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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Bystolic, Lotrel, Niaspan And Zocor Cause Low Heart Beats?

I have been told I need a heart pacemaker. I am 65 years old and in good health but have hypertension and had been on bystolic and lotrel, niaspan and zocor. Is there a chance the medication caused my condition. Diagnosed after heart rate had fallen to 32 beats aminute
Thu, 23 Feb 2023
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General & Family Physician 's  Response
Hi,

Bystolic and Lotrel are both blood pressure medications known as beta-blockers and calcium channel blockers, respectively. Beta-blockers can cause a slow heart rate as a side effect, but this usually only occurs at high doses. Calcium channel blockers like amlodipine are less likely to cause a slow heart rate, although it is still possible.

Niaspan is a form of niacin, a B vitamin that is sometimes used to lower cholesterol levels. Niacin can also cause a slow heart rate, but this is a rare side effect. Zocor is a statin medication used to lower cholesterol levels. Statins are not known to cause a slow heart rate.

It is possible that the combination of these medications, particularly the beta-blocker Bystolic, could have contributed to your slow heart rate. However, it is also possible that there are other underlying factors contributing to your heart rate, such as a problem with the electrical system of the heart.

If you have been advised to get a heart pacemaker, your healthcare provider has likely determined that this is the best course of action for you. A pacemaker can help regulate your heart rate and prevent dangerous symptoms or complications. It is important to continue taking your medications as prescribed and follow your healthcare provider's recommendations to manage your hypertension and high cholesterol levels.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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Can Bystolic, Lotrel, Niaspan And Zocor Cause Low Heart Beats?

Hi, Bystolic and Lotrel are both blood pressure medications known as beta-blockers and calcium channel blockers, respectively. Beta-blockers can cause a slow heart rate as a side effect, but this usually only occurs at high doses. Calcium channel blockers like amlodipine are less likely to cause a slow heart rate, although it is still possible. Niaspan is a form of niacin, a B vitamin that is sometimes used to lower cholesterol levels. Niacin can also cause a slow heart rate, but this is a rare side effect. Zocor is a statin medication used to lower cholesterol levels. Statins are not known to cause a slow heart rate. It is possible that the combination of these medications, particularly the beta-blocker Bystolic, could have contributed to your slow heart rate. However, it is also possible that there are other underlying factors contributing to your heart rate, such as a problem with the electrical system of the heart. If you have been advised to get a heart pacemaker, your healthcare provider has likely determined that this is the best course of action for you. A pacemaker can help regulate your heart rate and prevent dangerous symptoms or complications. It is important to continue taking your medications as prescribed and follow your healthcare provider s recommendations to manage your hypertension and high cholesterol levels. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician