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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

3rd trimester - high blood pressure, Methyldopa side effects, unsympathetic dr!

2 replies

perrinelli · 25/05/2011 19:46

Hi there,

Wondered if anyone else has had experiences of being put on Methyldopa for high blood pressure/pre-eclampsia? I had it at 35 wks with my first pregnancy and am 35 weeks now with baby number 2. BP crept up a bit last week but generally 130s/80s with just a couple of higher readings. Dr whacked me on a high dose (4 times a day 250mg). I remember not getting on too well with it last time but it seems to have been even worse this time - feeling v low, sleepy, lethargic, drowsy to the extent of not feeling safe to drive, and more tearfulness. Obviously I know you feel tired and tearful in late pregnancy but its like these things have been magnified. Looking on the internet these side effects seem quite commonly experienced.

After the first day of taking it I noticed a mark reduction in baby's movements so went into DAU. The midwife commented that it looked like the dr had been very over cautious putting me on the meds given my BP readings. The sonographer was also surprised at the dosage. I spoke to the dr after and she reduced the dosage by half. (the sonographer said that they know if can reduce baby's movements but is safe - very encouraging!).

Had another scheduled check at DAU today - the meds have brought BP down well but have really been struggling with them and its making looking after my 3yr old quite hard. Asked to speak to the dr today whilst I was at DAU, just to enquire if there was any alternative medication, and if not to weigh up the risks and benefits, obviously want to put baby's safety first. She was quite unsympathetic (embarrassingly when I was talking to her about it I started crying a bit) and asked if I'd like to see a psychiatric nurse! I tried to explain that I had only been feeling this way since starting the meds and thought it was a side effect and she said it was unlikely I would have side effects on the dose I was on. There isn't really an alternative apparently so through my slight weeping I said it was fine, I'd manage. In the end though she said we would stop the meds as long as my BP can be checked every day by the GP for the next 5 days.

I think this is a good outcome, but I'm left feeling a bit like the dr thought that
(a) I'm a bit mental and need to see a psychiatrist
(b) it's all in my mind

Surely it was reasonable to report to them the side effects I was feeling and to want to discuss the best way forward?

Hate being made to feel like a neurotic time waster!

OP posts:
Fayrazzled · 25/05/2011 19:56

I had pregnancy induced hypertension on both my pregnancies and was on labetolol. I'm no medic or pharmacist though so I have no idea why I was prescribed one thing and you have been prescribed another.

I found the consultant was very cautious with my care and ultimately I was induced with both babies (one overdue, one two weeks early)- having said that, my BP was unstable and didn't really seem to respond to labetolol.

My care was excellent until I was admitted though- I was having daily BP readings from a visiting midwife or attending the DAU- I felt well looked after.

Are you under consultant led care? Is the doctor you saw your consultant? If you are unhappy with the side effects of methyldopa (and a quick google suggests the side effects can be severe) then I would make an appointment to see your own GP tomorrow and get him/her to fight your corner for you.

Good luck. X

perrinelli · 25/05/2011 20:07

Thanks - I thought labetolol might be an alternative option from looking online but she said they don't recommend it so it's a mystery to me. It was at the consultant's clinic that they originally prescribed the first high dose (though was a haranged registrar rather than the actual consultant). Maybe the GP would be a good option. It just seems to be down to the individual you see as my BP had been borderline high for a couple of weeks, another dr said it wasn't high enough to treat, then it didn't really go any higher when the registrar suddenly decided to start the meds! I did have IUGR last time and mild pre-eclampsia so am pleased in a way that they are cautious, but growth scans this time are fine and the BP is so far nothing like it was last time. I have a midwife appt on tuesday so I was also hoping I might get a bit more time to talk the whole thing over with her then. The doctors are always in such a rush and I think this one was a bit alarmed when I got upset!

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