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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Switch To Losartan While On Metoprolol And Diltiazem For High BP?

I have been treated for high blood pressure for 9 years. Recently went through a complete cardiac workup including a sleep study. Was taking metaprolol but was recently switched to diltiazen. My doctor at my last visit added losartan and I m concerned that this could lower my b/p even more and that concerns me. I don t know why he switched these medications. I maintain a b/p of about 135/70 with the diltiazen and was maintaining the same while on metaprolol. Had been taking Hydrochlorothiazide with the metaprolol but resulted in painful gout episodes. Have not had any blood work done before these meds were switched. Should I be concerned about drug interaction or my b/p being lower than it should be?
Fri, 29 May 2020
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General Surgeon 's  Response
Hello,

If your blood pressure is fine on metoprolol and diltiazem and you do not experience a slow heart beat (with dizziness, fainting, etc.) or kidney problems, there is no need for you to start losartan.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Anders Mark Christensen
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Is It Safe To Switch To Losartan While On Metoprolol And Diltiazem For High BP?

Hello, If your blood pressure is fine on metoprolol and diltiazem and you do not experience a slow heart beat (with dizziness, fainting, etc.) or kidney problems, there is no need for you to start losartan. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Anders Mark Christensen