Hypertension Explained Clearly - Causes, Diagnosis, Medications, Treatment, Pathophysiology

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MedCram - Medical Lectures Explained CLEARLY

Күн бұрын

Professor Roger Seheult, MD explains hypertension with clear illustrations. IMPORTANT: View our newer video on the updated Hypertension guidelines: • Hypertension Guideline...
Understand Hypertension and the medications used for treatment with this clear explanation from Dr. Seheult of www.medcram.com/?Y...
This is video 1 of 2 on hypertension (high blood pressure).
Includes a discussion on the "ABCDs" of antihypertensive medications such as ace inhibitors, angiotensin receptor blockers, beta blockers, ARBs, calcium channel blockers, and diuretics as well as hypertension pathophysiology.
Speaker: Roger Seheult, MD
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Secondary Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others.
New topics are often added frequently- please subscribe to help support MedCram and become notified when new videos have been uploaded.
Subscribe: kzfaq.info_...
Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations. We offer over 40 hours of CME, CE, and MOC Points.
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Produced by Kyle Allred PA-C
Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your health care provider.

Пікірлер: 494

@Medcram 7 жыл бұрын

IMPORTANT NOTE: We have a newer video on hypertension and the updated 2017 Hypertension Guidelines here: kzfaq.info/get/bejne/ec1jjZaVq8yZk2Q.html See all of our CLEAR, concise, and easy-to-follow medical videos (over 60 different topics) at www.medcram.com We also offer CME, CEUs, and work with medical programs and hospitals.

@germanoangeloni2538 7 жыл бұрын

MEDCRAMvideos

@angelatimmons5767 3 жыл бұрын

What kind is metropollinall?

@ssingleshwar3592 3 жыл бұрын

@SD-co9xe 4 жыл бұрын

I went on a plant-based diet and my blood pressure dropped to healthy levels within 4 weeks.

@veragittens1992 3 жыл бұрын

What precisely was the plant based diet you used.

@SD-co9xe 3 жыл бұрын

@@veragittens1992 It was the Forks over knives diet. I did not eat any meat or cheese - basically a vegan diet with a focus on vegetables and fruits.

@fallback8314 3 жыл бұрын

any idea if this diet would clear someone's skin?

@SD-co9xe 3 жыл бұрын

@@fallback8314 I don't know if it would help with that. You could give it a try. There is a Forks Over Knives group on Facebook.

@inachu 2 жыл бұрын

I totally killed off my hypertension just by increasing the dosage of magnesium. The side effect is I feel great! The weird side effect is I got my old personality back from my younger days and it feels good but weird to feel like that again. Now I am researching how much magnesium is too much.

@jasonriek4212 10 жыл бұрын

Dr. Seheult is a excellent teacher. He uses a easy approach but still gives you all the terminology you need as well. Great balance.. Please keep on with the videos. I am a med student and wish I found this channel when I started!!!

@DrHoweThD 9 жыл бұрын

I am an Independent Duty Corpsman Corpsman in the US Navy. As such, like a PA, I work under the supervision of a physician as an extension of that physician's military patient population and scope of care. This is one of the best presentations on understanding treatment options for hypertension that I have seen. I am very grateful for this seriies of videos and look forward to learning more and increasing my knowledge base for the patients that I am a provider for.

@camilofigueroa2968 7 жыл бұрын

John Howe

@browngosling3929 7 жыл бұрын

John Howe

@nataliefisher5153 6 жыл бұрын

Over time, consistently high blood pressure weakens and damages your blood vessels, which can lead to complications.Here A 100% safe and proven way to lower your blood pressure quickly and permanently from 190/120 to 116/74 just in 17 days-> 4BloodPressureControl.blogspot.com

@Elly3121 7 жыл бұрын

Im a pharmacy student & this helped me to get the concept. Thanks so much

@atilnozarab53 10 жыл бұрын

I wish you were my teacher in med school. It was concise, thorough, simple and informative, understandable even to a layman. Bird's eye view to help a hypertensive person actively participate in his medical regimen for such knowledge increases compliance with use of either lifestyle changes and medication or both.

