor.

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