It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



High & Low Blood Pressure Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 07-23-2007, 08:30 AM   #1
Senior Veteran
(female)
 
flowergirl2day's Avatar
 
Join Date: Apr 2007
Location: Canada
Posts: 3,171
flowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB User
Effects of antihypertensives on a heart rate

Hello,

Have any of you experienced an ALTERED heart rate while on antihypertensive drugs?
(Slow or fast)

Thanks,
Flowergirl

Last edited by flowergirl2day; 07-23-2007 at 08:32 AM.

 
Old 07-23-2007, 10:35 AM   #2
Member
(female)
 
Join Date: Oct 2006
Location: England
Posts: 54
Gail L HB User
Re: Effects of antihypertensives on a heart rate

Hi Flowergirl
Yes I have noticed that my heart seems to beat faster moreso at night if lying on my side/tummy I can feel my heart and it feels quite fast and strong.

Gail

 
Sponsors Lightbulb
   
Old 07-23-2007, 12:17 PM   #3
Senior Member
(female)
 
Join Date: Mar 2007
Location: Plano, Texas USA
Posts: 184
ms58 HB User
Re: Effects of antihypertensives on a heart rate

When I got on Atenolol 25mg. six weeks ago my pulse dropped from over 100 all the time to between 60-70 all the time, overnight. This med. was the first one which ever helped my heartrate even tho others have reduced my BP.

I also take Lisonipril/HCTZ 20/12/5. So maybe it's a combination of the three helping to keep the pulse down, but I've taken lots of things, and the Atenolol was the first to really help the pulse go down.

It took a few weeks for my body to adjust, but it does not make me too tired as some have mentioned.

Hope that helps.

 
Old 07-23-2007, 01:33 PM   #4
Senior Veteran
(female)
 
Join Date: Mar 2007
Location: us
Posts: 1,693
famnd HB User
Re: Effects of antihypertensives on a heart rate

My pulse is always in the lower 50's or 60's. Labetalol is responsible. Fam

 
Old 07-23-2007, 07:00 PM   #5
Senior Veteran
(female)
 
flowergirl2day's Avatar
 
Join Date: Apr 2007
Location: Canada
Posts: 3,171
flowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB User
Re: Effects of antihypertensives on a heart rate

Thank you for your replies.

A lot has been said on the beta blockers on this and the heart disorders forums. One of the side effects of this medication is a slowed heart rate.
It's ironic, this medication is used to correct irregular heartbeat, yet it causes the very same in people trying to stop using it. I experienced this crazy heart rate myself and found it scary. The pattern would be fast, slow, fast, slow..for minutes at a time, usually when in bed. While on the beta blockers, I'd occassionally have extremely low BP readings and pulse in the low 50s. Low enough for me to worry about going from one extreme (high BP) to another over a relatively short period of time.

ms 58, if you have tachycardia, it's great that you can keep it in check with a medication that also helps reduce your blood pressure. I am glad you find your dosage tolerable and experience few side effects.

I am trying to find out whether the HCTZ can also affect the heart rate. I know about the usual factors that contribute to a change in heart rate - variation in activity, diet, age, medications, etc. I am trying to find out what medications besides the beta blockers have an effect on heart rate.

Flowergirl

Last edited by flowergirl2day; 07-23-2007 at 07:02 PM.

 
Old 07-24-2007, 09:44 AM   #6
Senior Member
(female)
 
Join Date: Mar 2007
Location: Plano, Texas USA
Posts: 184
ms58 HB User
Re: Effects of antihypertensives on a heart rate

Flowergirl, I have taken HCTZ on and off for about 5 years and it is necessary for me in controlling my HBP, but it never had any effect, up or down, on my pulse rate.

I wonder if you might be able to take a very small dose of a beta blocker without it bothering you, to help with your pulse. My husband had to cut his very small dose of a diuretic in half in order to get his BP to a good range, not too low, as the whole dose was too much (even tho it was the lowest dose available). So he just kept cutting the pill till it worked right for him. Maybe you could do something like that with a beta blocker.

Just thought I'd mention that possibility and good luck on finding meds that work well for you.

Last edited by ms58; 07-24-2007 at 09:52 AM.

