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How To Taper Down Coreg CR Slowly Without Any Side Effects?

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Posted on Thu, 18 Dec 2014
Question: Need to taper Coreg CR 40 mg due to new lightheadedness and postural hypotension in a patient
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Answered by Dr. Rakesh Madhyastha (1 hour later)
Brief Answer:
Postural Hypotension

Detailed Answer:
Hello

Thanks for the query

There is no set protocol for reducing beta blockers especially if the patient is either having bradycardia or hypotension. I stop the beta blocker immediately and then monitor blood pressure every 2 hours and re adjust or bring in another anti hypertensive for blood pressure control.
Please check the hydration status of the patient as elderly patients often have postural hypotension when dehydrated.

I hope I was of help, if you have any further queries please get back to me

Regards
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Rakesh Madhyastha

Nephrologist

Practicing since :2009

Answered : 4364 Questions

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How To Taper Down Coreg CR Slowly Without Any Side Effects?

Brief Answer: Postural Hypotension Detailed Answer: Hello Thanks for the query There is no set protocol for reducing beta blockers especially if the patient is either having bradycardia or hypotension. I stop the beta blocker immediately and then monitor blood pressure every 2 hours and re adjust or bring in another anti hypertensive for blood pressure control. Please check the hydration status of the patient as elderly patients often have postural hypotension when dehydrated. I hope I was of help, if you have any further queries please get back to me Regards