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What Causes Fluctuating BP Readings While On COREG?

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Posted on Sat, 10 Dec 2016
Question: I am on COREG [Generic] 9.375 MG morning and night and my pressure is not controlled. The systolic goes way up during sleep and drops to near normal during the afternoon. Ex: 200/68/60 at night and at first light with some nose bleeds. 140/60/68 in the afternoon. I have a follow-up with my FP in 10 days. The BP machines always show me high, but when he asks me to recline and takes it manually, the readings are usually 130/80/60. Thoughts about another Rx in combination with COREG?
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Answered by Dr. Klarida Papaqako (2 hours later)
Brief Answer:
yes, there are some recommended medications you can use

Detailed Answer:
Hello,

Thank you for using HCM to post your health query.
I read carefully your question and I understand your concern.

The medications that you will need will depend on the values of your blood pressure at rest.
The best machine to measure the blood pressure is the manual one. So I am afraid that your high value readings are not accurate. I would not want you to take many medications and have side effects from them.

Lets say that you measure your blood pressure regularly and it shows high in general. Of course you can add above coreg, or either increase its dose.

Coreg its a beta blocker, and two other medications you can use are a diuretic (Hydrochlorthiazide 12.5 mg once/day its the most common used) and/or a ACE inhibitor like Enalapril or Captopril, ect.
If you will need one of both, and how much will be the final dose, will depend on those values and on constant follow ups with your doctor until he finds the correct dose for you to be able to keep your blood pressure under control.

Hope this is helpful.
Let me know if you need more clarifications.
Otherwise please close and rate the answer.

Regards,
Dr. Papaqako
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1804 Questions

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What Causes Fluctuating BP Readings While On COREG?

Brief Answer: yes, there are some recommended medications you can use Detailed Answer: Hello, Thank you for using HCM to post your health query. I read carefully your question and I understand your concern. The medications that you will need will depend on the values of your blood pressure at rest. The best machine to measure the blood pressure is the manual one. So I am afraid that your high value readings are not accurate. I would not want you to take many medications and have side effects from them. Lets say that you measure your blood pressure regularly and it shows high in general. Of course you can add above coreg, or either increase its dose. Coreg its a beta blocker, and two other medications you can use are a diuretic (Hydrochlorthiazide 12.5 mg once/day its the most common used) and/or a ACE inhibitor like Enalapril or Captopril, ect. If you will need one of both, and how much will be the final dose, will depend on those values and on constant follow ups with your doctor until he finds the correct dose for you to be able to keep your blood pressure under control. Hope this is helpful. Let me know if you need more clarifications. Otherwise please close and rate the answer. Regards, Dr. Papaqako