 
how to manage Blood pressure in Ramadan
how to manage Blood pressure in Ramadan
it's continuation of previous video
I would like to apologize for the delay
I wanted to upload it few days earlier but
I couldn't because of my tough routine
There are a lot of changes
in our baby in Ramadan
That can affect the course of our medicines
foe example our digestive system, renal and Liver and brain
Some patients adjust their medication by their own
I would recommend not do it by yourself
Have a discussion with your primary physician
Follow it accordingly,
Some patients stop their medicines
Few others reduce the dose by themselves, it isn't recommended
Some patients with uncontrolled Blood pressure
and variates often, It's advisable
Fasting is an optional for them
 
There is a small delay between this and previous video
Recap my first video
Firs of all, Appropriate method for  monitoring  blood pressure
Secondly, balance your diet
which includes fruits, vegetables, fish and chicken and low fat dairy products,
these should be in balanced quantity
 
Thirdly, easier your daily salt quantity
assalam o aliekum mention in previous video,
It's preferable to use low sodium salt
Low sodium salt is manufacture for such patients
Add it in your daily food products
Fourthly, do regular exercise
In Ramadan the best exercise is "Taraveeh Slah"
I would like to show you medicines from different pharmaceutical companies
with medication boxes
So that, you can easily recognize your medicine
Disclaimer, This is not a sponsored video
from any person or business entity
It's purely for patient's education only
This video is specially focuses medication use in Ramadan
We will talk about these medicines in detail , later on
This group of medications is called Diuretics or Water pills or Aqua-cretics
for instance, Lasixs, Aldactone, Hydrochlorthiazides etc
These medicines increase urine production so decrease blood volume
and accordingly decrease blood pressure
We, prefer , not to put patient on these medicine in Ramadan
But, if it's compulsory to take with fasting, then use at Iftar time
Drink plenty of water to reduce side effects like dizziness
This group of medication, ending with suffix "pril or sartan" not only used in lowering blood pressure
but, also, in other conditions
like chronic kidney disease and heart failure etc
It advisable to use after Ishaa Prayer
because it has some side effects like dizziness
Some medicine do interact with them
Do not use together, for example pain killer , high dose aspirin
voltaren , Advil and aleve
avoid them together
these pain killer decrease their effectiveness
in reducing blood pressure
This group of medication is called "Beta Blocker" with suffix "olol"
for instance , concor, Lopressor and Tenormin
Take Concor tablet at Sahoor time
usually , Lopressor is twice a day, so Sahoor and Iftar
 
Caution about these medicines is," DO NOT STOP AT ONCE "
or do not modify dose by yourself
because, it can put you life at risk
it can cause palpitations,
angina and even heart attack in certain conditions
Next group is called " Calcium Channel Blocker"
 
examples, Adalat retard and Norvasc etc.
optional, either Sahoor or Iftar
These are called anti platelets, to make your blood thin
e.g. Aspirin and Plavix etc
These cause stomach irritation so use after Iftar as full stomach
be strict in their schedule
these are last three medicines in lowering blood pressure
Elantan , Hydralazine and Cardura
These medicines cause Orthostatic hypotension specially with first dose
symptoms of postural hypotension
light headedness, dizziness and risk of fall
 
take it after Ishaa prayer
drink plenty of liquids to mitigate their side effects
 
Tip ti avoid risk in orthostatic hypotension
while changing your posture be cautious
if you are in sitting position and want to stand , do it slowly
in this way you can reduce this side effect of medicine
Few more tips for blood pressure lowering medicines
If you are using two medicines to reduce blood pressure
take them in two divided doses.for instance at Sahoor and Iftar time
so that, we can control blood pressure for 24 hours
As discussed before, some medications cause postural hypotension
be careful in changing your posture
to avoid dizziness and risk of fall
specially in comfort room, before standing from commode
some patients get hurt in this situation
 
if blood pressure is continuously low on some particular medicine
Discuss with your physician to modify the dose
If you blood pressure is controlled with medicine
patient thinks he/she should stop medication
it is just a myth and can put you life at stake
so, do not stop or modify your medicine by yourself
if we like to stop any blood pressure lowering medication
or modify the dose
we do it slowly and it take from few days to weeks e.g specially Beta Blocker
 
Concor,Lopressor and Tenormin
If stopped suddenly then can cause
serious after effects
like angina and in certain cases heart attack
 
 
For your queries , you can comment or send email
Thank you for listening
 
 
