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Dr. Andrew Rynne

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Suggest Ways To Manage Hypertension While On Bystolic

I take bystolic 20mg. 1 a day for high blood pressure I also take losartan 25 mg in the afternoon. I am 73 years old after 2 hrs I feel so tired in the morning from the bystolic I have to ask my dr. if I should take 10 mg, I have to get my blood pressure checked. Thanks, Joy Forman
Tue, 18 Sep 2018
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Internal Medicine Specialist,  's  Response
Hi,

Nebivolol (Bystolic) is a beta-blocker that may indeed cause tiredness and it usually does more so than other antihypertensive agents (like Losartan). I usually advise my patients to reduce the beta-blocker dosage when they experience serious side effects like tiredness, weakness, etc or very low heart rate. If an additional antihypertensive effect is needed then Losartan can be given at higher dosages. Remember to discuss this problem with the treating doctor before attempting any changes to your regimen!

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

Regards,
Dr. Panagiotis Zografakis,
Internal Medicine Specialist
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Suggest Ways To Manage Hypertension While On Bystolic

Hi, Nebivolol (Bystolic) is a beta-blocker that may indeed cause tiredness and it usually does more so than other antihypertensive agents (like Losartan). I usually advise my patients to reduce the beta-blocker dosage when they experience serious side effects like tiredness, weakness, etc or very low heart rate. If an additional antihypertensive effect is needed then Losartan can be given at higher dosages. Remember to discuss this problem with the treating doctor before attempting any changes to your regimen! Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Panagiotis Zografakis, Internal Medicine Specialist