@drummondstephanie82 10 жыл бұрын

thanks this totally helped for my med surg nursing exam. your review was perfect

@oduma9803 8 жыл бұрын

simple and short, love it.

@nicholestraughter8338 7 жыл бұрын

Excellent video! Studying for my FNP board certification and experiencing anxiety related to the treatment of hypertension. This video really helps. Thanks!!

@hiwapharm 8 жыл бұрын

to a point, concise lecture made everything easier, thank you for sharing

@CatherineLatson11 4 жыл бұрын

Awesome I agree

@rui-dongduan4977 5 жыл бұрын

It is the best video on hypertension I have heard. Thanks a lot!

@superjockstick 10 жыл бұрын

Thanks so much for this posting. There are those of us who realize that nursing is also an ongoing education. Postings like this are helpful. Thanks again.

@23232323jumpman 11 жыл бұрын

BEST LECTURES IVE WATCHED SO FAR! I JUST WENT THROUGH THE HYPERTENSION SERIES AND PLAN ON GOING THROUGH THE REST...NICE JOB, KEEP EM COMING!

@Medcram 11 жыл бұрын

Glad to hear the NPs are enjoying the lectures. Bamboo tablet and any drawing program. Front cam can be used to capture the video.

@sirmasteryan4958 10 жыл бұрын

straight to the point, very clear, detailed!

@shivalirana3104 4 жыл бұрын

My uncle was diagnosed with hypertension a few months ago. Then he went to Chandigarh Ayurved Centre for treatment and his Blood pressure is balanced within 15 days. He is still continuing his medicines.

@julieanderson2428 10 жыл бұрын

Well done - thank you so much. Why can professors not explain it this way!

@Prexy198 11 жыл бұрын

Thank you for making this video!!! you make sooo much more sense than my nursing instructors!!!

@Medcram 11 жыл бұрын

Thanks for your support from Honduras. We'll put Thyroid and Chronic Renal Failure on the list for future lectures.

@barbarawoods3905 4 жыл бұрын

Someone said that doctors are excellent teachers, that they love to teach..hello Your lectures are living proof of it! Thank you. I never seen any nursing book explaining that easy way before. Anything that is presented a long complicated way, will be hard not only to understand and absorb, but to remember as well. I betcha You would explain gases chart way better too. Years ago in my study years, I had to put down everything from the text book into a simple chart, otherwise would never ever past one exam. Amazing how something can be simplified without loosing the most important content, on the contrary it highlights the most important and relevant content. Thanks for that.

@davegarski1548 4 жыл бұрын

Lots of big medical words, but I am learning what they all mean. Informative presentation, grateful for the information. Thanks!

@phyllisgallant555 6 жыл бұрын

I believe these programs are very useful for Doctor to follow or check for diagnosis or answers for regular person it,s nice to go to these videos when you are concerned about your health. Thank you.

@AnnaCWilliams 4 жыл бұрын

thank so much for the clarity. much appreciated

@ofeliaaquino5093 3 жыл бұрын

THANK YOU so MUCH for a very clear explanation.

@MaximillianTiberius 11 жыл бұрын

Excellent work doctor, as always. Keep up the good work !

@AprilHeath-hf8sp 11 күн бұрын

Thanks for sharing this. I think lots of the information you included is useful for the general public and not just med students. I linked to this video in an article I wrote for my blog and LinkedIn.

@omarmuneeb 11 жыл бұрын

I actually enjoy your videos, in addition, they are helpful in my study. Waiting for more and more!

@earnestthompson5136 3 жыл бұрын

Excellent and concise .........as usual. Of course there are currently many discussions and schools of thought regarding what kind of diet is optimal. Still the Seheult Team is definitely my prescription for non biased and Evidence Based Medicine. Thank you.

@claudiapyke7538 6 жыл бұрын

I feel so much more confident for my Med Surgical Exam this evening. The ABCD’s Of HTN has never been so simply put. You are an amazing instructor. I haven’t had a chance to see the other videos on other illnesses, but for sure you will be my guide throughout this phase of my nursing education. I have learned from in one hour more than I have from my instructors in two weeks of class

@savingmoneyunapologetically 8 жыл бұрын

What a wonderful, concise presentation. As a renal failure patient with uncontrolled hypertension, it gives me more information to discuss the meds that are not working. Thank you

@Medcram 8 жыл бұрын

+Pat Grant (Old And New Stuff) Glad the video helped with your understanding-- thanks for the comment

@annacisneros9434 7 жыл бұрын

Great overview! I wanted to hear more about ARBS.

