Cocaine & BPH meds (Lisinopril and HCTZ)

[HDR1977]

I'll take any insight you guys have, but I'm hoping to find someone who's walked in similar shoes.

The really short version...

Has anyone here been prescribed Lisinopril and hydrochlorothiazide (HCTZ) for high blood pressure, and continued doing coke?
Did that person live? Any advice or other insight?

The TLDR details...

I'm 40 and in the last few years quit smoking cigs and then really let myself go (BMI around 39).
Been basically microdosing coke for the last 10-15 years (I can stretch a gram to around 40-50 bumps over 12 hours, or a few days, depending on my mood).
I'm not super concerned about the quality of the coke buzz being lessened by the Lisinopril. Honestly, just the ritual is half the fun for me. So I just want to know if it's absolutely insane to even consider doing a little while on the BPH meds.

On one hand I feel like, as long as you're not taking beta blockers, the BPH meds would be a coke lover's dream.
Kinda like liposuction is for fat people.
It mitigates damage to people who aren't done damaging themselves.

On the other hand, I don't know if the coke and Lisinopril will fight each other in some way...or what.

That's why I'm here, asking the question.

If you've walked this path or know others who have, or have any other insight (I've browsed several other threads and a lot of you appear to be stone cold experts on physiology and chemistry) -- I'll take it.

Thanks.

IMPORTANT NOTE: I was tipped off to get my blood pressure checked because my left foot got swollen. I went in and it was 188/135. I almost died right there just hearing the number. It had been days since I did any coke, and there was no caffeine or anything else in my system. My shit just straight shot up to 188/135 at some point...I'm guessing in the last week or so, because that swollen foot thing was brand fucking new and disgusting and terrifying to me. But then they prescribed the Lisinopril and now my BPH is 140/92. (Not great, but not "hypertension crisis" which is where I was.) Also I have every intention of using this to turn a healthy corner and finally get back in good shape through just plain old diet and exercise. And so far every medical pro I've talked to is confident that once I do get back in good shape, I'll be able to come off the BPH meds. But today is day two of being on those meds, and I have a gram left and am coming up on a week all alone which is my go-to time to indulge a bit, and I'm just looking for honest, informed feedback from the people on these boards. One gram, over a few days, after just being prescribed Lisinopril. Is that insane to even think about? Or is it not totally out of the realm of rationale?

 

[HDR1977]

Dang. Obviously screwed up the title. It's HBP meds. Not BPH.

 

[T. Calderone]

I've done this with cocaine and Lisinopril but not HCTZ. I can't say it was a smart thing to do and not advocating continued use but I lived. Welcome to the boards and good luck in your quest to get healthy!

 

[HDR1977]

Thanks very much for the insight. I got a BP monitor along with the meds, so I'll probably just take a tiny bump and then keep an eye out.

I've given it a lot of thought since the initial shock etc.

Pretty sure with coke there are lots of cardio problems the constant strain causes.

The big one, based on what I've read, appears to be diluting the health of blood vessels.

And it's almost impossible to get a good read on how healthy one's blood vessels are, without being part of some study or doling out big money for that specific info.

My point: I'm pretty sure the coke contributed greatly to my HBP.
But I think the meds are helping with that, which is great.
And a little coke on top of the meds won't be a disaster -- at least not because of the coke/meds combo.
(HCTZ is basically just a water pill; diuretic. Nothing really dangerous for the coke to interact with.)
The disaster is just the ongoing damage to the cardio system generally and specifically the blood vessels.
And for a chronic user like me, it's a coin toss.
One bump could do it, or I could go decades and live a long healthy life.
Without knowing more about the actual damage to my blood vessels, I'll never know which camp I fall in.

So I'll take the little dab and monitor my HBP, because just throwing in the towel totally unexpectedly isn't in the cards for me.

BUT, I'm also making huge lifestyle changes. And in a few weeks, I'll be somewhere for 6 weeks (for work) with zero access to any coke. And bringing some isn't an option.

So I'll likely get away with finishing this last gram, while simultaneously monitoring BP...and no more 12-24 hours with no food, followed by gorging on $15-20 worth of fast food, and then a long nap, and then another 10,000 mg of sodium via baking soda (mixed with water) over the next day to manage the indigestion.

(Yeah. That was kind of my drill when I was doing whatever the hell I wanted.)

So finish the last G, in tandem with the healthy lifestyle changes, then 6 weeks basically in the friggin' desert with nothing...I'll probably see some good results, feel good, and that's when the hard part comes. STICKING WITH IT. I'll never be the "I can never do xyz again" type. But it'd be great to get healthy, get the green light to go off the BP meds, and then have a rock star night once or twice a year with family/friends...instead of 250 nights a year by myself.

: )

Thanks again, man. Sorry for my super long reply. Just kind of getting my thoughts out on paper at this point, but it's super helpful. I see light at the end of the tunnel, including good health...and no cult-like aversion to rewarding myself once I've earned it.

 

[HDR1977]

UPDATE: I did a little last night and kept an eye on things. BP went up, but not even to the levels it was last week that caused all the concern (while I wasn't on coke or anything else). Anyway I did it, had my little fun, but still have basically the entire gram left. And honestly...I don't even want to touch it. Normally when I have some coke and a full day to myself, I spring out of bed really excited about the next 24 hours. I might decide to go grab a HUGE, terrible fast food breakfast. First I do a small bump. Then my dog and I drive to McDonalds or Burger King, drop 15 bucks on terrible food, come back, do another bump, then gorge on the food with the coke high. (Don't let anyone tell you you can't marry the coke high to your meals. True it's an appetite suppressant. But if you've done enough for a long enough period of time, then eventually you can -- if you want to -- just use it to enhance the shitty meals you're having.) And then when the food is gone, I'd start dipping in to the coke several times an hour for the rest of the day while I do whatever else I wanted...work, movies, porn, guitar...all enhanced, all day, by the blow. Other days (most) I'd spring out of bed and just want the coke. Screw losing 20 minutes to go get food! Anyway, today I've got this gram and I don't even want it. Like I said: I couldn't go totally cold turkey. But I got my one night of living on the edge with these new meds and this new reality, and I think that may have been enough for me. Because now I'm having my Superman-healthy breakfast shake (blueberries, spinach, flax seed meal, banana, water) -- and am excited to be productive today and not feel like shit. And then I go to the doctor tomorrow for a follow-up, and am hoping to get a green light for exercising vigorously. But it kind of sucks because I can't tell my doctor about the coke. I'd love for them to know every detail so they can make more informed judgments about how to test and guide me, but it's just not in the cards. Anyway, today is a good day. First that I can remember in my entire life where I had coke, and time alone, and didn't want to do the coke. (Hell even on days when I don't have time alone, I'd still be digging in! I remember doing it first thing in the morning when my parents were in town visiting our newborn son!) And I appreciate having this space to share what's going on.

 

[PharmSauce]

It will counteract the BP lowering effect of lisinopril/HCTZ due to the fact that it increases blood pressure. It sounds like you could have some type of heart/cardiovascular issues such as atherosclerosis or in the progression towards peripheral arterial disease. It is definitely not good for the heart. I would not do it at all if it brings your BP above 140-150 as sustained high blood pressure can lead to vessel damage and organ damage. 188/135 is considered a hypertensive crisis and you want to make sure you don't get way up there in the future.