Wild Blood Pressure Swings

Published: October, 2011Q. My blood pressure has wide swings each day. It can go as high as 210/110 with even minor stress like grocery shopping, then fall to 100/50, which makes me tired and needing rest. I take 15 mg of isosorbide dinitrate and a slow-release nitrate for angina. I also take 10 mg of atenolol (Tenormin) to slow my heart rate. My doctor says I'm just a 'reactive person.' My diet is excellent, and I try to keep active.

As a stimulant, coffee produces a temporary rise in blood pressure. Drinking three or four cups may increase your blood pressure 4 to 13 mmHg. If you don't regularly have caffeine, you may notice more significant fluctuations. Experts don't know why caffeine increases blood pressure but think it may be due to constriction of blood vessels. The complications of wild blood pressure swings in an un-optimized pheochromocytoma patient could result in myocardial ischemia, stroke, renal damage,.

Could my adrenal glands have anything to do with this?A. You certainly do have some big swings in blood pressure, which makes it risky to add more blood pressure medications to control those moments when your pressure is high. There are some conditions in which the adrenal glands pour out large amounts of adrenaline, which can cause surges in blood pressure. But that is unlikely to be precipitated by minor stress. More likely is the effect of the isosorbide dinitrate (a generic version of Isordil). When it kicks in, it could suddenly drop your blood pressure, causing the swings you see.

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Isosorbide dinitrate is also a slow-release nitrate, and it usually isn't a good idea to take two of these at once. Pilotwings snes rom fr. I suggest you ask your doctor to review your medications, including dosages and timing.