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Question for women taking Micardis HCT? Just wondering if it has affected your sex drive?

Turtle1 replied: "I don't take Micardis but I do know that it may affect your sex drive unfortunately towards the negative... along with other blood pressure meds. It may be a temporary problem as your body adjusts to your dosage if you just started your medicine recently 3-6wks. ( I know that seems like a long time). However if it is ongoing & untolerable you may need to see your physician,, this is a real problem affecting your quality of life & you need to tell your physician exactly that! You may need to consider an alternative medication. If your Dr does not see a problem,, see a different Dr. Best of luck to you. Pharmacy Tech."

what is micardis HCT? telmisartan hydroclorothiazide

Ask a Doc replied: "I have read your question very carefully and I felt the frustration of not being able to ask you a few probing questions before answering. However, I would at the very least like to email you a few things to consider that will at least offer a few things to consider and may offer additional aspect for your consideration...with your permission first! MD., 21 years F.A.C.C."

What is a heart murmur and what dose it mean to have a leaking value in the heart should I be worried? I have high blood pressure and my doctors having a hard time trying to controll it with blood presure med. I am currently taking Lisinopril/hctz 20/12.5mg, Toprol XL 50mg, Micardis hct 80mg/12.5mg,and diltiazem er 180mg. I am 23 years old.

dave replied: "well my sister had a heart murmur and it went away but when she had it the doctor wasn't really too worried about it, i would talk to you doctor about it though because you have high blood pressure too and my sister didn't"

goodpoet replied: "A heart murmur is a particular kind of sound the doc hears with his cold stethiscope. Sometimes you are born with one, and it often can disappear. Not the stethiscope, the murmur. I know more about the leaky valve thing, It's called a "mitral valve prolapse" or "floppy valve' in real techinical terms. If you have one, and I don't know about any of the meds you listed that you are taking but you are young for high blood bressure, then your doctor should make sure you know that every time you visit the dentist even if just for a cleaning, you need to pre-medicate with a specific antibiotic. I was switched to amoxicillin but there may be others. You take a certain dose before, and a certain dose after, so that no germs can spread from your teeth to your heart. This sounds more gross than it is. The truth is, there is a direct connection between tooth health and the heart. You act pro-=actively by using the antibiotics. Floppy valves are nothing to take lightly, but be aware of and be sure to take the antiobiotics as instructed, have your heart listened to at doctor visits, and you'll do okay. But you should know what you are dealing with. Also if you need surgery of any kind it should be on your record that you need to be pre-medicated. Even these floppy valves can stop showing up on tests. This happened to me--I took the antibiotics for nearly 20 years, then got retested with newer better? equipment and was told I no longer had the leaky valve. Anyway, your doc should definitely give you information. As to the high blood pressure, I wouldnt dream of commenting and dont know what relation it might have to the valve issue but think you'd want to check your famiily history of young onset of this, and of course have your blood pressure tested several times and at various times of the day. You can buy a home wrist cuff that will give you approximate readings. You might find more info at mayoclinic.com."

siriusmary replied: "I was never diagnosed when I was young so my first notion that I had what was later diagnosed as moderate aortic regurgitation (leaky valve) was when I went on a vacation to Peru. At 13,500 ft above sea level, I was sweating (it was very cold), couldn't breathe and was unable to move. In fact, I was laying flat on the floor of the bus and probably taking one breath every few minutes. My lips were blue and my skin and nails had no blood. I had no idea what was happening - oh, yeah, I had the worst migraine of my life also. I was in good shape but this was a nightmare. They took me back down the mountain to Cuzco - 10,000 ft asl - where I was quite ill and totally out of it - had a stroke but didn't know that either. I didn't remember my phone number at home in the states until 4 days later so I could call and get some help to get home. I had had serious strep throats and maybe rheumatic fever in childhood and also have been diagnosed with ankylosing spondylitis which can cause mitral and aortic valve regurgitation. So, as young as you are, and the meds they have you on, please stay in lower altitudes and watch your breathing. When it becomes labored go immediately to an emergency room. Do not risk your mind by waiting. I was shocked to find out about my leaky valve - they wanted to replace it but I refused since it would have to be replaced again in a few years - 15 or so. I was 50 at the time and decided if I needed heart surgery I would only do it once and that would be later. I take Inderal LA 120 mg to try and control my blood pressure and stay at 50 ft asl and where it is warm. To get my memory and speech back, I played Boggle and other video word games and made serious progress by doing that. I do not keep pushing my body when I have difficulty breathing and I try to control migraines with meds other than the ones that weaken my heart. I cannot imagine taking the amount of meds you are taking and trying to deal with side effects at 23. You are very brave. If you are patient it may happen that your condition will correct itself or improve slightly. Don't worry though since the stress of worry could be worse for you than anything else you may do. I now take 6000 mg Omega-3/6/DHA capsules per day - 2 with each meal and it seems to have helped somewhat since now the tests show mild mitral and aortic regurgitation. Read and research your condition and find natural things to do that will help relieve the pressure and stress on your heart to supplement the plan your doctor has put you on. Of course, check with the doc first to make sure you will not have a conflict with all those meds. Anecdote: I tried to attend a Prince concert about 2 years after the trip to Peru and just the bass coming through those huge speakers was enough so that I could feel my heart valve flopping around and sticking so I didn't even make it through the first song. What a waste. Oh, well, I wasn't the only one in the clinic at the performance so that's how it goes. If all else fails, blame your parents for having bad genes. That's what I did. Take care of yourself and just know that you are special and need to avoid some things - altitude and big vibrations and stress - and follow your doctor's advice. You are too young to have to suffer this - sorry."

luh replied: "I work in cardiology, a heart murmur means that one of your valves is leaking or thickened, it can be a hole in the septum of your heart. It could be a congenital defect. Some murmurs are innocent murmurs and mean nothing other can be more serious and require a yearly follow-up. Valves that are leaking fall into the trivial to severe range. The best test is a painless echocardioram to check out your heart size, valves and the function of your heart. Not all murmurs and leaking valves are bad but you need to know how significant yours are."

BEST of My BESTs. replied: "A heart murmur is what is heard through the stethoscope when there is an abnormal turbulance in the normal smooth flow of the blood through the heart and blood vessels. It may be congenital (inborn) or acquired (through diseases). Your murmur ,obviously ,is coming from the leaking valve . It is possible that it is arising from a dilatation of the valve ring as a result of your intractable high blood pressure. If this is the case, you should take your antihypertensive medication very regularly. I will not hesitate to tell you that you may not be very regular ,as has been my experience with young patients like you. Your hypertension gives a completely different perspective to your murmur and you must follow your doctor's orders almost religiously, Good Luck."

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