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What Causes Increased Heart Rate While On Twincal?
Question: I have started taking CCB for high BP 200/100 as XXXXXXX other mdicines like Beta Blockers Angiostin receptors,&Diuretics proved ineffective.Now my BP comes down to 115/75 after taking Twincal 10 mg but my heart beat goes to 110.What should be done?
Brief Answer:
It's due to twincal, adding small dose of beta blocker would be ideal
Detailed Answer:
Hello, I am Dr Mody and I would be addressing your concern.
Firstly it seems odd that the other medication did not work. If at all time permits send me what happened.
Now twincal contains clinidipine (Ccb) , the main action is to relax the peripheral blood vessels, hence decreasing blood pressure which is due to extra constriction of the vessels (simple analogy to try explain you the mechanism), so in such cases there is reflex increase in the heart rate.
So tachycardia (increased heart rate) is a known side effect of twincal.
Now the ideal means here is to add a small dose of beta blocker, best hereby would be bisoprolol 2.5 mg (concor), however keep a tab on blood pressure addition of another bisoprolol can push it down further because of its blood pressure lowering effect, in such case decreasing the dose of twincal to 5 mg for one dose along with beta blocker should be tried.
Let me know if any further clarification needed
Regards Dr Priyank Mody
It's due to twincal, adding small dose of beta blocker would be ideal
Detailed Answer:
Hello, I am Dr Mody and I would be addressing your concern.
Firstly it seems odd that the other medication did not work. If at all time permits send me what happened.
Now twincal contains clinidipine (Ccb) , the main action is to relax the peripheral blood vessels, hence decreasing blood pressure which is due to extra constriction of the vessels (simple analogy to try explain you the mechanism), so in such cases there is reflex increase in the heart rate.
So tachycardia (increased heart rate) is a known side effect of twincal.
Now the ideal means here is to add a small dose of beta blocker, best hereby would be bisoprolol 2.5 mg (concor), however keep a tab on blood pressure addition of another bisoprolol can push it down further because of its blood pressure lowering effect, in such case decreasing the dose of twincal to 5 mg for one dose along with beta blocker should be tried.
Let me know if any further clarification needed
Regards Dr Priyank Mody
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Dr. Sonia Raina
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