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Is Cardace Meto Safe To Be Taken While Having A Gallbladder Stone?
Question: Dear doctor
I am 44 yrs old and taking metoprolol clinic 25 for more than 3 years and my BP was under control, just 10 days before Bp raised to 140 to 15o/ 95 to 105
My complete blood profile lipid kidney liver functions are normal
Chest X Ray and us abdoman scsn normal, but I have 8x4 gallbladder stone.
Last week cardiologist suggested to take cardace meto 2.5 once daily.
I have taken tablet for 7 days
But the Bp range is between 131 to 148/ 91 to 98. I have few clarification pl
1. Whether Cardace meto is safe?
2. What are the side effects
3. Can I take in morning
4. I feel fatigue, is there any alternate drug
5. How long it will take to get stable and normal range Bp?
6. Any other test required?
7. Why this high value continues
8.kindly suggest methods to reduce Bp
Thanks and regards
Porkumaran
.
I am 44 yrs old and taking metoprolol clinic 25 for more than 3 years and my BP was under control, just 10 days before Bp raised to 140 to 15o/ 95 to 105
My complete blood profile lipid kidney liver functions are normal
Chest X Ray and us abdoman scsn normal, but I have 8x4 gallbladder stone.
Last week cardiologist suggested to take cardace meto 2.5 once daily.
I have taken tablet for 7 days
But the Bp range is between 131 to 148/ 91 to 98. I have few clarification pl
1. Whether Cardace meto is safe?
2. What are the side effects
3. Can I take in morning
4. I feel fatigue, is there any alternate drug
5. How long it will take to get stable and normal range Bp?
6. Any other test required?
7. Why this high value continues
8.kindly suggest methods to reduce Bp
Thanks and regards
Porkumaran
.
Brief Answer:
Yes, you should be on it.
Detailed Answer:
Hello,
Cardace meto is relatively safe for long term if not significant side effects till now. It can cause increased potassium levels especially in those with deranged kidney function. So it's not expected in you. Anyway, you should once get potassium levels done after two weeks to see potassium levels, although not not absolutely necessary.
It may take total of 2 weeks to achieve full effect. Gradually, dose may be increased if needed. This rise may be due to internal changes like hormonal, salt level, or may be increase in BP with increasing age. Nothing to worry about this increase.
If you are feeling excessive fatigue in daytime then you may have it at bedtime or vice versa. You may have it at either time.
You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week.
If bp is persistently more than 140/90 mmhg, then we have to hike up the dose or if few readings are above this then this can be neglected. Regular exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any.
Hope this helps you and get back if you have any doubts.
Regards
Yes, you should be on it.
Detailed Answer:
Hello,
Cardace meto is relatively safe for long term if not significant side effects till now. It can cause increased potassium levels especially in those with deranged kidney function. So it's not expected in you. Anyway, you should once get potassium levels done after two weeks to see potassium levels, although not not absolutely necessary.
It may take total of 2 weeks to achieve full effect. Gradually, dose may be increased if needed. This rise may be due to internal changes like hormonal, salt level, or may be increase in BP with increasing age. Nothing to worry about this increase.
If you are feeling excessive fatigue in daytime then you may have it at bedtime or vice versa. You may have it at either time.
You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week.
If bp is persistently more than 140/90 mmhg, then we have to hike up the dose or if few readings are above this then this can be neglected. Regular exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any.
Hope this helps you and get back if you have any doubts.
Regards
Above answer was peer-reviewed by :
Dr. Prasad
Dear doctor
thanks for your suggestion,
as perb ur advice i am taking cardace meto 2.5 daily in the morning.
my TMT also good, ie negative.
