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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This BP Level Indicate While Taking Losartan,Amlodipine And Tizanidine?

I normally have high blood pressure with afib but recently my bp is 94/55 pulse rate at 73... I m on losartan 100 mg,amlodipine 10mg,triamt/hctz 37.5.5-25 all once a day. I also take lortab 10/325 3 times a day and tizanidine 4mg twice a day? Wat is goin on with my bp?
Fri, 14 Apr 2023
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General & Family Physician 's  Response
Hi,

A blood pressure reading of 94/55 mmHg is considered low and may be a cause for concern. It is possible that your medications, particularly the combination of Losartan, Amlodipine, and Tizanidine, are causing your blood pressure to drop too low.

Losartan and Amlodipine are both used to treat high blood pressure, while Tizanidine is a muscle relaxant that is sometimes used to treat spasticity. These medications can all cause a drop in blood pressure, and combining them can increase the likelihood of this happening. In addition, opioids like Lortab can also cause a drop in blood pressure and slow down your breathing, so it's important to monitor your blood pressure closely while taking this medication.

It's important to talk to your doctor about your current medication regimen and any symptoms you are experiencing, as they may need to adjust your dosages or switch to different medications to help manage your blood pressure and atrial fibrillation symptoms. They may also recommend lifestyle changes, such as reducing salt intake, increasing exercise, or quitting smoking, to help manage your blood pressure.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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General & Family Physician Dr. Priyanka's  Response
Hi,

A blood pressure reading of 94/55 mmHg with a pulse rate of 73 may indicate low blood pressure (hypotension). This reading is significantly lower than the recommended blood pressure range of 120/80 mmHg to 140/90 mmHg for most adults.

Several factors can contribute to low blood pressure, including medication side effects, dehydration, heart problems, endocrine disorders, and nervous system disorders. The medications you are taking, including losartan, amlodipine, and tizanidine, can all potentially cause low blood pressure as a side effect.

In addition, taking opioids such as Lortab can also cause low blood pressure, particularly if you are taking a high dose or if you are dehydrated.

It is important to discuss your symptoms and blood pressure readings with your healthcare provider. They may recommend adjusting your medications, reducing your opioid dosage, or further evaluating your heart and nervous system function to determine the underlying cause of your low blood pressure. In the meantime, it is important to stay hydrated and avoid sudden changes in position that can cause dizziness or fainting.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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What Does This BP Level Indicate While Taking Losartan,Amlodipine And Tizanidine?

Hi, A blood pressure reading of 94/55 mmHg is considered low and may be a cause for concern. It is possible that your medications, particularly the combination of Losartan, Amlodipine, and Tizanidine, are causing your blood pressure to drop too low. Losartan and Amlodipine are both used to treat high blood pressure, while Tizanidine is a muscle relaxant that is sometimes used to treat spasticity. These medications can all cause a drop in blood pressure, and combining them can increase the likelihood of this happening. In addition, opioids like Lortab can also cause a drop in blood pressure and slow down your breathing, so it s important to monitor your blood pressure closely while taking this medication. It s important to talk to your doctor about your current medication regimen and any symptoms you are experiencing, as they may need to adjust your dosages or switch to different medications to help manage your blood pressure and atrial fibrillation symptoms. They may also recommend lifestyle changes, such as reducing salt intake, increasing exercise, or quitting smoking, to help manage your blood pressure. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician