
Taking Lisinopril And Beta-blocker. Experiencing High Pulse, Dizziness And Sweating. Due To Lisinopril?

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Lisinopril is less likely to be causing this.
The likely culprit is abrupt beta-blocker withdrawal.
Beta blockers should NOT be stopped suddenly.
It can result in rebound – high pressure and increased pulse rate.
It has to be tapered off SLOWLY – say half the dose for 4 or 5 days / then quarter of the dose for 4 or 5 days / then one eighth / then this on alternate dose for 2 or 3 doses.
Of course Anxiety can contribute and Xanax helps.
As it is not helping, the solution is to RE-START the original dose / take for 4 or 5 days / then taper as suggested.
Hopefully, all will be right.
If in spite of this, if the pulse and pressure shoot up, you have to be investigated for a condition called Pheo-chromo-cytoma (sudden bursts of adrenaline output occur in it)
Take care
Wishing speedy recovery
God bless
Good luck


Also my doctor thinks my hot flashes, elevated BP that last about an hour, and tingling in the hands, feet, and face, and a feeling of a lump in my throat, is being created by anxiety. She wants to put me on a long term antidepressant, SSRI, Pristiq (Desvenlafaxine Extended-Release Tablets), Personally I do not want to start Pristiq if the problem is Pheochromo.
Thanks, XXXXXXX
You can restart BISOPROLOL now.
No apparent reason to wait.
Just WATCH YOUR BP – because there are two drugs now.
First doses can cause large drops of pressure in some.
So, you can omit Lisinopril today / add ¼ tablet tomorrow / ½ tablet the day after / whole tablet then on.
Thyroid is different.
Pheochromocytoma is from Adrenal glands. Its hormones and/or metabolites can NOT be tested while on beta-blockers. One has to wait for a week or so after stopping. Scan may now be done to see the gland...
Venlafaxine is a good drug.
If you do not want to take it now and if you could manage, there is no problem in waiting... after all, it is not an emergency.
I shall be pleased to hear on the progress...
All the best
Regards

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