Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Elevated Heart Rate And Fluctuating BP Levels
Question: question for cardiologist.
I am 33 years ,my Bp measurements varies between (135/100 to 115/85 regardless I take medicine or not ) I have been told to take Valsartan 80 3 years ago due to hyper tension , then some doctors advice that you still young and ur reading are not very high.
also recently due to stress my hear rating start to raise , varies between ( 85 and 110) , I have been advised to take propranolol 10 mg on demand , then another Dr told me take concor 5mg for Bp and heart rate ( but concor side effects was bad on me from 1st day).
I feel very comfort using propranolol , shall i take it regularly or demand for heart rate ?
what about blood pressure ? I feel that Valsartan is not effective ...shall i use propranolol for both Bp and heart rate ?
by the way I have eco , ECG and effort by exercise ...everything was fine
XXXX
I am 33 years ,my Bp measurements varies between (135/100 to 115/85 regardless I take medicine or not ) I have been told to take Valsartan 80 3 years ago due to hyper tension , then some doctors advice that you still young and ur reading are not very high.
also recently due to stress my hear rating start to raise , varies between ( 85 and 110) , I have been advised to take propranolol 10 mg on demand , then another Dr told me take concor 5mg for Bp and heart rate ( but concor side effects was bad on me from 1st day).
I feel very comfort using propranolol , shall i take it regularly or demand for heart rate ?
what about blood pressure ? I feel that Valsartan is not effective ...shall i use propranolol for both Bp and heart rate ?
by the way I have eco , ECG and effort by exercise ...everything was fine
XXXX
Brief Answer:
You should take propanolol on a daily basis, following other advises....
Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.
After reviewing the data you provided I can confirm that you have isolated stage I diastolic hypertension.
As a first step before discussing about medical treatment I would like to recommended to do the following measures:
- Quit Smoking
- Reduce alcohol intake (to 1-2 drink per day)
- Reduce salt intake
- Eat a healthy diet, reach in fresh fruits, vegetables and poor in animal fatty acids (diary products, red meat etc.)
- Reduce weigh
- Increase physical activity
This measures will help to lower BP and stabilize it and will reduce the dosage of medical treatment.
My opinion is that you should take propanolol regularly on a daily bases till your HR and BP will be stabilized.
If you were my patient I would recommend to take a water pill (Moduretic) instead of valsartan. The combination of betablockers (Propanolol) with diuretics (Moduretic) is more effective in controlling BP and HR.
Since changing therapy may have unwanted effects you should discuss with your treating doctor before doing so.
Hope this was of help!
Wish you health!
Dr. Shehu
You should take propanolol on a daily basis, following other advises....
Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.
After reviewing the data you provided I can confirm that you have isolated stage I diastolic hypertension.
As a first step before discussing about medical treatment I would like to recommended to do the following measures:
- Quit Smoking
- Reduce alcohol intake (to 1-2 drink per day)
- Reduce salt intake
- Eat a healthy diet, reach in fresh fruits, vegetables and poor in animal fatty acids (diary products, red meat etc.)
- Reduce weigh
- Increase physical activity
This measures will help to lower BP and stabilize it and will reduce the dosage of medical treatment.
My opinion is that you should take propanolol regularly on a daily bases till your HR and BP will be stabilized.
If you were my patient I would recommend to take a water pill (Moduretic) instead of valsartan. The combination of betablockers (Propanolol) with diuretics (Moduretic) is more effective in controlling BP and HR.
Since changing therapy may have unwanted effects you should discuss with your treating doctor before doing so.
Hope this was of help!
Wish you health!
Dr. Shehu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hi Doctor,
what dose of Propanolol is recommended for me for BP + heart rate ? I used to take 20mg for fast rate ...shall i increase the dose for Bp treatment ?
what dose of Propanolol is recommended for me for BP + heart rate ? I used to take 20mg for fast rate ...shall i increase the dose for Bp treatment ?
Brief Answer:
Following propanolol dosage...
Detailed Answer:
Hi back,
If you were my patient I would begin with propanolol 20 mg two times a day in order to control your BP. If these isn't enough to control your BP I would increase the dose to 40 mg two times a day, which is the maintaining dose.
Hope this was of help!
Wish you health!
Dr. Shehu
Following propanolol dosage...
Detailed Answer:
Hi back,
If you were my patient I would begin with propanolol 20 mg two times a day in order to control your BP. If these isn't enough to control your BP I would increase the dose to 40 mg two times a day, which is the maintaining dose.
Hope this was of help!
Wish you health!
Dr. Shehu
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
