@amierhaidarmd: Comment the craziest combos you’ve seen. Also goes without saying that secondary causes have been ruled out and the patient has trialed lifestyle modifications. #medicaleducation #doctor #medschool #medicine #medicaltiktok
What are your thoughts on inpatient blood pressure management? I usually leave it alone as long as it is not extremely high and the patient is asymptomatic, but I am seeing a lot of providers and order sets that contain PRN IV hydralazine/labetalol (which has its own set of problems)
2026-08-01 14:01:42
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Mala :
Thank you for sharing this video
2026-08-02 02:05:22
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user6659656856274 :
Laughs in Nephrology......losartan, amlodipine, metoprolol, hydralazine, clonidine, tamsulosin, and minoxidil...... and SBP still hanging in the 170s.... sigh
2026-07-09 02:28:45
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Unc J :
Why does everyone use Losartan which isn’t all that potent. Olmesartan is king
2026-07-08 21:45:06
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JudyV19 :
FYP thinks I’m a cardiologist 😂
2026-07-08 04:42:57
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Allison :
My patients never want to start on 2 meds 😩
2026-07-08 11:22:48
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Dr_Hernandez :
Or start looking for a secondary caused like hyperaldosteronenemia
2026-07-09 21:15:03
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fine_I_picked_a_name :
I saw pt today (black/AA too) who was just on lisinopril, toprol, and Clonidine for htn 😬
2026-07-08 03:56:04
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kbetzel :
I have a burning cardiology question that is unrelated but maybe you can do a video on this - I'm wondering if pts with SLE and other AI diseases have elevated lipoprotein a. I have SLE & lip a is 99th percentile & want to know if that's due to lupus or coincidental. haven't found an answer yet
2026-07-29 16:30:46
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Theresia "T" :
Im a new graduate NP and just recently pass my boards.. I know when pts are Stage II HTN, they need to start on 2 BP meds.. Thoughts of them starting 1 BP med and then have them f/u within 1 wk then start on 2nd BP? Only ask cuz what happens if they have adverse effects and dont know which med is causing it.. but I understand AE are rare ..
2026-07-08 07:03:29
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user :
dont forget to screen for 1' hyperaldo early
2026-07-11 19:21:00
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Anthony :
I had a patient come in to my cardiology office that was on lasix, clonidine, and NITRO PASTE for his blood pressure…
2026-07-08 13:55:35
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doctorv452 :
I have classically had much better success with MRAs over beta blockers as a fourth agent.
2026-07-09 00:15:23
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Robert :
I’ll go w carvedilol when everything else isn’t working, always does the trick
2026-07-08 11:59:34
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PT :
Why carvedilol before MRA? Esp if no other BB indication.
2026-07-19 05:12:39
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tt :
My husband is 30yo which BP consistently over 140/90 his PcP wont start BP meds. I guess she uses old guidelines. But i worry about him. Hes too young for BP that high.
2026-07-08 11:36:58
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Alexasiri2024 :
Tis pcp I work with uses clonidine like candy
2026-07-09 03:47:14
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MiK123 :
Yeah this is kinda wild. I mean if the patient is in extreme danger than I get it but some people have no other issue than high blood pressure that many pills is overkill. Obviously this is a case by case issue
2026-07-08 01:09:33
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ThisnThat :
👍🏽Thanks for the info! I work nephrology/dialysis so BP management is a daily task!
2026-07-08 19:57:12
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NurseBee :
Started on ampodipine 5mg. BP started increasing about a year later. I go to Dr with concern. She suggests diuretic. I wasn’t too keen on that being that I’m a nurse and I don’t want to be peeing all day. She says “ok what do you think?” I say, “how about an ARB?” She says “good choice!” BP has been great on Amlodipine 5mg/benicar 10mg for several years now.
2026-07-09 17:43:44
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Olt | Pharmacist :
Came across a patient who was admitted to a cardiac ward on doxazosin, clonidine, methyldopa, amlodipine (20mg od, double the licensed dose as per cardio), and carvedilol, for resistant hypertension. I had never seen amlodipine 20mg until then
2026-07-08 12:46:21
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user8609179064642 :
no renal denervation?!
2026-07-08 01:43:10
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موووووووووووو :
Also please don’t forget to screen these patients for OSA. As a sleep specialist, I see a lot of cardiologists order their own home sleep studies (HSATs) to evaluate for OSA, but HSATs are not appropriate for all patients (i.e HFrEF, moderate to severe asthma/COPD, chronic opioid users, etc.)
2026-07-09 03:42:29
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Jordan McCloney :
Had a patient discharged from the hospital for hypertensive crisis on isosorbide moninitrate, amlodipine PRN, lasix, losartan 200mg per day, and bisoprolol. His blood pressure was still super elevated. We basically had to scratch all of that and start over… 🤯
2026-07-08 11:05:43
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