Hypertension : one of the causes can be heavy metals intoxication such as lead or cadmium etc.I have never seen patients with hypertension being investigated for heavy metal intoxication, even if there is a real reason to suspect this. It can’t be done in kupat cholim even not on special request of the treating physician. A specialist has to give his permission and this is ofter a “lost case”. The article below is -I think- of huge importance , as the treatment of high lead levels is not simple………

Thus, Withania [= ashwagandha] may be useful in therapeutic management of lead-induced hypertension.Send to:Indian J PhHypertension : one of the causes can be heavy metals such as leadarmacol. 2013 Nov;45(6):563-8. doi: 10.4103/0253-7613.121365.Withania somnifera ameliorates lead-induced augmentation of adrenergic response in rat portal vein.Hore SK1, Choudhury S1, Ahmad AH2, Garg SK1.Author informationAbstractOBJECTIVES:Present study was undertaken to elucidate the ameliorating potential of Withania somnifera root extract (WRE) against lead-induced augmentation of adrenergic response in rat portal vein.

MATERIALS AND METHODS:In-vitro studies were conducted on effect of lead alone and lead+WRE on rat-isolated portal vein while in-vivo studies were done in three groups of 12 rats each; Group-II and III received 0.5% lead acetate and 1.0% WRE + 0.5% lead acetate, respectively, in drinking water for 12 weeks whereas group-I served as control. Adrenaline and noradrenaline levels in brain and blood were determined by HPLC assay while vascular reactivity of portal vein to lead and WRE was determined by measuring the isometric tension.RESULTS:Following in-vitro exposure, lead did not alter the contractile effect of phenylephrine. In-vivo studies revealed that contractile effect of lead on portal vein was significantly potentiated and it was antagonized by prazosin (10(-7) M) and WRE (1%). WRE treatment significantly reduced elevated blood noradrenaline (37.80%) and restored noradrenaline level in brain (39.39%) in lead-exposed animals. These values were almost comparable to the control group. But it failed to significantly affect the blood and brain adrenaline levels.CONCLUSIONS:Results suggest that following pre-exposure of rats to WRE, lead-induced augmentation of alpha 1-adrenoceptors mediated response was reversed possibly by regulating catecholamine release from nerve endings. Thus, WRE may be useful in therapeutic management of lead-induced hypertension.KEYWORDS:Alpha1-adrenergic response, Withania somnifera, lead, portal vein, rat