 
Old 07-24-2007, 11:45 AM   #7
Senior Veteran
(female)
 
flowergirl2day's Avatar
 
Join Date: Apr 2007
Location: Canada
Posts: 3,171
flowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB User
Re: Effects of antihypertensives on a heart rate

Ms58,

Thank you for your post. I really appreciate your advice. Given what has been happening, I am much too afraid to continue with the HCTZ. It's somehow affecting my pulse & heart so I am stopping it immediately.
A smaller dose of HCTZ sounds reasonable and definitely a possibility in the future. I am starting to have doubts that there are any meds that can do the job for me safely and effectively, without detrimental side effects.

My resting heart rate this morning was 105 bpm. I measured my BP in both arms resulting in 141/87 and 139/93 readings. (not bad, but very different from the previous weeks' consistent readings of 113/71 and such.) It measured in high 160's/100s last night. I don't clearly understand how things work but am aware of the fact that when the heart rate increases, so does the blood pressure. The blood pressure is dependent on the heart rate and the amount of blood pumped by the heart during each beat. So I guess if I could control the heart rate, I'd be fine. Enter the beta blockers.

ms58, I will ask my doctor about using a beta blocker, if he returns my call. I left him a brief message informing him about my problems with HCTZ and did not request that he call back. I know his plan was to re-introduce the beta blockers as part of my treatment. I suspect he will hold off now until my asthma business is taken care off. In view of my upcoming appt with the BP specialist, he might decide to leave things unchanged for the next few weeks.

Flowergirl

 
Old 07-24-2007, 01:22 PM   #8
Senior Veteran
(female)
 
Join Date: Mar 2007
Location: us
Posts: 1,693
famnd HB User
Re: Effects of antihypertensives on a heart rate

FG,

Your Dr. should be hung from the nearest tree for not doing blood tests yesterday so you would possibly have a clue what is going on!!! You need to know what your electrolytes are doing given the fact that you are taking a high dose diuretic. Why are Dr's so stuborn!!!

I think you should have been given 50mg HCTZ only for a few days to get rid of the edema the dropped it down to see what dose is needed for b/p control
without upsetting your electrolytes. Once you go over 25mg hctz you are more likely to run into problems. Titrate up instead of down as the Dr's like to do. I had my HCTZ made into a liquid solution & started with 1 cc even though my Dr.wanted to start with the highest dose. Sometimes we can tolerate some meds that we could not otherwise be able to by introducing the drug slowly. (McGowan).

I wouldn't give up on HCTZ but for now it is wise to stop it & see what happens. So sorry to hear about your latest set back. Don't give up there will be a solution. Fam

 
Old 07-24-2007, 06:36 PM   #9
Senior Veteran
(female)
 
flowergirl2day's Avatar
 
Join Date: Apr 2007
Location: Canada
Posts: 3,171
flowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB User
Re: Effects of antihypertensives on a heart rate

Thank you for your kind words!

I totally agree with your comment. There's no excuse for not getting the bloodwork done. I am still quite angry as I do not appreciate finding myself in harm's way over something so trivial. Finding another doctor is not going to be easy. Most of the people I have talked to over the last few weeks weren't completely satisfied with their physicians. The few that were felt that I needed someone with knowledge & experience exceeding that of their doctors and were very reluctant to make a recommendation. So - no luck so far!

I have a lot of faith in my BP specialist. He would not risk prescribing a new medication without ensuring the labwork was done and reviewing it first.
With the HCTZ undisputably being the first (and most obvious) line of treatment, my doctor must have had a good reason for not including it in my initial antihypertensive therapy. When I see him, I'll ask about it. Your suggestion of starting out with a small dose óf HCTZ and then titrating up is the way things should always be done. My guess is that the doctors want instant results. While prescribing a huge dose of a medication might get fast results, there's a good chance the patient won't be able to tolerate its side effects for long.

Flowergirl

 
Old 07-24-2007, 08:12 PM   #10
Senior Veteran
(female)
 
Join Date: Mar 2007
Location: us
Posts: 1,693
famnd HB User
Re: Effects of antihypertensives on a heart rate

Wanted to tell you that I read a story about a OB Doc who has found a new use for a drug. Apparently, he accidentaly found out that it lowers b/p. I'll research it tomorrow. He plans to use it for his high risk pregnancies so it has to be easy on the fetus.

