Maarten Vasbinder lives in Isaan. His profession is general practitioner, a profession that he mainly practiced in Spain. On Thailandblog he answers questions from readers who live in Thailand and writes about medical facts.
Do you have a question for Maarten and do you live in Thailand? Send this to the editor: www.thailandblog.nl/contact/ It is important that you provide the correct information such as:
- Age
- Complaints)
- History
- Medication use, including supplements, etc.
- Smoking, alcohol
- Overweight
- Optional: laboratory results and other tests
- Possible blood pressure
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Dear Martin,
I have been diagnosed with high blood pressure for 10 years, when I lived in Belgium. I have been living in Thailand for 2 years. Before discovering my high blood pressure, I suffered a lot from migraines. I took the medicine (Lisinopril 20 Mg) for years until 2 weeks ago (my GP had given me a supply). I presented the Thai substitute (Lispril 20 Mg) to my GP and she said it was good.
After switching from Lisinopril to Lispril, my blood pressure dropped dramatically. I contacted my doctor and she advised to halve the dose and maybe even stop it. Because, according to her, the different living situation (climate, no work stress) could be a cause of the decrease. I decided to stop the meds to see what would happen to my blood pressure. This rose to too high values after 4 days. Then I started halving the old dose (so 10 Mg Lispril). My blood pressure dropped back to a constant and good value. Unfortunately, in 9 days I had 2 times 2 days of severe migraine (Nausea, vomiting, extreme fatigue).
My question now is, could the change of medication be a cause of these migraine attacks? Do you have any tips (other medication?) or advice that I could try?
Age; 49, female.
I don't smoke or drink.
Do not be overweight (1.77 m and 65 kilos).
- i also take blood thinners Aspent-M 81mg. 1 per day.
- Before the diagnosis of high blood pressure and taking the medication, I had frequent migraine attacks. From the start of taking the drugs, these attacks have been very sporadic. It seemed that the high blood pressure was the cause of these attacks.
- sometimes I feel tired.
- I certainly drink enough. Especially flat water.
- I am sporty, walk a lot, sport and swim. Don't be overweight, don't drink or smoke.
Could the transition from lisinopril to lispril cause these complaints? Or could it be complaints that are part of an early menopause?
I have been taking lispril 9mg for 10 days now with good blood pressure, is your advice to continue or increase to 20mg?
Regards,
R.
*****
Dear R.