@user-sl3zv8cq9k 2 жыл бұрын

You are the best doctor that I have ever seen

@Melben316 11 жыл бұрын

Excellent presentation! Good job!

@laneydavis5776 9 жыл бұрын

Awesome video. Thank you soooo much. I finally have a clear understanding on the side effects and medications.

@Medcram 9 жыл бұрын

***** Good to hear the video helped. We'll keep making more..

@dejagerrosemarie 4 жыл бұрын

MedCram - Medical Lectures Explained

@deefullerton32 11 жыл бұрын

you just made my studying for end of semester exam so much easier.....plz keep em coming....plus if you can add some nursing interventions that would be marvelous

@triciejones226 6 жыл бұрын

I really enjoyed watching this video. I was diagnose with hypertension a few months ago. My physician has prescribed a diuretic to help with my hypertension. It's great to know all the side effects that comes along with each blood pressure medication.. It's good to know what also work well with every situation a patient or person may have that's being treated for this condition. Great job and keep the information coming.

@miriami7 6 жыл бұрын

Thank you very much for your great explanation.

@shantimoykarmakar5484 3 жыл бұрын

Thank you Sir for giving us necessary information regarding hypertension & how we can rid of it.

@suvarenee 11 жыл бұрын

These videos are very helpful! Love them

@ANFeuerstahl 10 жыл бұрын

ASTONISHING JOB ! CONGRATULATIONS !

@pavierre 9 жыл бұрын

seriously awesome videos man. Saving me for my nursing exam!

@JoeKaye-hn5dt 4 жыл бұрын

The temporal aspect (how many years of hypertension) is very important. Stroke and heart disease due to hypertension is well characterized. The relationship in most cases boils down to intimal damage over time to large blood vessels creating plaques that are unstable structures that can break off and cause acute vascular obstruction (stroke and MI). The flip side of the coin is important. So-called "downstream" atherosclerosis often disabling (lacunar strokes) or even fatal (MI) often occurs in people who were (are) normotensive. It's etiology is unclear, but there is some evidence that a sub-clinical vasculitis involving medium sized arteries - usually in mid life, sometimes associated with arthritis, psoriasis, or other systemic inflammatory diseases, sometimes no clear clinical syndrome is the culprit - not hypertension. This is important. Because a patient who presents with a lacunar stroke and no history of hypertension, but may have a BP of 160/90 (in the ER) is best left alone. They have an obstruction of an artery unlikely damaged by hypertension, but also, in the short term require that pressure head to hopefully maintain good perfusion to that part of their brain (basal ganglia and surrounding areas) in order to get past that obstructive episode. Treating these patients for hypertension in the acute phase could risk extension of that lacunar infarct. I've seen it happen. As for angina with clean large vessels and patent initial segments in the coronaries and downstream blockage - leave their hypertension alone at least until those stents are in place. To mees with BP at this point in time can cause unnecessary morbidity. You can deal with hypertension later - after they've stabilized.

@danielleboyd3070 4 жыл бұрын

Thank you Dr Seheult your outstanding videos and heroic work in ICU are greatly appreciated. I was wondering if you have made any videos which detail how to care for patients with leg ulcers. I am caring for a gentleman who is 95 years old. He is receiving codeine and his legs are being dressed daily. He is in tremendous pain and this is affecting his ability to sleep. He is finally elevating his legs but there is very little improvement.

@markbenson1948 4 жыл бұрын

Thanks for the wisdom....never stop learning!

@shumwetedd1799 4 жыл бұрын

hi everyone ,if anyone else wants to learn about how to prevent a kidney stone try Alkarno Fast Dance Alchemist (should be on google have a look ) ? Ive heard some interesting things about it and my brother in law got great results with it.

@KT-lz6ko 5 жыл бұрын

Your teaching is very easy to understand. Your class helped me a lot. Thank you!

