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Can Toprol-XL Cause High Blood Pressure?

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Posted on Thu, 17 Aug 2017
Question: Took Toprol xl branded, worked wonderful for 1 month now refill of same just shoots my bp up to 240 with strong side effects.
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Answered by Dr. Ilir Sharka (57 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

Regarding your concern, I would explain that your recent blood pressure values are quite high and there is an urgent need for an appropriate hypertension therapy scheme.

It is obvious that your actual treatment (Toprol XL) doesn't seem to control your high blood pressure values and this response is quite likely considering your age and the presence of kidneys dysfunction.

Coming to this point another scheme should be tried: a calcium channel blocker (like Amlodipine, Lercanidipine, etc) and a diuretic (like Hydrochlorothiazide, Torasemide, etc.).

But before concluding the therapy, it is necessary to perform some medical tests for an actual review of the cardiovascular status and potential secondary causes:

- resting ECG,
- cardiac ultrasound,
- chest X ray study,
- liver and kidney function tests,
- thyroid hormones level,
- blood electrolytes level,
- fasting blood glucose level

You need to discuss with your attending doctor on the above mentioned issues.

Hope to have been helpful to you!

In case of any further questions, feel free to ask me again.

Kind regards,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9544 Questions

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Can Toprol-XL Cause High Blood Pressure?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome on HCM! Regarding your concern, I would explain that your recent blood pressure values are quite high and there is an urgent need for an appropriate hypertension therapy scheme. It is obvious that your actual treatment (Toprol XL) doesn't seem to control your high blood pressure values and this response is quite likely considering your age and the presence of kidneys dysfunction. Coming to this point another scheme should be tried: a calcium channel blocker (like Amlodipine, Lercanidipine, etc) and a diuretic (like Hydrochlorothiazide, Torasemide, etc.). But before concluding the therapy, it is necessary to perform some medical tests for an actual review of the cardiovascular status and potential secondary causes: - resting ECG, - cardiac ultrasound, - chest X ray study, - liver and kidney function tests, - thyroid hormones level, - blood electrolytes level, - fasting blood glucose level You need to discuss with your attending doctor on the above mentioned issues. Hope to have been helpful to you! In case of any further questions, feel free to ask me again. Kind regards, Dr. Iliri