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Is Withdrawal Of Carvedilol Safe For A Low BP Patient?

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Posted on Mon, 22 Aug 2016
Question: I stopedtaking lesartanpotassium25 mg because my blood peasure is low. should I also stop taking carvedilol 6.25 mg?
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Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

Regarding your concern, I would like to explain that Carvedilol is also an antihypertensive drug and may adversely affect your actual low blood pressure.

So, the most rationale approach would be to carefully evaluate your blood pressure values.

If blood pressure is markedly lowered (<100/60 mmHg), then it would be better to stop at least temporarily Carvedilol from therapy and follow the blood pressure values trend after that.

But, if blood pressure is only mildly decreased, then a dose reduction of Carvedilol would be sufficient to prevent further BP lowering.

As no predefined antihypertensive scheme exists, it is necessary to closely monitor your BP periodically for properly judging on the ongoing maintenance therapy.

You need to discuss with your prescribing doctor on the above mentioned issues.

Hope to have been helpful!

In case of any further uncertainties, feel free to ask me again.

Kind regards,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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Is Withdrawal Of Carvedilol Safe For A Low BP Patient?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome on HCM! Regarding your concern, I would like to explain that Carvedilol is also an antihypertensive drug and may adversely affect your actual low blood pressure. So, the most rationale approach would be to carefully evaluate your blood pressure values. If blood pressure is markedly lowered (<100/60 mmHg), then it would be better to stop at least temporarily Carvedilol from therapy and follow the blood pressure values trend after that. But, if blood pressure is only mildly decreased, then a dose reduction of Carvedilol would be sufficient to prevent further BP lowering. As no predefined antihypertensive scheme exists, it is necessary to closely monitor your BP periodically for properly judging on the ongoing maintenance therapy. You need to discuss with your prescribing doctor on the above mentioned issues. Hope to have been helpful! In case of any further uncertainties, feel free to ask me again. Kind regards, Dr. Iliri