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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should furosemide and digoxin be taken if heart rate is low?

Mom is 90 years old, hospitalized for heart attack May 26. She is now taking digoxin .125 mg, enalapril 5 mg, furosemide 20 mg, metoprolol 12.5 mg, potassium 20 meq, synthroid 88 mcg. Her blood pressure and heart rate is so low that her home machine won't register it. Took bp at grocery store: Wednesday 91/33, heart rate 71; Thursday 69/34, heart rate 0. Checked heart rate at home on finger device: 70-74. She also has arrhythmia (ongoing before heart attack). She feels terrible, very low energy, no appetite, diarrhea. Research on meds indicate conflicts e.g. furosemide and digoxin; enalapril and furosemide. What is your opinion of this med cocktail?
Fri, 30 Nov 2018
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Cardiologist 's  Response
Hello,

I understand your concern and would explain that it is necessary for stopping anti-hypertensive drugs like enalapril, Metoprolol and Furosemide as long as her blood pressure and heart rate values are low. You should discuss with a doctor on the above issues.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ilir Sharka, Cardiologist
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