Doctor insights on:
83 yrs f; stable diastolic hf; rate controlled a-fib. Meds: cardizem, coumadin, (warfarin) lasix, inderal, spiriva (mild copd). Would a cardioselective betablocker be better than inderal ?
Theoretically yes: In patients with COPD or asthma , cardioselective beta blockers like atenolol are felt to be superior to Inderal (propranolol) which also has possible harmful effects on the bronchial tree and could produce wheezing(bronchospasm). This may be a concern in someone like you who has copd. Your physician is best to advise you, however especially if you're doing well on inderal (propranolol). ...Read moreSee 1 more doctor answer
Is there effective med for systolic bp. Norvasc (amlodipine) works diastolic. Betaxolol works heart rate for me.
There are many : Good drug lowering BP medication. Sometimes is a trial and error. Also there are ethnic factors. For example beta blocker sometimes don't work in african american. Please, trust your doctors and do not treat yourself. Personal research is good. Bring that research findings and and have a smart discussion with your physician. I love smart discussion with my patients. ...Read more
Svt, endurance athlete. Prescribed 50mg metoprolol. Took 25mg, had symptomatic hypotension (low BP in general). Prescribed diltiazem er, 120mg. Safe?
Not completely safe: The trigger for svt needs to be determined. Stress ; holter. Metoprolol comes in 3x/day ; once daily forms. Daily form at doses of 12.5-25 mgs unlikely to lower BP in a young hydrated person and may control svt. Diltiazem er has some blood pressure lowering properties but is a good choice for svt. Diltiazem sa 120mgs is anti-inotropic, but this is a low dose. Both but may reduce endurance mildly. ...Read more
Yes: Diltiazem interacts with Ranexa (ranolazine) in the liver and increases its level in the blood stream. Can prolong qt and cause rythm disturbances. Other side effects from renexa likely: constipation, dizziness, headache, nausea., palpitations, dizziness and blurred vision. These are more likely with this combination, but many people on this combination of drugs. Double check with your doctor. ...Read moreSee 1 more doctor answer
With the exception: Of the innate side effects in each medication, and as long as your blood pressure is not too low, then it is a pretty safe mix as they do not work on the same receptors and shouldn't overlap. That being said, the one possible problem is taking an NSAID (celebrex) and lisinopril, you can cause kidney damage as one shuts down efferent and one afferent arteries to glomeruli. Be cautious. ...Read moreSee 2 more doctor answers
Sinus tachycardia treatment: which is better, ibravadine or bisoprolol? Avg resting HR 90-115, normotensive, no other comorbidities, exercise daily!
Sinus tachycardia: Inappropriate sinus tachycardia (IST) is a syndrome characterized by excessive resting heart rate or disproportional increase in heart rate during exercise. Metoprolol and ivabradine a new drug which effects the sinus node exert similar effects on resting heart rate but ivabradine is more effective in relieving symptoms during exercise or daily activity. ...Read more
Yes: this is a class of drugs known as beta blockers. originally and still used in treating elevated blood pressure, the beta blockers have been found effective in treating anxiety. this is specifically true for the norepinephrine symptoms of racing heart, panic, lump inthe throat and shakiness.and startle response. ...Read more