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What Causes Low BP While On Lisinopril?
I have heart failure and B/P. I am taking Lisinopril 40mg once a day. Carvedilol 25mg one twice a day, spironolactone25mg once a day and torsemide 20mg once a day. My B/P is in the low high80 s over 70 s could too much of this medication cause pressue to drop. Has not gotting no higher than 101/56 in 6weeks. Should I be concerned?
Tue, 26 Jun 2018
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
You have low blood pressure (hypotention) highly likely from blood pressure (BP) medications and diuretics.
All of your medications decrease BP with different mechanism of actions. Lisinopril belongs to angiotensin converting enzyme (ACE) inhibitor group which relaxes blood vessels, carvedilol belongs to beta-adrenoreceptor blocking group which mainly affects the heart to beat slowly and with less force. Diuretics (torcemide and spironolactone) decrease blood volume and relax arterioles to further decrease blood pressure.
You should consult with your doctor to review your medications. The dose and number of medicines should be adjusted according to your blood pressure and chronic heart failure symptoms. Initially, after the start of BP medicines you should follow home blood pressure monitoring and record every day BP in your Blood Pressure Record Book. Your doctor will adjust the dose, administration time according your every day blood pressure readings. Periodically, you may need blood tests and echocardiogram to evaluate and monitor your heart function.
Please, contact your healthcare provider regarding review of your BP medications.
Hope I have answered your query. Let me know if I can assist you further.
Thank you,
Malik Amonov MD
I have reviewed your query and here is my advice.
You have low blood pressure (hypotention) highly likely from blood pressure (BP) medications and diuretics.
All of your medications decrease BP with different mechanism of actions. Lisinopril belongs to angiotensin converting enzyme (ACE) inhibitor group which relaxes blood vessels, carvedilol belongs to beta-adrenoreceptor blocking group which mainly affects the heart to beat slowly and with less force. Diuretics (torcemide and spironolactone) decrease blood volume and relax arterioles to further decrease blood pressure.
You should consult with your doctor to review your medications. The dose and number of medicines should be adjusted according to your blood pressure and chronic heart failure symptoms. Initially, after the start of BP medicines you should follow home blood pressure monitoring and record every day BP in your Blood Pressure Record Book. Your doctor will adjust the dose, administration time according your every day blood pressure readings. Periodically, you may need blood tests and echocardiogram to evaluate and monitor your heart function.
Please, contact your healthcare provider regarding review of your BP medications.
Hope I have answered your query. Let me know if I can assist you further.
Thank you,
Malik Amonov MD
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