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What Causes Severe Dizziness And Increased Heart Rate?

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Posted on Thu, 13 Apr 2017
Question: I am dizzy and my blood pressure is fluctuating from 60/30 to140/79 heartrate from 50 to 130
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

I passed carefully through your concern and would like to explain that those blood pressure fluctuations need a careful and close monitoring for concluding on the potential reasons why such hemodynamic instability occurs.

The fact you have been on anti-hypertensive therapy and now you experience low blood pressure values demands a prompt intervention for a new anti-hypertensive therapy optimization.

As the weather is gradually warming, blood pressure becomes more responsive to treatment and medications dose reduction may be required.

Also, some drug interactions should be sought out.

You should know that taking Cialis and Amlodipine may lead to increased anti-hypertensive effects of Amlodipine due to pharmacodynamic synergism.

You should be careful when programming to use Cialis; it is necessary to consider a potential Amlodipine dose reduction.

Also too much caffeinated drinks may interfere in BP level stability and lead to tachycardia as well.

Coming to this point, I recommend to closely monitor your BP values (several times daily) for a couple of days up to a week and let your attending doctor to review them. This action is helpful for concluding a more rationale approach in therapy optimization.

Hope to have been helpful to you!

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

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ilir Sharka (11 minutes later)
thank you for your response, for some reason I didn't get it until my second request. I feel somewhat better and will do the monitoring as you suggested. I am scheduled to fly home tomorrow and have an appointment when I arrive. Is there any reason to change my plans or is this a typical reaction to a change in medications?
doctor
Answered by Dr. Ilir Sharka (23 minutes later)
Brief Answer:
My answer as follows:

Detailed Answer:
Hello again!

I do not see any reason to change your plans.

I would just recommend you to closely monitor your blood pressure, because low blood pressure can lead to fainting or falling.

Hope to have been helpful!

Wishing good health,

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
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9539 Questions

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What Causes Severe Dizziness And Increased Heart Rate?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome on HCM! I passed carefully through your concern and would like to explain that those blood pressure fluctuations need a careful and close monitoring for concluding on the potential reasons why such hemodynamic instability occurs. The fact you have been on anti-hypertensive therapy and now you experience low blood pressure values demands a prompt intervention for a new anti-hypertensive therapy optimization. As the weather is gradually warming, blood pressure becomes more responsive to treatment and medications dose reduction may be required. Also, some drug interactions should be sought out. You should know that taking Cialis and Amlodipine may lead to increased anti-hypertensive effects of Amlodipine due to pharmacodynamic synergism. You should be careful when programming to use Cialis; it is necessary to consider a potential Amlodipine dose reduction. Also too much caffeinated drinks may interfere in BP level stability and lead to tachycardia as well. Coming to this point, I recommend to closely monitor your BP values (several times daily) for a couple of days up to a week and let your attending doctor to review them. This action is helpful for concluding a more rationale approach in therapy optimization. Hope to have been helpful to you! In case of any further uncertainties, feel free to ask me again. Kind regards, Dr. Iliri