Olmesartan HCTZ and fatigue

I do not, but if I were you I'd talk to my doctor. Do you have a way to check your blood pressure when you feel this way? You may need to plan ahead when you intend to be in the heat and supplement with some extra electrolytes. BUT...seriously...and this is coming from an icu nurse, my work life is full of dealing with people that made understandable mistakes with their health and medications, they didn't know what they didn't know, until too late. Don't mess around in the heat until you know whats going on with your BP. We nurses identify several "different" kinds of seasons from the traditional Spring/Summer/Fall/Winter, of course we have "flu season" but for now we are coming into (or it's already begun, depending on where you live and how hot it is) "Old Guys Who Are Gonna Have Their First Heart Attack While Working Out In The Heat Season". It's a big season unfortunately.

Now....you aren't old, really, but you are on an "old guy med" so I'd schedule that appt and until then take it easy in the heat and be extra aggressive with hydration and electrolytes. If you're already doing that, I don't know what to say.

I started it 4 weeks ago and the first weekend my BP dropped while I was out and about. It wasn't hot but extremely sunny. So I cut my dose in half and the same thing happened the very next weekend while out and about. Again it wasn't hot. So I cut the dose to a quarter and my BP stayed in the 120/80 range. So fast forward to this week. My BP has gone up. The difference between this week and last week is I was taking a K2 supplement. I am wondering if K2 had an affect on the medication and made my BP drop.

I was prescribed 20 mg. I am glad you started this thread OP. I was going to start one.

ETA. I have noticed that I do get fatigued sooner doing workouts and yard work.

Update. BP dropped again today. All ways happens on a Saturday.

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BP dropped while I was out and about.

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Define "dropped". Did you take your BP? Or could you just tell it was dropping? How much did it drop?

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HCTZ

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I am taking Olmesartan without the HCTZ.

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Yes, 91/65.

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If this is the drop, where is your baseline?

Get an Omron brand blood pressure monitor from Sam's ($50.) Download the app. You can just show your cardiologist whatever was measured and when with almost no effort.

I just started on a diuretic a week ago, but if my pee is clear, I'm drinking enough. If it's not, I'm not. I was put on HCTZ for a few days by the ER, and the cardio switched me to chlorthalidone seems to work *far* better in terms of diuretic effects. I won't go any further down that route here, it's a family board!

I defer to the nurse in the thread, obviously, but there was a stage 10 years ago where I simply could not drink enough water. By that, I mean I would drink near a gallon of water in 45 minutes when it was hot (while working out, driving to the airport, etc.) I've always had the tendency to dehydrate easier than most because of how I sweat, but (I was in my early 30s when this was suggested, and I didn't have HBP yet) a nurse/trainer suggested a take a pinch of sea salt and dump it it in the 32 ish ounce water bottle, to increase the efficacy of how my body processed water.

I use Hydralyte every other day or so, but very weakened. It calls for one packet in 8-16oz of water, but I use half a packet in a 30 oz mug of weak unsweetened iced tea (citrus flavors work nicely in tea.)

Funny dehydration story from two weeks ago... They pumped me full of two bags of lactated ringers in the ER over about four hours. Discharged me around 7pm. Walking back to my truck, it all seemed to hit my bladder at once, but I was on the back side of the hospital where everything seemed to be badge access only. I had to piss in the parking garage, and it hit me *fast,* but the garage was mostly empty by then, so I didn't have to pee on anyone's car. Enjoy my misfortune; I had the discharge paperwork in one hand, with nowhere to put it, it could have been close to a Mr. Bean sketch I needed to pee so ridiculously badly, with almost no warning (and I mean, the situation escalated greatly over the course of 30 yards.) Getting old is awesome, am I right?

As the OP I thought Id relay info received from my doctor yesterday. Agreed that my BP was too low. Originally 130/90 and the Olmesartan and HCT brought it down to 105/75 which seemed fine. However now that the hot weather is here the HCT dehydrates me too much and my pressure was bottoming out at 85/55. Even in his office yesterday after a day of no meds it was 100/70 which he felt was too low.

he has switched me to Olmesartan without the HCT. We'll see what happens.
Also I do have an omron BP machine.

O could definitely feel it. It was lower than that the other times. I take the medicine every morning and try to take BP every morning for now it seems like 5 mg is working. I see a cardiologist next week and will see what he says.