Jump to content
helplinedonate
Sign in to follow this  
MombytheC

High Blood Pressure Spikes in PD

Recommended Posts

My mother has been diagnosed with Parkinson's for about 10 years. About five months ago, she started having these episodes she calls "fever face" where her face and neck flush blood red, she gets very hot, and her blood pressure spikes very high. These episodes can last for hours and often is accompanied by a headache, nausea, and frequent urination. She turns a fan on her, puts an ice pack on her face, bathes her face with a wet washcloth, and drinks ice water. We have been to the ER due to the blood pressure spikes and they put her on blood pressure medication which is not helping these episodes, even when she takes extra. She also takes anti-anxiety medication. She has been hospitalized and that did not work out as they took her Parkinson's medications away. So - now she just endures this but is not functional during these episodes. She just lies on the bed waiting for it to pass. None of her doctors (to date) have been able to tell us why this is happening, what to do about it, or if it could lead to a stroke. I appreciate any input that will help us understand what is going on here.  

Share this post


Link to post
Share on other sites

It is possible that this is wearing off.  One way to tell is to give an extra dose of sinemet chewed up and with orange juice.  See if this improves.....If it does one approach may be to avoid wearing off by dosing at closer med intervals.  Wearing off can sometimes lead to blood pressure spikes and autonomic dysfunction.

Share this post


Link to post
Share on other sites

Thank you for your reply. She generally only takes Sinemet PRN for when her crash from Stalevo is really bad. So should she try the Sinemet each day with OJ to see if this helps? Her current med regimen is:

 

Stalevo 125 mg at 7am, 12pm, and 4pm

 

Sinemet 25/100 PRN

 

Amlodipine Besylate .25 mg twice a day (she has been taking extra .25 mg when "fever face/blood pressure" spikes occur

 

Generic for Lexapro 20 mg once in the evening 

Share this post


Link to post
Share on other sites

You and your doc may want to optimize the whole medication regimen so you can limit rescue doses chewed with Orange Juice.  If you take the doses closer together and find the optimal dose she may crash less and require less rescue.  This is something you and your doc can work on but needs a lot of back and forth and in person attention.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
Sign in to follow this  

×