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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should The Dosage Of Beta Blocker Be Reduced If Having A Low Pulse And Feel Weak?

hi, I am 70 and am taking tablets for high blood pressure, I also take warfarin. My blood pressure is 128/64 and my pulse is 53. I am concerned that my pulse is a little too slow as I tire very easily. Should I consider reducing the dose of the beta blocker I have to take?
Thu, 28 Jan 2016
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Cardiologist 's  Response
Hello , Generally pulse rate between 50 - 60 is considered ideal in terms of prevention of cardiac event in future . So 53 per day is not an indication for decreasing beta blocker .
However lot of patients do feel fatigue when on beta blockers so in that case it's justified in decreasing beta blocker dose and substitution with any other anti hypertensive medication if other causes of fatigue are ruled out .
Regards Dr Priyank Mody
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Should The Dosage Of Beta Blocker Be Reduced If Having A Low Pulse And Feel Weak?

Hello , Generally pulse rate between 50 - 60 is considered ideal in terms of prevention of cardiac event in future . So 53 per day is not an indication for decreasing beta blocker . However lot of patients do feel fatigue when on beta blockers so in that case it s justified in decreasing beta blocker dose and substitution with any other anti hypertensive medication if other causes of fatigue are ruled out . Regards Dr Priyank Mody