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High BP and chest tightness after taking concerta - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Medicines and Side Effects
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   i started taking concerta today and i am experiencing high blood pressure and some chest tightness
Doctor :   Hi
User :   my readings have been 160-190 over 105-110
Doctor :   ok
User :   i take blood pressure medication
User :   but it has been under control
Doctor :   concerta is a medication that can increase the bp
User :   is there a bp level that is an emergency?
User :   what about chest tightness?
Doctor :   any Bp that can cause symptoms like dizziness, chest tightness, dyspnea, needs to be checked out
User :   emergency room or it can wait?
Doctor :   A BP above 200 / 100 mmhg can cause renal damage and brain damage as well
Doctor :   in your case, your symptoms are minor but you can wait it out and ask your doctor to change the medications if needed
User :   chest tightness can be caused by high BP?
Doctor :   yes
Doctor :   defintely
User :   should i discontinue the concerta?
Doctor :   yes
User :   ok - thanks
Doctor :   you should as it can increase the BP
Doctor :   since it causes cardiac stimulation the HR & the BP is elevated
User :   ok
Doctor :   hence the need to stop it or reduce the dosage
User :   ill see if i can get an alternative medication
Doctor :   that would be good
User :   thanks for your help
Doctor :   you are most welcome
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