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At 22:26 19/09/1996 +0100, Toby L wrote: >Reducing elevated blood pressure reduces the risk of stroke. The closer >to normal BP you achieve the great the risk reduction. On the other >hand, it's not worth making someone's life miserable through >unacceptable side effects just to reduce risk, and, in any case, >reduction of systolic from (say) 220 to 180 is worthwhile. > >I have found that, after trying all the standard treatments and before >going through the whole BNF, it's often worth trying good old-fashioned >methyldopa, which seems to be well tolerated in some elderly patients >who can tolerate little else and produce a gratifying reduction in blood >pressure. > Thanks for the advice. You're absolutely right regarding M'dopa. Although only yesterday a local chemist dispensed it instead of metformin to a patient of mine :-( Who cares about prescription charges, I want to be in a dispensing practice :-) -------------------------- Dr David J Plews email: [log in to unmask] %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%