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Blood Pressure.....


Question Posted Friday August 8 2008, 10:09 pm



Okay to make a long story short...


I am on Lithium and Depekote (Anti Depressants) I have not taken my medication in about a month. I recently got a back injury at work and went to the doctor and he put me on some medication one being a anxiety pill. Okay, Well I took my medication (Lithium and Depekote) along with the Anxiety pill...About an hour later I ended up having a seizure. I don't remember much of what happened, However my blood pressure was 90 over 99 and I remember my entire body feeling weak and my pupils were dialated and I could hardly stand up. I was just wondering if anyone knew how close to death I possibly was? and how dangrous exactly is a blood pressure that is 90 over 99?


Thanks so much

BahaiMa22


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Peeps answered Friday August 8 2008, 11:09 pm:
If you haven't already, you need to seek our medical attention immediately to evaluate your situation, medications, and overall health.

Optimal blood pressure is less than 120/80 mm Hg. Hypertension is defined as a systolic blood pressure of 140 mm Hg or greater, or a diastolic blood pressure of 90 mm Hg or greater. Systolic is the top number and diastolic is the bottom number.

I have found a few things about altered blood pressure and seizures but I'm unsure if any of it will shed some light on what happened to you. Please see a doctor immediately so they can properly diagnose you if you haven't already.

Malignant Hypertension:

"Though rare, malignant hypertension is the most threatening form of high blood pressure. It's marked by an unusually sudden rise in blood pressure to dangerous levels. Diastolic pressure often reaches 130 or higher. However, malignant hypertension may also occur at lower, less alarming levels, if the rise is particularly sudden. Unlike other kinds of high blood pressure, malignant hypertension is usually accompanied by dramatic symptoms such as severe headache, shortness of breath, chest pain, nausea and vomiting, blurred vision, or even blindness, seizures and loss of consciousness.

Malignant hypertension is an emergency. Anyone with malignant hypertension must be hospitalized immediately. It places people at immediate risk for heart attack, stroke, heart failure, permanent kidney damage, bleeding into the brain (hemorrhagic stroke) and brain swelling.

Malignant hypertension develops in less than 1 percent of people who already have high blood pressure. Rarely, the appearance of malignant hypertension is the first sign that a person has high blood pressure. The cause of this condition is usually unknown, but occasionally it can be a reaction of your body to a drug of abuse, like cocaine, or a reaction to stopping a blood-pressure medicine. Never stop taking blood-pressure medicine without your doctor's supervision; doing so might cause a sudden increase in your blood pressure."

from: [Link](Mouse over link to see full location)

Seizures are fairly common and usually not dangerous; however, some seizures can be deadly so it's very important to seek medical attention after experiencing one for any reason. Seizures are an uncommon reaction from antidepressants, but can be a very serious adverse reaction associated with the use of these sorts of medications.

Overdosage of these sorts of medications can cause hypotension, seizures, cardiac arrhythmias, coma, and death. It could be that you ended up overdosing yourself if the medications were at a higher level than you initially began with when you first started them.

Lithium is associated with, "lowering the seizure threshold," which means it makes it easier for someone who has a tendency toward having seizures to actually have one.

"If you abruptly stop treatment with Depakote (divalproex sodium), withdrawal symptoms may potentially occur. The most significant symptom of Depakote withdrawal is a seizure. If your healthcare provider weans you off of Depakote slowly, withdrawal symptoms are less likely to occur.

Because of this increased risk of seizures when a person quickly stops taking Depakote, it is not recommended that you abruptly stop taking the medicine -- or that you stop taking it without your healthcare provider's approval."

from: [Link](Mouse over link to see full location)

Overdosage of Lithium has these symptoms:

Mild-to-moderate:

Generalized weakness
Fine resting tremor
Mild confusion

Moderate-to-severe:

Severe tremor
Muscle fasciculations
Choreoathetosis
Hyperreflexia
Clonus
Opisthotonos
Stupor
Seizures
Coma
Signs of cardiovascular collapse

This link here claims that lithium may increase seizures in certain people:

[Link](Mouse over link to see full location)

To briefly answer your question, if you did/do have the malignant [diastolic] hypertension then it sounds pretty darn serious to me! Death could occur even--wow, now that's scary!

Please seek out medical attention right now if you haven't. You are very valued on Advicenators and we'd hate to see something bad come of this. Please get yourself checked out and properly diagnosed by a professional so you are safe and healthy.

If you have seen a doctor and he diagnosed you then maybe you could add that to this question to help us find more information possibly. Just a thought! :)

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WonderlustWeirdness answered Friday August 8 2008, 10:20 pm:
WHOA Bahai ! ! ! ! ! This is a MEDICAL question and medical questions cannot be answered online, only a physician giving you a personal exam can determine this!

First of all, different things can occur with blood pressure and other things related to your body's function when you take medicines!

Second of all, you do not state who attended to you with your seizure! Does your DOCTOR know you had a seizure? That is important information in his or her analysis of your treatment!

You say that your "...blood pressure was 90 over 99 and I remember my entire body feeling weak and my pupils were dialated and I could hardly stand up." Was that the official medical attendant's diagnosis? Who diagnosed your blood pressure? Paramedics? Who?

You need to go to your doctor with this information and ask him or her what the deal is with this. Do not play games with your health, you need professional advice from a qualified physician! And you should ALWAYS seek the qualified advice of a professional physician on anything relating to your health!

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