Blood Pressure Medication Instructions

After talking with my nephrologist Tuesday, she changed the timing of my blood pressure medications. So previously, I would take:

Now, I think I need to take:

I believe the logic is that something is getting dialyzed out, but my blood pressure becomes too high during the session if I wait to take all the morning medicaion after dialysis. The 10 mg of NIFEdipine is probably there to offset other medications being dialyzed and we know that works well. They also didn’t want to move the NIFEdipine ER to the morning in case I get hypotension during dialysis. I still need to figure out how to time the 10 mg of NIFEdipine so the blood pressure is not to high during cardiac rehab either.

I also spoke to the cardiology nurse practitioner today. She mentioned that usually they defer to the nephrologist for dialysis patients since nephrologists are more familiar with how medications interact with dialysis. She did say that my prescription dosages are all quite low so there may be room to increase the dosage if necessary. Let see if the new medication schedule works any better than the previous schedule.