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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes low blood pressure and pulse levels?

My blood pressure has been lowered substantially during the past week that I have been on Metopropol and Lisinopril. After two stents were put in on December 28, 2017 my blood pressure returned a reasonable level of around 125-130 over 80-90. I was on Lipitor 80 mg and Brilenta and 81 mg aspirin. However last Wednesday my blood pressure was fairly high at 180/100. EKG was normal. so the Brilenta was discontinued and Metoprolol extended release 25 mg (1/2 taken daily), Lisinopril 2.5 mg, and Clopiudogrel 75 mg was added. My blood pressure is now fairly low at 96-105 over 55-60. My pulse has really dropped and was 48 this morning-before taking any medication for the day. If it is the pulse is this low tomorrow (over below 55-60) I have been advised to discontinue the metoprolol to see what effect this has. Your thoughts. Thank you for your time.
Thu, 28 Jun 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Metoprolol is a beta blocker, which decrease the heart rate so that would be appropriate and as you are also on other BP lowering agents.

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