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Thread: 3481 Everything You Ever Wanted to Know About Blood Pressure Drugs, How to Avoid them
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| 3481 Everything You Ever Wanted to Know
About Blood Pressure Drugs, How to Avoid
them |

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2006-11-23 23:29:57 |
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Everything You Ever Wanted to Know About Blood Pressure Drugs,
and How to Avoid Them
By William Campbell Douglass, MD
I met Bobbi when I was about 35-years-old. It was love at first sight. She
was a redhead and weighed about 100 pounds. We remained friends through the
years--marriages, divorces, children and now grandchildren. The last time we saw
one another, about ten years ago, she looked pretty much the same--still tiny
and beautiful--but she had a "medical problem": high blood pressure.
But because of her physiology, Bobbi couldn't tolerate the powerful
anti-hypertensive drugs. So she, unwillingly, became an interesting experiment in:
"What happens to a patient with a seriously elevated blood pressure if you do
nothing?"
I checked in with her recently and she's doing just fine. She's
"50-something" (I think close to 60, but I didn't dare ask) and still has very high blood
pressure. So if someone like Bobbi can do just fine without medication for over
a decade, why are the health "experts" out there suddenly so hot and bothered
to get even more people on them by lowering the already ridiculous
hypertension guidelines?
PROTECTIVE EFFECT
I think that most doctors are forgetting (if they ever knew at all) that
hypertension isn't actually a disease in itself--it's only a symptom of some other
malfunction in your body. It's possible that the elevated blood pressure is a
protective effect, enabling the heart to get the blood to all the tissues in
spite of the disease, whatever that may be. But since we still haven't figured
out what that reason is, most physicians just throw drugs at the symptom and
consider the problem solved when the high blood pressure goes down.
The problem here is that just because the drugs have made the hypertension go
away, that doesn't mean you're "cured"--or even safe, for that matter. People
taking blood pressure lowering medications inevitably feel worse on the
drugs. You would think this would signal to the doctor that he's making the patient
worse, and that the pressure is elevated for some good physiological reason.
But most likely, he'll just continue to prescribe away.
There are four major types of drugs prescribed to lower blood pressure. In
order of their date of appearance in the market place they are: diuretics,
beta-blockers, ACE inhibitors, and calcium channel blockers. Remember, these drugs
are only masking one symptom of an unknown disease. Anti-hypertensives have no
healing properties. Even the least toxic drugs can cause deadly side effects.
DIURETICS
The diuretics are basically dehydrators; that is, they remove fluid from your
body by way of the kidneys. This may cause a drop in blood pressure but the
first question to come to mind is: "If I don't have edema (swelling), am I
going to accomplish anything by draining my body fluids?" Those fluids contain
many vital minerals such as potassium, sodium, magnesium and calcium, and getting
rid of them will cause electrolyte imbalances (loss of minerals) in your
body.
But electrolyte imbalance is only the beginning. Other problems caused by
diuretics include: cardiac arrhythmias (irregular heart beat), gout, kidney
damage or failure, uremia, hyperglycemia leading to diabetes, abnormal cholesterol,
anemia, photosensitivity, indigestion, headaches, visual disturbances, and
impotence.
Special mention should be made of the potent diuretic furosemide (Puresis,
Aquarid, Lasix, Disal, Salix). This class of "water pill" causes thiamine
(vitamin B1) deficiency that can lead to heart failure. You should not take this
diuretic without thiamine supplementation (250 mg twice daily).
Please note that the diuretics are the least toxic types of anti-hypertension
drug treatment.
BETA BLOCKERS
Then there are the beta blockers, which are not just blood pressure drugs.
Beta blockers reduce the force of the heart's contractions. Basically, the
heartbeat slows in reaction to the drug, and that lowers your blood pressure. So
keep in mind that you are dealing with a dangerous cardiac drug, not just "blood
pressure medicine." Your doctor probably didn't dwell on this significant
fact, but you need to know the truth. He didn't necessarily lie to you: He just
didn't want to dwell on unpleasant things that might have caused you to toss
the pills in the trash--or not get the prescription filled at all.
OK, class--pop quiz: Being cardioactive drugs, what might you expect in the
way of side effects from beta blockers? You've got it--signs of serious heart
disease. You may experience any or all of the following symptoms: congestive
heart failure, which will lead to pulmonary edema, a good old-fashioned heart
attack, or arrhythmias. And, of course, all of these irregularities can be
fatal.
Beyond the heart, there are many other possibilities for mischief. There's
also a strong possibility that you'll experience a stroke, which could cause
partial paralysis or death. And asthmatics should never take beta blockers, since
they may trigger life-threatening airway spasms.
All this is a mere sampling of the possible side effects that you may
experience from these powerful cardiotoxic compounds.
ACE INHIBITORS
The ACE inhibitors wage a sort of chemical warfare attack. They lower the
pressure by blocking the release of angiotensin. Your body releases this molecule
in order to raise the blood pressure. As I mentioned earlier, the body's
chemical regulatory mechanisms do things for a reason; usually high blood pressure
is a protective mechanism designed to maintain your "homeostasis," your
biological balance in the turbulent world inside your body. The ACE inhibitors
lower blood pressure by counteracting this blood pressure raising agent. Your
doctor thinks this is a good thing. I think it is a bad thing.