@markmil7694 5 жыл бұрын

This blood pressure level solution t.co/GsO1JmyXtf works for me, right after Two weeks following this plan, my blood pressure level down Twenty points. Nonetheless, you will have to exercise for about 35 minutes a day. In general, I really feel more healthy now that my blood pressure is less than my usual.?

@ravindrakumarsingh8806 7 жыл бұрын

thanks for such information so clear and simple

@p.crockett1854 7 жыл бұрын

Very informative for us nurses, too. Thanks!

@holliemcdonald1673 11 жыл бұрын

These Medcram videos are incredibly helpful! Thank you for clear explanations :)

@specimen3338 6 жыл бұрын

Thanks for the informative video. One correction: thiazide diuretics have their effect on the early distal tubule (inhibiting Na-Cl symporters), not the loop of Henle.

@priyankamalhan955 10 жыл бұрын

Good and easy explanation. helped a lot to learn more about hypertension especially Drug treatment. Thanks for putting it up. Keep doing the good work. Cheers!!!

@Boltonater 11 жыл бұрын

Very nice presentation. I am studying for NP certification and needed to review in simple terms due to fact that I have been out of nursing school for 20 years. You have clarified any questions I had. Thanks

@fallback8314 4 жыл бұрын

wonder if you ever got that NP certification??

@dcsx5133 10 жыл бұрын

This was one of the most helpful pharmacology videos I've ever watched... and was more helpful than most of the professors I've had in pharmacy school. This was a great review for my rotations - it's hard to condense so much information, and you did a great job to highlighting the key attributes of each class of medication. Students keep in mind that JNC 8 doesn't recommend the usage of beta blockers for hypertension anymore (this video was made in 2012; JNC guidelines came out in Jan 2014).

@3greatgreyhounds3 9 жыл бұрын

Hi I saw your comment about guidelines on beta blockers for hypertension, what does the JNC guildelines from 2014 recommend then? Thanks.

@limpnjen 2 жыл бұрын

I am not in med school but I found this to be more understandable than videos for us lay people that is so dumbed down it makes zero sense. It is important to note that the swelling due to ACE, can happen at any time, even after years of taking it and is more prone in AA. When I went to the ER the white doctor said they knew immediately what my problem was and said female AA are at higher risk of the side affect.

@momdaughtertri7793 Жыл бұрын

The though guidelines have changed, great video. Thank you.

@shannonn2121 11 жыл бұрын

Great explanation. Keep posting please!

@anasdameh5512 8 жыл бұрын

Nice great video but uf u could plz make a video for clinical cases and which drug to use in thess cases would be perfect

@Medcram 8 жыл бұрын

Anas Dameh Thanks for the feedback and suggestion

@sonyaross9783 5 жыл бұрын

Oh thank you so very much. I wish I could talk to you in person or on the phone for a couple of other questions I have.

@minimedlessons 4 жыл бұрын

Great video! I LOVE MedCram content! I've been making similar videos, inspired by you guys. Keep up the great work, MedCram!

@arungondhali 10 жыл бұрын

Very nice lectures I seen ever The concepts get cleared now which was not cleared in graduation level Thank you very much for your support to educate all in simple manner

@kaiserthekidneydoc2359 7 жыл бұрын

Great delivery.

@stellabrown2974 6 жыл бұрын

Well done you are the best explained clearly you are bless keep the good work up

@jackdemask4177 4 жыл бұрын

Excellent review!

@ultrahealthylivingedithbra5673 3 жыл бұрын

Very informative. Thanks for sharing

@nafeeshussain8341 6 жыл бұрын

Great information, thank you

@Belladorphia 4 жыл бұрын

Great video. Very helpful.

@pradeeprathnayake7761 10 жыл бұрын

Good lecture. Informative. Easily understandable. Thanks!

@MarathonMan26 11 жыл бұрын

Thank you for this lucid, concise tutorial - my Nurse Practitioner students loved it! Would you mind sharing what technology you used for recording this?

@friendlyovertones 9 жыл бұрын

I am sorry to see someone write what they wrote below-wonderful lecture!

