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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Take Verapamil Instead Of Noten To Control BP?

Hi,I have been on Noten 75mg and Coversyl 4mg and aspirin 100mg for 5 years for high bp and AF. My cardiologist told me last Wednesday to stop the Noten and start taking Verapamil SR 180mg and remain on the aspirin and Coversyl. So I stopped the Noten last Wednesday and started the Verapamil the following day. Since then my BP has not been below 180/90 and has gone to 202/98. Is this just a rebound period from stopping the Noten and will it settle down.Thank You.
Fri, 24 Feb 2023
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General & Family Physician,  's  Response
Hi,

Though, both these drugs are used to control angina as well as high blood pressure. However, their comparative efficacy on high BP is not precisely documented. Still, your cardiologist must have replaced Noten by verapamil, as he might have noticed some side effects of Noten like wheezing, breathlessness , low pulse rate, fatigue and dizziness etc.

Still, drastic increase in BP is a matter of concern. I will advise you to see your doctor about this, even if it is rebound hypertension. Your doctor may work up with gradually switching over to verapamil from Noten or increasing the dose of verapamil more or even may be prescribing you some other drug protocol, as required to control your BP to desired level.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Satnarain Bansal, General & Family Physician
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Is It Safe To Take Verapamil Instead Of Noten To Control BP?

Hi, Though, both these drugs are used to control angina as well as high blood pressure. However, their comparative efficacy on high BP is not precisely documented. Still, your cardiologist must have replaced Noten by verapamil, as he might have noticed some side effects of Noten like wheezing, breathlessness , low pulse rate, fatigue and dizziness etc. Still, drastic increase in BP is a matter of concern. I will advise you to see your doctor about this, even if it is rebound hypertension. Your doctor may work up with gradually switching over to verapamil from Noten or increasing the dose of verapamil more or even may be prescribing you some other drug protocol, as required to control your BP to desired level. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Satnarain Bansal, General & Family Physician