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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dry Cough, High BP, High Heart Rate, Shortness Of Breath. Taking Atenolol. Suggestion?

Hi there, my mother is taking atenolol 50 mg every morning for many years, and about 2 weeks ago, the doc increased her dosage from 50 mg/day to 75 mg/day (25 mg to take in the evening). Also, he added lisinopril 5mg/day two weeks ago as well. One weeks ago, she started dry cough . Not a lot, but it was bothering her. So the doc stopped lisinopril and changed to losartan (12.5 mg/day). She started the new med (along with atenolol) last Friday, and instead bringing down her blood pressure and heart rate , the readings actually went up. She started cough again in the afternoon on Sat., and by Sunday afternoon, she lost her voice, and she complained about shortness of breath. Does this sound like she is allergic to losartan? We were told losartan is more gentle than lisinopril...
Sat, 30 Mar 2013
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Cardiologist 's  Response
THESE MAY BE allergic reaction, ALTHOUGH RARE : hives; difficulty breathing; swelling of your face, lips, tongue, or throat,wheezing,.
IMMEDIATELY DISCONTINUE LOSARTAN AND GO TO DOCTOR
ALSO DISCUSS WITH DOCTOR ABOUT ATENOLOL ( NON CADIOSLECTIVE)- LONG TERM LEADS TO GLUCOSE INTOLERANCE AND OTHER SIDE EFFECTS . ASK DOCTOR TO CHANGE TO METOPROLOL ( CARDIOSLECTIVE)
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Dry Cough, High BP, High Heart Rate, Shortness Of Breath. Taking Atenolol. Suggestion?

THESE MAY BE allergic reaction, ALTHOUGH RARE : hives; difficulty breathing; swelling of your face, lips, tongue, or throat,wheezing,. IMMEDIATELY DISCONTINUE LOSARTAN AND GO TO DOCTOR ALSO DISCUSS WITH DOCTOR ABOUT ATENOLOL ( NON CADIOSLECTIVE)- LONG TERM LEADS TO GLUCOSE INTOLERANCE AND OTHER SIDE EFFECTS . ASK DOCTOR TO CHANGE TO METOPROLOL ( CARDIOSLECTIVE)