@JD-kv7tx 9 жыл бұрын

Some of, if not the best, medical education videos on the web. Succinct, informative and well produced. Keep them coming! THANKS!

@Medcram 9 жыл бұрын

***** Thanks for the feedback. We are working on more videos

@frods28 9 жыл бұрын

That was awesome. Thanks John

@cynthiabill5846 7 жыл бұрын

very helpful and informative. .....

@ricosuave9410 4 жыл бұрын

This really work!! I woke up to a fast beating heart beat I tried it in 5 minutes. A my heart rate went down immediately! Thanks for the report information!

@nonilon14344 4 жыл бұрын

you are doing a placebo effect to yourself by way of positive thinking.

@peymangravori1981 11 жыл бұрын

This was a great lecture as were your other ones. Please continue making more! Thanks

@bigbambigal 9 жыл бұрын

Wow... Someone cud make this so easy! Thanks medcram...subscribing.. Helped a lot

@Medcram 9 жыл бұрын

Poulami Sarkar glad the video helped. thanks for sharing your feedback

@eslam868 10 жыл бұрын

wonderful - thanks

@dawnitasampson3987 6 жыл бұрын

Very helpful! Thanks!

@babyboomersbabes 4 жыл бұрын

Thanks for this information..it is educating me

@tenzingelek7521 8 жыл бұрын

very appropiate video thank you very understandable and clear cut information

@ronikabompus5518 6 жыл бұрын

Great video. Very helpful. Thanks!

@sunnysmallsdgupp7077 5 жыл бұрын

This blood pressure level solution tinyurl.com/zwpcdv8 works well with me, right after 14 days using this plan, my blood pressure lower Twenty points. Nevertheless, you will have to workout for around 35 minutes every day. Overall, I feel healthier now that my blood pressure level is less than my normal.

@SS-td4sh 6 жыл бұрын

Great job!.

@vichhai7116 7 жыл бұрын

Very good explanation

@geojor 9 жыл бұрын

good one, thanks...

@mmashrapirate 11 жыл бұрын

enjoyed the lecture, thanks a lot

@lorainegreen9441 9 жыл бұрын

VERY HELPFUL AND INFORMATIVE

@lucenacity9530 4 жыл бұрын

THANK YOU FOR A VERY INFORMATIVE VIDEO

@roberto_puerta_bendita340 4 жыл бұрын

Thank a lot for this video

@adantephil8833 4 жыл бұрын

A very instructive video. I’m gonna bookmark this on my computer. I’ll surely return to this video and make a whole lecture exercise book (with time points) out of this video Time to end wasteful hours (not minutes) on the net. Oh, thank God I stumbled upon you, dear Professor (what’s your name again?). This is the Professor I missed in my pharmacology class connecting all the dots. Thank you

@Medcram 4 жыл бұрын

Thank you for the feedback! We appreciate comments like yours.

@poornimapalandage3313 4 жыл бұрын

Very very useful Clearly explained

@nandishkumar1000 7 жыл бұрын

Nice and awesome video. It will be more usefull if u give details of drug groups with diagnosis, like u gave in last part of lecture for gout and renal stones. Thankyou...love you a lot

@tomhunter8975 9 жыл бұрын

lovely lecture i hav subcribed this and your other channels. will definely will b looking forward for your new uploads..

@FilAmRN 11 жыл бұрын

First time viewer. Thank you very much! Please cover Fluids and Electrolytes and labs such as CBC and CMP. Awesome!

@atonebai_52 2 жыл бұрын

It's very informative content sir thank you for sharing this vedio I'm from philippines and I'm also hypertension

@danabrooks3548 10 жыл бұрын

Hi! First of THANK YOU medcram!!! I am an FNP student in an on-line program. I learned early on that in many ways this is "do it yourself med school" and KZfaq lectures became my best friend. Before discovering medcram I would spend as much time searching for relevant in depth lectures as I would watching them- now medcram is my go to for lectures on just about everything!

@bhstone1 9 жыл бұрын

There is such thing as an online nurse practitioner program? That doesn't give me a lot of confidence in NPs. I would certainly not want to be treated by anyone who went to an online medical school (which don't exist) or online nursing school. Scary thought.

