Queryman replied: "It is a misconception that when you take a fixed dose of anti-hypertension medication, the BP will go on falling till you reach very low levels. Once the dose is titrated against your BP, that is what you need to keep your BP under control. It is like weighing on a physical balance: When two sides are in balance, unless the contents of any of the two panes - in this case, your BP on one side and the fixed dose medication on the other - changes, the state of balance does not change."
Dr. B replied: "There are many blood pressure medications available and each class has a different mechanism of action. Metoprolol is a beta blocker that decreases the heart rate, force of contraction of the heart and causes dilation of the blood vessels. The blood pressure lowering effect of any medication is determined by the dose. Most patients with high blood pressure require blood pressure lowering medication for the rest of their life otherwise their blood pressure will return to previously high levels. Blood pressure medication at the same dose will not continue to lower blood pressure, because it should lower the blood pressure to around the same level when you take it. For example in your case your baseline blood pressure is around 140/90 and you would always expect to get a blood pressure of around 125/80 when you take the same dose of your medication. I hope that makes sense, but if not let me know. Sometimes if too high of a dose of blood pressure medication is given then a low blood pressure can occur. The dose of the blood pressure medication should be reduced then. Good luck."
My diastolic pressure blood pressure is really high and I'm pregnant? ok so, I'm on Metoprolol to lower my heart rate.
I am a 5'8" 130 lbs 21 year old female with circulation problems.
I am also 12 weeks pregnant
My doctor wanted me to monitor my blood pressure and heart rate standing and sitting and report back to him in 2 weeks but the standing pressures seem very high and weird so I called him and neither him or his nurses or in the office today. Here are my pressures, what should I do? I don't want to miscarry!
*I take them three times in a row couple minutes apart sitting then 2 or 3 times a couple minutes apart standing*
Last Night First reading (not so bad in my opinion)
8 pm -
sitting -
107/87 HR 86
113/80 HR 88
111/85 HR 96
-standing-
126/96 HR ?
129/89 HR 108
127/89 HR 120
Second reading (where I start to get a little worried):
11:09 pm-
sitting-
135/86 HR 82
130/88 HR 88
127/79 HR 80
-standing-
135/96 HR 107
137/ 99 HR 118
This mornings reading (didn't take my metoprolol yet):
9:30 am -
sitting-
126/87 HR 86
118/77 HR 84
122/83 HR 86
- standing-
126/95 HR 124
117/99 HR 144
Kathryn M replied: "You're doing the right thing by monitoring your pressure so closely. What concerns me is that sometimes, high blood pressure (namely the bottom number) is sometimes an indicator of a bigger problem. For example, my blood pressure was crazy last spring but I had no history of high blood pressure. My doctor discovered that I had thyroid cancer. I don't say this to scare you, just to tell you that sometimes, it means there is something causing the jump.
The other possibility is gestational hypertension. This can be controlled with medication, however, your risk of preeclampsia is higher. Your doctor needs to refer you to a cardiologist to have the proper tests done.
Good luck!"
Question about my blood pressure medications? My doctor prescribed 2 blood pressure medications for me. Since February of 2006 I have been taking both medications. One is a Beta Blocker and the other is an Ace Inhibitor. One is Metoprolol 25mgXL & the other was a very small dose (2.5 mg) of Lisinopril.
A couple of months ago I started feeling sick, I was seeing spots, feeling tired, lightheaded, weak, and dizzy all the time. I have a blood pressure machine at home and I would check my BP every other day and it was always kind of low, sometimes 99/55. Sometimes even lower. Even checking while at stores it would be kind of low. At my doctor appointment my BP would run 101/64.
I complained to my doctor about how I've been feeling and asked about being taken off the small dose of lisinopril but he didn't think that I should stop taking it. He said it was a very small dose and my BP is great.
Well...... I have to confess that I eventually took it upon myself to discontinue the lisinopril on my own. I did it slowly, skipping doses every other day, then only takeing it 2 times a week to eventually not taking it.
It's been about 3 weeks since I've been off the med now and as far as my symptoms, I'm feeling better that way. BUT.... I've noticed several times throughout the day my heart feels like it skips beats. My blood pressure is running 124-76 or lower and I won't see my doctor again until the end of January.
My question is: could my quitting the lisinopril be the reason I feel my heart thumping like it skips beats?
Thanks for all advice.
I'm 34 years old and have already had a stent placed in my LAD in Feb. of 2006
I should also mention that I also have a history of a Pulmonary Embolism, and as a result of that I was tested for clotting disorders after coming off the Coumadin therapy. I tested positive for Antiphospholipid Antibody Syndrome and now require lifelong coumadin therapy.
zini replied: "Aside from your true question I personally would have reduced your dose of the beta blocker as these are currently out of favour with NICE guidelines and are a last choice treatment for high blood pressure.
Your palpitations (skipped beats) are probably nothing- everyone's heart may miss or add a beat every now and then, but if the sensation is lasting for a while (10seconds+) and is noticed quite often (several times a month) it is a bit more concerning. I suggest you go to the doctor about this to have your heart rhythm checked. I think it's unlikely related to your stopping the ACE inhibitors as these lower the blood pressure without involving the heart. You dont mention how old you are but two possibilities your doctor should rule out are hyperthyroidism and atrial fibrillation."
Bradgideet replied: "I agree with atrial fibrillation. Ask your doctor about the possibility of an arrhythmia for sure."
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