Hydrochlorothiazide (HCTZ)
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- Опубліковано 10 січ 2018
- The diuretic variously referred to as HCT, HCTZ or more properly hydrochlorothiazide remains one of the most popular treatments for high blood pressure. This so-called water pill helps eliminate excess sodium and fluid from the body. In the process, the blood pressure falls. The price is cheap and the side effects few. This drug has rightly remained popular for many decades.
I wish you were my doctor! Thanks for explaining all these facts 👍🏻
You are an awesome Doctor / Pharmacologist. You seem to know each medication as if the info was all listed on the back of your hand. True info** on the drugs side affects, strengths, weaknesses, contraindications, etc. I really do appreciate your research behind the manufacturing and studies with each drug regarding FDA approval and independent studies. I trust your opinion and highly recommend others to watch your videos when they have questions about any drug. Thanks Doc!
I was on this med.HCTZ for 9 days. What is wrong with my lower back, i kept saying to myself. I could hardly get up from my couch, chair, and even my bed. I had pain in lower back on a scale of 1 to 10, it was about an 8. I was drinking plenty of water, about 8 to 9 glasses. Also coffee and OJ on the side. Started HCTZ in sept.2019 got off in 9 days. Now, Dec.10, 2019 doing better. Doc.said this med.is a combination of high blood pressure pill and water pill. Not for me. Maybe some younger patients can handle it better. My ankles are fine. At 74 yrs. I still drive and exercise. Do 7000 steps daily. Thanks for reading.p.s. i did not know it was my kidneys that was hurting, so take care people.
I love the way you explain things. I’ve watched several of your videos and am very impressed with your thorough knowledge of medication. Thank you. I’m just now learning that I have hypertension and my blood pressure is in the 170/88 range so far. I always look at the natural way first but i realize at 73, I need to pay attention more to some meds. I am overweight and I do love salt. It seems to be in a lot of foods so now i’m paying attention. I’m changing now because I want to live longer. Keep up the good work Sir, God Bless you.
Thank you….exactly what I needed to know.
Wow!! This is extremely comprehensive.
I have been on this med for three weeks now and it has dropped my BP from 154/95 to 113/69.
Destany did u loose weight with it.. can u exercise with it?
Caused tachycardia in me.
If your blood pressure is dropping will the doctors take you off the medication?
I just got put on this at 160/95. Hoping for the same!!
Dehydration and seliac disease
Awesome Report!
Great advice thanks Doc. Wish you were my MD.
This information is so well detailed. I didn't know much of this. Thank you so much for this very interesting video. I have learned lots.
I really enjoyed your knowledge and perspective of this medication…very easy to understand and relate to…thank you for giving us this content
Thank you, from San Antonio, Texas
Great information. Thank you.
I was diagnosed with HBP at the VA even though I spent a whole month meticulously charting my blood pressure 3x a day. Out of all of the readings the BP went up to around 140/80 in only two occasions. All the other readings were from around the high 110s/70s and into the 120s/80. When I showed that to the NP she practically threw it back into my face. She then prescribed hydrochlorothiazide. It did nothing for the BP but within 2 weeks I had tachycardia. I went to the ER at the VA and laid there hooked up to an IV for 8 hours until the elevated heart rate dropped back to normal. I should have been taken off the drug at that time but was not. Seems that the ER doctors didn't have the common sense to look at my chart to see what medication I was on and what the side effects were (tachycardia is a major side effect with hydrochlorothiazide). So, about 2 weeks later again I had tachycardia and went to the ER again. I sat there for about 12 hours or so this time. Instead of taking me off that diuretic this time I was prescribed metropolol. All that this did was make the conditions worse. My heart began going into Afib and it felt like it was going to explode through my chest. I went to the ER a few other times when my heart was fibrillating and nothing was done. I had to just wait till the episode passed. I was kept on hydrochlorothiazide and metropolol for around 5 years having regular bouts of Afib. Finally, I was taken off hydrochlorothiazide and put on Amlodipine (which has a side effect of irregular heart beating). By this time the Afib was a regular intense occurrence. It wasn't until I took myself off metropolol and on d-ribose that the occurrences became more subtle. But I still blame the VA for its medical incompetence and being the actual cause of the Afib. So, that's my adventure with hydrochlorothiazide.
This is Great Information, Thank You
I wish somebody would of warned me about this 8yrs ago! Not one Dr did! I’m weaning myself off after 8 yrs!
VERY INFORMATIVE. TY
Thank you doc
Excellent
Never take this, it’s poison to your heart. Avid runner here, sent me to the emergency room. Heart palpitations are dangerous. Scared me to death.
