DEAR DR. BLONZ: I am on Medicare and had a bone scan as a part of my annual wellness checkup, which showed that I have weak bones in the form of osteopenia in my hips and spine, but other areas were in the normal range. I was told to increase my calcium and vitamin D intake, which I am doing; in addition, I was given a list of exercises to help keep my bones strong. This test result came as a surprise, as I have no pain and have never had a broken bone. I will add the bone-strengthening exercises to my routine.
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I also have high blood pressure that is being successfully treated with a calcium channel blocker medication. Is there any interaction between taking a calcium channel blocker and taking calcium as a dietary supplement I should be aware of? Neither my doctor nor pharmacist mentioned any such possibility. -- W.P., Raleigh, North Carolina
DEAR W.P.: I commend you and your physician for including a bone scan in your wellness checkup. We shouldn't wait until we're eligible for Medicare to get our bone strength tested. (Those on Medicare are entitled to a yearly wellness visit as part of their healthcare. For more on this, see b.link/aqdrzczc.)
The fact that you had no idea there were issues with your bone strength underscores the importance of undergoing such testing -- the sooner you diagnose and treat bone-strength issues, the greater the odds it can be stopped or even reversed. I understand your need to learn more, given that calcium is involved in both of your health situations, and you want both medications to function as intended.
Calcium channel blockers can be prescribed for hypertension (high blood pressure) because they prevent the contraction of certain smooth muscles surrounding the blood vessels. For the muscle around the vessel to contract, a small amount of calcium has to pass through a channel in the membrane (outer skin) of the muscle. Calcium channel blockers are so named because they slow the movement of calcium through these channels, thereby keeping the blood vessels relaxed. (For more on calcium channel blockers, see b.link/r5jfpw3.)
There is little connection between the calcium present in your system via your diet or your supplement and the ability of a calcium channel blocker to do its job. It should be interesting for you to track your bone strength in future testing. (Read more about bone-strengthening exercises at b.link/jgisklr.)
Send questions to: "On Nutrition," Ed Blonz, c/o Andrews McMeel Syndication, 1130 Walnut St., Kansas City, MO 64106. Send email inquiries to questions@blonz.com. Due to the volume of mail, personal replies cannot be provided.