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Does Advil Interact With Atenolol?

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Posted on Thu, 23 Mar 2017
Question: I am currently taking atenolol for high bp - have been taking this for 11 yrs. 3 nights ago I woke up with foot pain and could not sleep. I took 400mg of Advil, then 40 min. later blacked out and ended up in ER. OK now, but ER physician said that Advil caused the BP to drop interacting with Atenolol! I'm miffed about this. what do you say? Also, very unsure now how to treat occasional night time pain.
doctor
Answered by Dr. Ilir Sharka (30 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

Regarding your concern, I would explain that Advil may decrease the effects of Atenolol and in general lead to increased blood pressure values (as it decreases prostaglandins synthesis, which have vasodilating properties).

So, Advil could not be the reason of a possible BP drop. Other explanations should be sought as well.

It is necessary to perform several medical tests for exploring the potential reason of your complaints:

- complete blood count
- ECG and if suspicions of a rhythm or cardiac conductance disturbances an ambulatory ECG monitoring (Holter),
- cardiac ultrasound,
- blood electrolytes level,
- fasting blood glucose,
- uric acid level,
- renal function tests

Also, an extreme pain may lead to fainting an loss of conscience.

You need to discuss with your attending physician on the above mentioned issues.


Hope to have been helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (17 minutes later)
Dr. Sharka. Thank you for your prompt reply to my inquiry. I will be following up with my personal physician tomorrow. Sincerely, XXXX
doctor
Answered by Dr. Ilir Sharka (1 minute later)
Brief Answer:
You are welcome!

Detailed Answer:
Dear XXXX,

I am glad to have been helpful to you!

Wishing all the best,

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
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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Does Advil Interact With Atenolol?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome on HCM! Regarding your concern, I would explain that Advil may decrease the effects of Atenolol and in general lead to increased blood pressure values (as it decreases prostaglandins synthesis, which have vasodilating properties). So, Advil could not be the reason of a possible BP drop. Other explanations should be sought as well. It is necessary to perform several medical tests for exploring the potential reason of your complaints: - complete blood count - ECG and if suspicions of a rhythm or cardiac conductance disturbances an ambulatory ECG monitoring (Holter), - cardiac ultrasound, - blood electrolytes level, - fasting blood glucose, - uric acid level, - renal function tests Also, an extreme pain may lead to fainting an loss of conscience. You need to discuss with your attending physician on the above mentioned issues. Hope to have been helpful! Kind regards, Dr. Iliri