Bs
wellnowdoctor- Yesterday I visited a new Dr. It was around 159/91 at the office. I have been on lisinopril 5 mg. I exercise regularly, do morning smoothies, and green juicing at night. At lunch we (hubby & I have a restaurant rice, beans, salad, and fish/chicken. We do everything right, and we don't do "heavy" table salts, use pink salt only. Now she's recommended the HCTZ, 12.5 mg, I remember I used to take this a while back. For some reason I stopped it, and later went on lisinopril...(I think this was due to change in Dr's. ) I take my readings and they fluxuate from low 112/83 - 148/92...could this be due to the effectiveness time? She suggested the HCTZ in am, and Lisinopril in pm. I don't have water retention, 73 yrs old, white hispanic, 126 lb. 5'2"...other than bone density issue, I'm ok.
My doctor added 12.5 mg Chlorthaladone to my Lisinopril and Amlodipine stack, and the funny thing is I’ve been taking it for about a week, it feels like I’m urinating less and I’m less thirsty, maybe my body is dumping the sodium before it can make me thirsty and drink water. I think it’s a smoother drug than the hydrochlorothiazide, the hydrochlorothiazide tends hit hard and fast, and I think it’s more rugged
If we take thizides how long can we be in the heat, is it dangerous to be in the heat too long.
I took this for 3 Days in the back of my eye start to hurt I read the side effects that this can cause eye damage from on your optic nerve so I just discontinued and at the end of the video I like how the doctor said how people eat the wrong things and don't learn they think that pills going to correct everything and that's wrong he said eating the right diet is is just as much as taking the pill true
It also raises my blood sugar so I took it out of my lisinopril prescription
I’ve been on hydrochlorothiazide 25 mg for several years for hypertension. A dermatologist started me on spirobolactone 50 mg for acne due to high testosterone from PCOS. My primary doctor doesn’t like the two diuretics being prescribed together. When I stopped hydrochlorothiazide, I started to swell. Could the edema settle down. Spironolactone seems like a weaker diuretic. My BP is staying at 117 over 70 on the spiro. I should a add I was overweight when first prescribed hydrochlorothiazide but have lost 30 lb from diet and exercise. Is edemA normal from stopping hydrochlorothiazide?
117/70 is perfect blood pressure!
شكرا جزيلا
What does it have in common with penicillin?
My legs, knees, calves, ankles and feet are blown up like a balloon. Can it cause this? My legs have been without varicose veins or swelling at all at age 69.
Salt is not the problem, sugar and carbs and vegetables oils is more of the issues! Your body needs salt and it doesn't rise blood pressure that much, eat wholesome food not processed food.
Will long term use of HCTZ negatively affect kidneys (cause kidney damage)?
Yes, our life style; And the processed foods that use fake(Morton) salt which is cheaper to use and mostly anti-caking agent. And yes processed sugar, and some sugars over all... so many things... thanks Doc
This medication is hard on the body and makes you feel like crap, it depletes all of your electrolytes not just sodium. It can cause your mental health to decline. It can cause higher blood sugars. Taking this medication I could not lose weight because of the high blood sugars. It makes you crave sugar at an alarming rate because your body isn’t holding on to electrolytes so your kidneys want the sugar to try and hold on to some electrolytes, thus causing weight gain. Also I would always get random kidney pains and spasms in that region. This medication made me sun light sensitive and itchy. I was getting sciatica and chronic back pain from it, the electrolytes help stimulate your nerves and nervous system thus being low in them can cause so many issues. Electrolyte deficiency can cause chronic cortisol elevation. I had extremely low libido and could not hold an erection, also it exacerbated my ADHD to where I couldn’t concentrate on the slightest thing for more than a few minutes, low electrolytes can cause neurotransmitter disruption thus making my ADHD worse. It caused my hands and feet to always get numb, this is associated with lack of nerve stimulation and or damage to the nerves. Lastly this medication increased my heart rate I was always tachycardic my heart rate just after a simple walk would be 110-130 my resting heart rate would always be high 90s-100. This medication is so harsh, and I had no clue it was this medication causing me so many health problems, my Dr never explained any of this to me. What I did was up my magnesium via supplement with magnesium glycinate and ate potassium rich foods, and my BP normalized within a week, and all these side effects subsided in about 3 weeks. I’ll never take a diuretic again.
❤
That drug has side effects on the legs. I started cramping so bad after 4 days I had to quit .
Can’t stop peeing
lol that’s what I’m afraid of.
Beware of a dangerous drop in your potassium levels and feeling dopey and dizzy for one thing. Your body's electrical system is depending on appropriate potassium levels.
Indians are in India. Native Americans is the proper term.
Your understanding of the root cause and treatment of heart disease seems well beyond what is taught to most doctors. I have been whole food-plant based and got my blood pressure down to 120/80 when previously I was on atenolol. Now I run between 120-125/85-90 but I don't exercise enough aerobically and that will bring it down a bit, of course.
I am strict on this exclusive whole plant food diet.
Primary meals are: whole wheat pasta w/ canned black beans, no salt, cayenne pepper and spinach. Also, whole wheat bread (flour and yeast, salting to taste with a shaker). Also consumed are fruits and carrots.
Of course, B12 tablet taken regularly.
Resistance training keeps my bones strong. 💪🦵