CALCIUM CHANNEL BLOCKERS
But calcium channel blockers are, by far, the worst of the bunch. And, of
course, they're among the most widely prescribed drugs in the modern world.
Calcium channel blockers block the movement of calcium across cell membranes. This
suppresses muscular contraction, which dilates the arteries and reduces
resistance to blood flow. The doctor sees a reduction in your blood pressure and
proclaims it medical magic: You take the little pills, your pressure comes down,
and the doctor is a genius.
I wish it were that simple, but what else happens?
Your heart feels like a fish flopping around in a bucket. You feel like you
are going to faint, especially if you stand up quickly. You figure you can live
with that; you just won't stand up quickly. But if going from sitting to
standing can cause you to faint, how about going from flat on your back to
standing? This sudden drop in your pressure can cause a stroke, and off to the
emergency ward you go. But the calcium channel blocker won't take any of the blame:
After all, your doctor prescribed it to you to prevent a stroke brought on by
high blood pressure.
The "cure" that causes 85,000 unnecessary deaths each year, these "Kalcium
Kardiac Killers" (KKK) can also cause heart failure, heart attacks, g
astrointestinal bleeding, liver and kidney damage, and reduced white blood cell count
(causing you to be more susceptible to infections). And another common--and
deadly--possibility is their interaction with other drugs, which can lead to any of
the above disasters.
The most important study to date on calcium channel blockers is the Wake
Forest University School of Medicine research, which was presented at an
international cardiology meeting in Amsterdam in 2000 by Curt Furberg, MD, Ph.D., who
is a professor of public health.
According to the report, these very popular (with the doctors anyway) drugs
may be responsible for an excessive number of heart attacks and cases of heart
failure. It appears that they don't even prevent the cardiovascular
complications of high blood pressure. In fact, they cause complications. Calcium channel
blockers lead to about 40,000 "unnecessary or excess" heart attacks in the US
each year and about 85,000 such tragedies worldwide, said Marco Pahor, MD,
the professor of medicine at Wake Forest University School of Medicine who
headed the research project.
Plus, the annual cost of high blood pressure treatment with these drugs,
which are taken daily, ranges from $740 to $990--much more expensive than
treatment with a diuretic (described above) that costs only about $60 a year.
But cost is not the major issue. The real question is whether the treatment
is worse than the disease. Dr. Pahor's research team found that people taking
long-acting calcium channel blockers had a "27 percent higher risk of heart
attack and 26 percent higher risk of congestive heart failure than did persons
taking diuretics, beta-blockers, or ACE inhibitors."
And The National Heart, Lung, and Blood Institute has reported that these
drugs cause cancer in the test animals. Would you rather have elevated blood
pressure, which has not been proven to cause any of the problems for which it is
blamed, or cancer, a heart attack, kidney or liver disease (or both), or a
stroke?
With all of the problems associated with them, it seems almost criminal that
the CCBs are the most popular hypertension "treatment." But the reason they're
the most popular is that they're the most promoted. That's not science, of
course; that's business. That's just the way it is. In case your doctor offers
you one of these little killers, give him a copy of this article and tell him
you will think about it.
Don't plan on going back because
(1) he probably won't read it and
(2) if he does read it, he will not want to waste his time on a kook like
you. If you're already taking a CCB, you must insist to your doctor that you be
removed from the drug. But do not stop on your own. Ironically, that could be
fatal too. You must go off calcium channel blockers slowly and gradually, not
suddenly.
ACTIONS TO TAKE
It's easy for me to play the role of "Dr. No," but I have to do better than
that. So, what else can you to do? There are a number of safe approaches you
can try.
My first choice is homeopathy. Don't run down to the drug or health food
store and buy the little bottles of drops or pills that your neighbor has
recommended--you'll only be disappointed. Homeopathy is a complex science and requires
the services of an MD who knows pathology, physiology, pharmacology and all
the other "ologies" (a traditional medical education is not all bad, you know).
Contact the National Center for Homeopathy for a list of qualified
homeopathic physicians near you. Their number is (703) 548-7790.
Acupuncture may be effective and there are lots of practitioners who perform
it across the country. To find one near you, contact the American Association
of Oriental Medicine by calling (301) 941-1064 or visiting www.aaom.org.
I do have to add that if you have disastrously high pressure, say 180 over
110, you are in serious trouble and will have to try the drugs. But "malignant
hypertension," as it is called, is not common and your garden-variety
hypertension will not metamorphose into it--and don't let any doctor convince you
otherwise.
There are many other approaches, including diet and relaxation therapy, but
one I must mention is: do nothing. I know this sounds radical but you would be
surprised how many people do exactly that with great success. Take Bobbi, for
example: She's been living a normal, happy, and--dare I say--healthy life with
hypertension (and without drugs) for years.
So if you try homeopathy, acupuncture, or any other non-drug approach without
success, I recommend that you follow Bobbi's lead and leave well enough
alone.
References:
"Popular Blood Pressure Medicine May Do More Harm Than Good," WebMD Medical
News (www.webmd.com), 8/29/00.
About the Author
Dr. Douglass is a physician with 40 years of experience in the field of
nutrition, preventive medicine and "contrary medicine." He is editor of Real
Health, a medical/nutritional newsletter. He is well known for his humor,incisive
and critical medical reports, and his sojourns in various jails around the
world--he has a low tolerance for bureaucracy, which leads to trouble. This article
will appear in his publication Real Health.
For subscription information call
(203) 699-4420.
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