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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedies For Fluctuation In BP And Pulse Rate In Spite Of Taking Medication

I am 68 years old and I am having trouble with my BP & pulse rate. My MD has me on Verapamil but my kidney MD changed it to nifedipine a few days ago. When I tried the new med, my BP and pulse started having problems. I quit taking the nifedipine and went back to verapamil, but this morning, I took my pulse & BP and it was 160/80, pulse 139, so I took a verapamil and rested and it reduced to 90/49, pulse 103. Now I am worried the BP is too low and pulse still too high. My MD is out of town. Should I go to the emergency room or shold I just consult another MD from the walk-in clinic?
Wed, 1 Feb 2017
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Cardiologist, Interventional,  's  Response
you didn't mention dose of Verapamil anyway if these drugs causing low BP and still pulse remain high then u need to change ur medicine. one thing I want to know about your pulse is whether it is regular or not.if it's regular then choice is ivabradine 5 MGH twice a day.it won't effect ur BP and only control ur heart beat.if it's irregular then check with ecg about rhythm then appropriate medicine . likely cause if Atrial fibrillation then lanoxin can be a better option.

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Suggest Remedies For Fluctuation In BP And Pulse Rate In Spite Of Taking Medication

you didn t mention dose of Verapamil anyway if these drugs causing low BP and still pulse remain high then u need to change ur medicine. one thing I want to know about your pulse is whether it is regular or not.if it s regular then choice is ivabradine 5 MGH twice a day.it won t effect ur BP and only control ur heart beat.if it s irregular then check with ecg about rhythm then appropriate medicine . likely cause if Atrial fibrillation then lanoxin can be a better option.