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Just Starting This New Blood Pressure Medicine. Two And Half

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Posted on Wed, 9 Oct 2019
Question: just starting this new blood pressure medicine. Two and half mg. of Bystolic and 25 mg of Losartan together with 2,5 mg of Cialis. Started on this combination approximately 9 hrs. ago. Should any of these be taken twice a day? My blood pressure is currently 169/100, pulse rate 60. Just came off taking Labetalol 100 mg. and losartan 50 mg. twice a day. Should I currently up my dosage on both? I am 73 year old male
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Answered by Dr. Ilir Sharka (34 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome to 'Ask A Doctor' service!

I understand your concern and would explain that you should not increase the dose of Bystolic because its effects are enhanced by Cialis and you may be at risk of bradycardia.

I would recommend increasing the dose of losartan up to 50mg twice daily in order to help lower blood pressure values.

I would recommend you to closely monitor your blood pressure values in the next week in order to make further adjustments to your therapy if necessary.

Hope to have been helpful!

Kind regards,

Dr.Ilir Sharka,
Cardiologist
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9539 Questions

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Just Starting This New Blood Pressure Medicine. Two And Half

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome to 'Ask A Doctor' service! I understand your concern and would explain that you should not increase the dose of Bystolic because its effects are enhanced by Cialis and you may be at risk of bradycardia. I would recommend increasing the dose of losartan up to 50mg twice daily in order to help lower blood pressure values. I would recommend you to closely monitor your blood pressure values in the next week in order to make further adjustments to your therapy if necessary. Hope to have been helpful! Kind regards, Dr.Ilir Sharka, Cardiologist