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Prescribed Acebutolol, Tiazac, Ramipril For Unstable Angina, High BP And Low Pulse Rate But No Change. Any Alternative?
I am 64 year old man. Forteen years ago I had unstable angina and high blood pressure,my doctor gave me (Acebutolol 200mg,tiazac 180 mg,and Ramipril 10mg and 81mg aspirin, for the past two years, I haven't had any chest pain, but my blood pressure is still high and my pulse is very low (some times 45-48) . Six months ago my family doctor change the amount of acebutolol from 200mg to 100mg a day but still my pulse is low and I feel very weak. Is there any other medicine instead of these to take?
Thu, 12 Dec 2013
User's Response
HI
Thank for asking to HCM
I really understand your concern let me tell you that the underlying cause of bradycardia has to be investigated, the first test would be Echo test, then the EKG after knowing the over all cardiac status it can be decided what to do, it is not possible to switch over to some other cardiac drugs without this, in my opinion it is better to have these test done and nothing to worry about it this is not an emergency every thing seems fine have good day.
Thank for asking to HCM
I really understand your concern let me tell you that the underlying cause of bradycardia has to be investigated, the first test would be Echo test, then the EKG after knowing the over all cardiac status it can be decided what to do, it is not possible to switch over to some other cardiac drugs without this, in my opinion it is better to have these test done and nothing to worry about it this is not an emergency every thing seems fine have good day.
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Hi,
Welcome to HCM,
As your pulse is very low, you are feeling weak. You must immediately go to see a cardiologist and need to be evaluated to rule out bradycardia due to cardiac origin. Your pulse is low most probably due to Acebutolol, but there could be any other associated cause also. You must be r investigated for ECG, holter monitor, Echo, TSH test etc. If your doctor rule out arrythmia or other heart related disease, you should be advise to stop Acebutolol, and you will see within 24 hours, improvement in your bradycardia. If it is due to Hypothyroidism, Thyroid replacement medicines will immediately rise your pulse.
usually Aspirin is not a good combination with Acebutolol, and Ramipril both. Aspirin actually negate the effect of Ramipril, and acebutolol both. This could be the cause of uncontrolled hypertension. Ramipril is also cardio-protective and anti-platelet, so I would suggest that your Doctor should review the real necessity of Aspirin. And if needed it should be timed properly with other medicines.
Your Doctor should also check your electrolytes, specially Potassium levels. High level of potassium can cause weakness.
There are many other anti-hypertensive drugs available. We have to choose the best one evaluating for an individual , after analyzing other investigations, risk factors. It includes also your cholesterol levels, blood sugar levels, kidney functions etc.
Welcome to HCM,
As your pulse is very low, you are feeling weak. You must immediately go to see a cardiologist and need to be evaluated to rule out bradycardia due to cardiac origin. Your pulse is low most probably due to Acebutolol, but there could be any other associated cause also. You must be r investigated for ECG, holter monitor, Echo, TSH test etc. If your doctor rule out arrythmia or other heart related disease, you should be advise to stop Acebutolol, and you will see within 24 hours, improvement in your bradycardia. If it is due to Hypothyroidism, Thyroid replacement medicines will immediately rise your pulse.
usually Aspirin is not a good combination with Acebutolol, and Ramipril both. Aspirin actually negate the effect of Ramipril, and acebutolol both. This could be the cause of uncontrolled hypertension. Ramipril is also cardio-protective and anti-platelet, so I would suggest that your Doctor should review the real necessity of Aspirin. And if needed it should be timed properly with other medicines.
Your Doctor should also check your electrolytes, specially Potassium levels. High level of potassium can cause weakness.
There are many other anti-hypertensive drugs available. We have to choose the best one evaluating for an individual , after analyzing other investigations, risk factors. It includes also your cholesterol levels, blood sugar levels, kidney functions etc.
I find this answer helpful
1 user finds this helpful
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