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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Palpitation, Insomnia And Lightheadedness

I took naddol (40mg) daily for years for rapid heart rate and hypertension. My insurance company put this drug in a different tier and suggested i take pindolol. My Dr. wrote a prescription for 10 mg twice a day. I am now up to 15 mg twice a day. My blood pressure is OK but my pulse is rapid -- about 90 rpm. I also feel nervous light- hreaded and have trouble sleeping. Should i switch back to nadolol?
Wed, 21 Feb 2018
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Cardiologist 's  Response
Hello!

Welcome and thank you for asking on HCM!

I passed carefully through your question and would explain that your symptoms could be related to pindolol adverse effects.

Nadolol has a longer half life and can be tolerated better compared to pindolol.

Coming to this point, I would first recommend raising the dose of pindolol up to 30mg daily.

If this doesn't help, I would recommend discussing with your doctor on the possibility to switch to nadolol again.

Hope to have been helpful!

Kind regards,

Dr. Iliri
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Suggest Treatment For Palpitation, Insomnia And Lightheadedness

Hello! Welcome and thank you for asking on HCM! I passed carefully through your question and would explain that your symptoms could be related to pindolol adverse effects. Nadolol has a longer half life and can be tolerated better compared to pindolol. Coming to this point, I would first recommend raising the dose of pindolol up to 30mg daily. If this doesn t help, I would recommend discussing with your doctor on the possibility to switch to nadolol again. Hope to have been helpful! Kind regards, Dr. Iliri