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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Propranolol Effective In Treatment Of High Blodd Pressure?

I have been prescribed propranolol as my blood pressure is high. I have taken it for 1 week but not quite sure if it is working at night my pressure is 175/84 which is not normal, I also have sickle cell trait and don't know if this is the right medication asit is making me feel really tired .Doctor says I should continue and maybe switch to taking it at night instead of the morning. Confused and don't know what to do as I don't want to go against what my doctor prescribed I am on a low dosage 40mg does this have longterm side affects
Fri, 12 Dec 2014
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Neurologist 's  Response
I read your question and I understand your concern.

Generally speaking Propranolol is an effective drug in lowering blood pressure. Like most drugs there are patients who experience some side effects and fatigue is indeed one of its possible side effects (although dosage is low). If blood pressure is at those values it the current regimen doesn't seem effective either.

If those values are only at night being normal during the day I would try what your doctor suggests for some days, taking it in the evening, would be better both for blood pressure as well as fatigue.

If it's high during the day as well, or switching the time doesn't work, then I see no reason insisting with it, there are several other alternatives to lower blood pressure, whether of the same class as propranolol with less side effects, as well as other classes of anti-hypertensives. Could be a case of needing more than one drug as well.

I hope to have been of help.
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Is Propranolol Effective In Treatment Of High Blodd Pressure?

I read your question and I understand your concern. Generally speaking Propranolol is an effective drug in lowering blood pressure. Like most drugs there are patients who experience some side effects and fatigue is indeed one of its possible side effects (although dosage is low). If blood pressure is at those values it the current regimen doesn t seem effective either. If those values are only at night being normal during the day I would try what your doctor suggests for some days, taking it in the evening, would be better both for blood pressure as well as fatigue. If it s high during the day as well, or switching the time doesn t work, then I see no reason insisting with it, there are several other alternatives to lower blood pressure, whether of the same class as propranolol with less side effects, as well as other classes of anti-hypertensives. Could be a case of needing more than one drug as well. I hope to have been of help.