@ginar9593 9 жыл бұрын

bhstone1 There are many online nursing schools and FNP schools. There is a large population of nurses that obtain their education online. I can't speak for medical school, but I am enrolled in NP school through and online program. The learning is much more comprehensive and involved in an online program than in a classroom. I received my bachelor's at a traditional school with classroom time. And I can say, that even when I was present in class, you don't necessarily pay attention because professors just read directly from power point slides, which I can do on my own time at home. There is a lot of information that needs to be learned in nursing school, so a self-directed online program enhances that type of learning. You still have to complete hundreds of hours of on-site clinical hours with a licensed nurse practitioner, where you receive your on the job education as well. Your lack of confidence in NPs is an uneducated statement.

@bhstone1 9 жыл бұрын

I am seriously disturbed that there are so many online NP schools. There is no way one can obtain the training or experience necessary in an online program. This completely delegitimizes the NP profession as a whole.

@ginar9593 9 жыл бұрын

Let me ask you this, what do you do as a career? Did you get all your training before you obtained your degree, if you even have one? Not all that is learned is learned in school. If you think that online education is not an acceptable form of education, I think you need to do some more research instead of making assumptions you clearly know nothing about.

@danabrooks3548 9 жыл бұрын

Hi, the fact of the matter is that you shouldn't be able to tell whether your provider was educated in person or on-line. A majority of NP programs are at least partially on-line. If you feel your provider is not competent does it matter how they were educated? And if they are good at their job and provide comprehensive care- again does it matter where they were educated?

@dishalouie2892 3 жыл бұрын

Thank you so much.. Really helpful

@ayatmuslim5994 8 жыл бұрын

Thanks for all these amazing videos , such a great channel , it would be very nice of you if you present a videos for anemia , please

@Medcram 8 жыл бұрын

+ayat muslim Thank you for the feedback and topic suggestion

@jrroyal23 11 жыл бұрын

This was Excellent! Thank you for sharing! We are on the CVS now in pharm school. By any chance could you cover the Cardiac Cycle, EKG, Hyperlipidemia and Arrhythmia's in the future? Thanks!!

@aclassmedicine3306 4 жыл бұрын

Finally, a doctor who lists lifestyle as the first step to reducing disease and the need for medication. Vegetables have a very high K:Na ratio so hypertension plummets without medication. Fruits are overrated and too high in natural sugars.

@myhealthybodytv 2 жыл бұрын

Thanks for the info

@Medcram 11 жыл бұрын

Thanks for the feedback. Over the next month, please visit the MedCram Facebook page to suggest a topic idea you'd most like to see a MedCram lecture on. On Feb. 28, 2013, Dr. Seheult will go to work on the most popular topic.

@ketinporta4994 4 жыл бұрын

MedCram - Medical Lectures Explained CLEARLY I have to tell you, a patient of mine was taking many - many bp meds and none of them did any good to him. He needed to go to the ER several times due to vertigo caused - in my opinion- by those meds. Doctors kept on insisting to have him take those and one day he decided not to take them. He was so depressed and so over everything. Two days later his bp went down. His vertigo decreased and his appetite came back. He has been taking green smoothies and stopped eating bread and beef. Began walking more often and today - a month after the last ER visit with vertigo - is happy, healthy, working out more and no signs of depresión and confusion anymore. Oh, and his BP stayed to 130/75... no meds needed. I think the was misdiagnosed when he had a panic attack and his BP was high. He had familial issues but he had no BP issues after he stopped meds.

@chaveraoh 4 жыл бұрын

Do I get it right? You POISON a person with Mercury to lower his blood pressure?

@TheCaligirl79 4 жыл бұрын

I was put on beta blockers at age 38... Labetalol and propranolol after delivery of my son.. I developed postpartum preeclampsia and the calcium channel blockers which was Procardia/Nifedipine was causing scary bouts of tachycardia... 18 months later have been able to wean down but still taking small doses which is about 125 milligrams per day total now.. at first I was up to almost 800 milligrams for the first six months postpartum. I was completely healthy before preeclampsia and now wondering if I will ever be able to come off completely as it can be dangerous to stop taking suddenly. My cardiologist is very helpful and we are optimistic.