BP is ok around 140/90
actually i have contacted you last year for one more suggestion,
After taking metoprolol i was experiencing low libido and ED issues.
last year my urologist suggested to take tadalaflo 5mg daily and caverta 50 mg on sos
i had a good love life. in between i skipped tadaflo for some period.
last week i met him for review, he suggested to stop tadaflo 5mg daily and take caverta 100 mg on sos
but after using cardace meto i feel very low libido and experience ED
can in continue the daily dose of tadaflo along with caverta 50 mg.
also is it advisable to take caverta 100mg along with tadaflo 5mg daily dose
what is the alternate BP mediceine to avoid ED
Pl guide me
thanks for your suggestion,
as perb ur advice i am taking cardace meto 2.5 daily in the morning.
my TMT also good, ie negative.
BP is ok around 140/90
actually i have contacted you last year for one more suggestion,
After taking metoprolol i was experiencing low libido and ED issues.
last year my urologist suggested to take tadalaflo 5mg daily and caverta 50 mg on sos
i had a good love life. in between i skipped tadaflo for some period.
last week i met him for review, he suggested to stop tadaflo 5mg daily and take caverta 100 mg on sos
but after using cardace meto i feel very low libido and experience ED
can in continue the daily dose of tadaflo along with caverta 50 mg.
also is it advisable to take caverta 100mg along with tadaflo 5mg daily dose
what is the alternate BP mediceine to avoid ED
Pl guide me
Brief Answer:
Should shift to cardace 5 mg only
Detailed Answer:
Hi,
Okay..Yes Metoprolol component may cause decreased libido. So then it's better to shift to plain cardace 5 mg once a day in the morning. Should get potassium levels done after 5 days of increasing the dose. There are also alternative. options available like Amlodipine etc. Here, better to continue cardace as you were already taking it. Monitor bp for a week after medicines change.
Next, if you want to continue with tadaflo 5 mg then you may continue with caverta 50 mg SOS. Don't use 100 mg with tadaflo as there is a risk of hypotension. So Metoprolol is not absolutely necessary for you as tmt is negative so withdrawing it will help.
Regards
Should shift to cardace 5 mg only
Detailed Answer:
Hi,
Okay..Yes Metoprolol component may cause decreased libido. So then it's better to shift to plain cardace 5 mg once a day in the morning. Should get potassium levels done after 5 days of increasing the dose. There are also alternative. options available like Amlodipine etc. Here, better to continue cardace as you were already taking it. Monitor bp for a week after medicines change.
Next, if you want to continue with tadaflo 5 mg then you may continue with caverta 50 mg SOS. Don't use 100 mg with tadaflo as there is a risk of hypotension. So Metoprolol is not absolutely necessary for you as tmt is negative so withdrawing it will help.
Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
thanks dr
i have few questions:
1. how long can i continue with tadaflo 5mg daily dose?
2. IS is advisable for long term use?
3. if i dont take tadaflo caverta 100 is ok? what about efficacy.
is it work well for ED symptoms?
4. before metoprolol i have taken coversyl 2mg daily ...can i
5. any other test required for ED
i have few questions:
1. how long can i continue with tadaflo 5mg daily dose?
2. IS is advisable for long term use?
3. if i dont take tadaflo caverta 100 is ok? what about efficacy.
is it work well for ED symptoms?
4. before metoprolol i have taken coversyl 2mg daily ...can i
5. any other test required for ED
Brief Answer:
May continue on long term basis
Detailed Answer:
Hi,
You may use tadaflo on long term basis. Using combined tadaflo and caverta would be more effective, but only caverta 100 is also fine and may try it for response.
Cardace and coversyl belongs to same class of medications and you may use either of those. Both are similar. There are no specific tests required for ED as you have already ruled out possibility of heart disease by getting TMT done.
Regards
May continue on long term basis
Detailed Answer:
Hi,
You may use tadaflo on long term basis. Using combined tadaflo and caverta would be more effective, but only caverta 100 is also fine and may try it for response.
Cardace and coversyl belongs to same class of medications and you may use either of those. Both are similar. There are no specific tests required for ED as you have already ruled out possibility of heart disease by getting TMT done.
Regards
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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