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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Switching From Toprol XL To Coreg Advisable?

I am newley prescribed Coreg BID 3.125mg. My doctor mentioned the effects of lipids it has where Toprol XL does not have those effects. I was on Toprol xl 50mg daily. What is he talking about? I am a nurse and want to understand his reasoning by switching my medications. I take this medicine for a racing regular heart rate. and borderline hypertension along with HCTZ 25mg daily.
Tue, 20 Feb 2018
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Cardiologist,  's  Response
Hello!

Welcome on HCM!

I understand your concern and would like to explain that both Toprol xl and Coreg have an adverse impact on lipid profile (they tend to increase triglyceride and cholesterol fractions mildly). Nevertheless, this is not a clinically relevant effect and you should not worry about.

The real advantage of Coreg when compared with Toprol is regarding its more potent beneficial effects regarding hypertension treatment, as it possesses also vasodilator properties.

Hope to have clarified your uncertainties.

Wishing you a good health!

Kind regards,

Dr. Iliri
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Is Switching From Toprol XL To Coreg Advisable?

Hello! Welcome on HCM! I understand your concern and would like to explain that both Toprol xl and Coreg have an adverse impact on lipid profile (they tend to increase triglyceride and cholesterol fractions mildly). Nevertheless, this is not a clinically relevant effect and you should not worry about. The real advantage of Coreg when compared with Toprol is regarding its more potent beneficial effects regarding hypertension treatment, as it possesses also vasodilator properties. Hope to have clarified your uncertainties. Wishing you a good health! Kind regards, Dr. Iliri