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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could BP Being 142/91 And Pulse Approx 60 After Being On Nebicard For High BP Indicate?

Hi! I am 36 year old Male, my BP was always on the higher side - 155+ /95 +. Post advise by a doctor, I started with Nebicard 5 mg OD. I feel lighter and better but my BP is 142/ 91 kinds and pulse is 60 approx, still not well controlled. Wat do you suggest? Regards, Rahul
Wed, 14 May 2014
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Internal Medicine Specialist,  's  Response
Thank you for the query.
As per your clinically history, you are a middle aged gentleman suffering from Hypertension (duration not specified).
You have been started on Nebicard 5 mg (Nebivolol) by your physician. Presently, your BP recording is around 142/90 mm of Hg and Pulse rate is 60/min. Nebivolol is a cardioselective β blocker (β1 receptor blocker) with some vasodilatory property. The intake of this drug may explain your Heart rate of 60/min.
At this stage I would advise you to strictly monitor the intake of salt in your diet (salt restricted diet is preferred), avoid smoking and opt for physical exercise. If you are overweight, then gradual weight reduction is advised.In case your BP is still not controlled, I would advise you to consult your physician/cardiologist, regarding addition of a second drug in the regimen like Calcium channel blockers (eg Cilnidipine) or ACEI/ARB. I dont think the dose of Nebicard can be increased further since your HR is 60/min.
(As per the new JNC 8 guidelines it is preferable to maintain a BP <140/90 in a subject <60 yrs of age)
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What Could BP Being 142/91 And Pulse Approx 60 After Being On Nebicard For High BP Indicate?

Thank you for the query. As per your clinically history, you are a middle aged gentleman suffering from Hypertension (duration not specified). You have been started on Nebicard 5 mg (Nebivolol) by your physician. Presently, your BP recording is around 142/90 mm of Hg and Pulse rate is 60/min. Nebivolol is a cardioselective β blocker (β1 receptor blocker) with some vasodilatory property. The intake of this drug may explain your Heart rate of 60/min. At this stage I would advise you to strictly monitor the intake of salt in your diet (salt restricted diet is preferred), avoid smoking and opt for physical exercise. If you are overweight, then gradual weight reduction is advised.In case your BP is still not controlled, I would advise you to consult your physician/cardiologist, regarding addition of a second drug in the regimen like Calcium channel blockers (eg Cilnidipine) or ACEI/ARB. I dont think the dose of Nebicard can be increased further since your HR is 60/min. (As per the new JNC 8 guidelines it is preferable to maintain a BP 140/90 in a subject 60 yrs of age)