Hmm, I think there definitely is a new pattern to my blood pressure readings. It’s starting out lower than before but still rising during the dialysis session. I waited yesterday to take the NIFEdipine ER pill until late at night hoping the ER effect will last until this morning.
| Time | Systolic | Diastolic | Pulse | Notes |
| 9:17 am | 161 | 93 | 67 | Standing |
| 9:27 am | 174 | 96 | 63 | Sitting/legs up |
| 9:57 am | 163 | 90 | 62 | Sitting/legs up |
| 10:27 am | 182 | 101 | 61 | Sitting/legs up |
| 10:57 am | 185 | 106 | 63 | Sitting/legs down |
I think either the Olmesartan or the last bit of NIFEdipine is being filtered out through dialysis. There’s no reason my blood pressure should increase by itself. Especially odd is the last reading above. I have my legs down and that is supposed to lower your blood pressure yet it’s higher than the previous reading with my legs up.
==========
Blood pressure ended at 191/103 sitting. Something must be getting dialyzed out. The nurse offered me clonidine again but I didn’t take it this time. I just took my regular Metoprolol medication after dialysis. I guess I need to talk to my nephrologist again. The last time I was on hemodialysis, I was taking 50 mg of Metoprolol Succinate once a day and 30 mg of NIFEdipine ER twice a day. Maybe I can ask my doctor to increase my NIFEdipine prescription and drop the Olmesartan. It doesn’t seem to do very much for me.