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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Diltiazem and Metoprolol Tartrate have the same medical properties?

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Dr. Salah Saad Shoman

Internal Medicine Specialist

Practicing since :2004

Answered : 1666 Questions

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Posted on Fri, 13 Apr 2018 in General Health
Question: My cardio doctor passed away and he had me taking Diltiazem 23HR ER & Metoprol TAR 25 2 x/day due to atrial fib. New doctor switched me to Atenolol 50 MG 1x/day and kept me on the Metoprol. Is one better than other or possible reason for change.
Follow up for clarity. Also taking Pradaxa 75MG 2x/day
doctor
Answered by Dr. Salah Saad Shoman 37 minutes later
Brief Answer:
I agree with your doctor

Detailed Answer:
Dear sir , I have gone through your question and I understand your concerns but I agree with your doctor in replacing Diltiazem with Atenolol while using Pradaxa, as Diltiazem and Pradaxa have a moderate interaction together. Combining these medications may increase the risk of anemia and bleeding complications. while using them togetehr you experience paleness, fatigue, dizziness, fainting, unusual bleeding or bruising, swelling, vomiting, blood in your urine or stools, headache, or weakness. I hope I answered your question
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Salah Saad Shoman 3 hours later
Thank you for your clarification. Follow up question....my new Cardiologist suggested I switch from Pradaxa to Eliquis. However, Eliquis is EXTREMELY expensive and the Dr. seemed to vacillate between the two. Do want to imsure best possible effect. Pros / Cons....your recommendation.
Thanks.
doctor
Answered by Dr. Salah Saad Shoman 16 hours later
Brief Answer:
Eliquis is safer

Detailed Answer:
Dear sir, hello again.. Eliquis has proven to have the same efficacy as Pradaxa. However, Eliquis has also proven to carry less risk of bleeding while using it.. I hope you find this helpful..
Above answer was peer-reviewed by : Dr. Prasad
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