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Suggest treatment for gingival enlargement

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Posted on Mon, 20 Nov 2017
Question: I was informed that I have gingival hyperplasia and that it could be due to my medication of Valsartan /hctz. My medical MD switched me to metoprolol / hctz. but i see this medication has more side effects. which is a better medication to take. I have gum disease and the periodontist is working to clear it.
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Answered by Dr. Michelle Gibson James (44 minutes later)
Brief Answer:
the effects are not permanent, if problems occur then can be discontinued

Detailed Answer:
HI, thanks for using healthcare magic

They are both good medications but work in different ways to reduce the blood pressure.
They both have the HCTZ so the difference is the valsartan and metoprolol.

Valsartan is an ARB medication and metoprolol is the beta blocker family but there are other drug families if neither of these can be tolerated. Metoprolol works by decreasing the heart rate and therefore how hard the heart is working. Valsartan helps to widen blood vessels and reduce salt retention.

The side effects of metoprolol, may not occur, side effects tend to occur in the minority, not the majority of persons. In addition, most are not permanent, meaning if the medication is causing a problem, it can be discontinued.

Since the valsartan is causing problems and is therefore not an option, then you can try the metoprolol. If you have problems with it then it can be discontinued, you would not be left with long term effects.

If it does cause problems then your doctor can try a medication from a different drug family.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16810 Questions

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Suggest treatment for gingival enlargement

Brief Answer: the effects are not permanent, if problems occur then can be discontinued Detailed Answer: HI, thanks for using healthcare magic They are both good medications but work in different ways to reduce the blood pressure. They both have the HCTZ so the difference is the valsartan and metoprolol. Valsartan is an ARB medication and metoprolol is the beta blocker family but there are other drug families if neither of these can be tolerated. Metoprolol works by decreasing the heart rate and therefore how hard the heart is working. Valsartan helps to widen blood vessels and reduce salt retention. The side effects of metoprolol, may not occur, side effects tend to occur in the minority, not the majority of persons. In addition, most are not permanent, meaning if the medication is causing a problem, it can be discontinued. Since the valsartan is causing problems and is therefore not an option, then you can try the metoprolol. If you have problems with it then it can be discontinued, you would not be left with long term effects. If it does cause problems then your doctor can try a medication from a different drug family. I hope this helps, feel free to ask any other questions