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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Low BP While On Lisinopril

I have been diagnosed with congestive heart failure and afib but I am under control with meds. My blood pressure has dropped to 106/59 with a pulse rate of 59. I moved up my doctors appointment to 0ne week from now. I have a son that is a pharmacist. He says my bp is too low which is not good. I am thinking of cutting my 10 mg Lisinopril tablet in half so that I take 5 mg of Lisinopril once a day till I see the cardiologist. I feel very tired. what do you think?
Tue, 8 Jan 2019
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General & Family Physician,  's  Response
Hello,

Lisinopril is a good medication to use with congestive heart failure because it has been shown to improve the function of the heart over time.

Usually an ACE inhibitor like lisinopril is started first, and then a beta-blocker medication is added to further help the heart.

These medications can lower the blood pressure, but as long as the systolic blood pressure (the top number) is above 90, I would usually continue it, UNLESS you were having side effects, in which case it would mean you are not tolerating it and it should be decreased.

So in summary, your blood pressure alone would not necessarily lead me to decrease the lisinopril, but if you are very tired with that blood pressure, I think I would decrease it. Lowering it to 5 mg would be reasonable to see if that helps.

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

Take care

Regards,
Dr Aaron Branch, General & Family Physician
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Suggest Treatment For Low BP While On Lisinopril

Hello, Lisinopril is a good medication to use with congestive heart failure because it has been shown to improve the function of the heart over time. Usually an ACE inhibitor like lisinopril is started first, and then a beta-blocker medication is added to further help the heart. These medications can lower the blood pressure, but as long as the systolic blood pressure (the top number) is above 90, I would usually continue it, UNLESS you were having side effects, in which case it would mean you are not tolerating it and it should be decreased. So in summary, your blood pressure alone would not necessarily lead me to decrease the lisinopril, but if you are very tired with that blood pressure, I think I would decrease it. Lowering it to 5 mg would be reasonable to see if that helps. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr Aaron Branch, General & Family Physician