Don't hesitate to go to the ER if you start to feel worse.
The ER would do bloodwork for sure. Fam


Did the other Dr. who ordered HCTZ check your lungs & heart?

 
Old 07-24-2007, 08:54 PM   #11
Senior Veteran
(female)
 
flowergirl2day's Avatar
 
Join Date: Apr 2007
Location: Canada
Posts: 3,171
flowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB User
Re: Effects of antihypertensives on a heart rate

I will confess to considering a trip to the ER last night. I've learned from my past mistakes, believe me! I am fine now. I just got back from a really good walk. Had a black bear cross my path. He was young and beautiful.They seem to be everywhere.
I had an ECG done with the kidney tests but forgot to mention it to the doctor who saw me for my edema. Since I have not heard otherwise, I am assuming it was fine. I had the pulmonary function tests recently, no report so far. It's holiday time.
What you mentioned sounds very interesting. I did some research today, too, and learned of a drug which is supposedly better than beta blockers. It's called Flecainide. It slows an overactive heart and corrects irregular heart beat. Its use can be dangerous and backfire so is reserved for high risk patients only.

Flowergirl

 
Old 07-26-2007, 02:10 PM   #12
Senior Veteran
(female)
 
flowergirl2day's Avatar
 
Join Date: Apr 2007
Location: Canada
Posts: 3,171
flowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB User
Re: Effects of antihypertensives on a heart rate

Ms58,

Quote:
I wonder if you might be able to take a very small dose of a beta blocker without it bothering you, to help with your pulse. My husband had to cut his very small dose of a diuretic in half in order to get his BP to a good range, not too low, as the whole dose was too much (even tho it was the lowest dose available). So he just kept cutting the pill till it worked right for him. Maybe you could do something like that with a beta blocker.
I have just discussed my situation with yet another pharmacist whom I trust. She knows very little about me, other than that I come in once in a while and ask a bunch of questions. I do not have my prescriptions filled there.

Her suggestion matched yours word for word. She'd told me to cut one of my old beta blocker pills in 1/4s, do the same with the HCTZ, and take 1/4 of each pill every day. This on top of the 25mg Spironolactone and 20mg Ramipril. While it won't hurt anything, it will help reduce my blood pressure. According to her I am putting myself at great risk by taking only my two old meds. In her opinion 1/4 of a beta blocker pill should not bother my lungs too much.

The pharmacist sold me my first pill splitter ever. Lenin would consider my only purchase a wise one. I wonder how many pill spliters he goes through?

All I need to do now is figure out how to use it. Thanks once again for your great advice.

Flowergirl

 
Old 07-26-2007, 02:19 PM   #13
Senior Member
(female)
 
Join Date: Mar 2007
Location: Plano, Texas USA
Posts: 184
ms58 HB User
Re: Effects of antihypertensives on a heart rate

I really hope it works well for you. Some of us are more sensative to meds and this cutting and trying is the best way to determine if it's the medicine itself or just too high a dose.

Keeps us posted on your results and wishing you a great outcome.

 
Old 07-26-2007, 06:11 PM   #14
Senior Veteran
(female)
 
Join Date: Mar 2007
Location: us
Posts: 1,693
famnd HB User
Re: Effects of antihypertensives on a heart rate

FG,

Glad you are re-considering a beta-blocker & HCTZ. I use a small very thin knife (in the US these knifes are sold in the grocery store for fruit I think). I cut the pill on wax paper. Then I can wrap the sections of the pill including any little pieces or powder that may have fallen off. I didn't buy a pill cutter cause I thought it would have been hard to clean & dry since I was cutting several pills. My synthroid has to be taken before any other meds or food so it couldn't be cut on the same surface etc. as other meds.

It's such a shame that you didn't have bloodwork done with HCTZ. Your reaction may have been from depletion of electrolytes which can be dealt with. Most people only need 12.5mg HCTZ or 25mg which you might be able to tolerate if you slowly introduce it. Fam

 
Old 07-26-2007, 07:21 PM   #15
Senior Veteran
(female)
 
flowergirl2day's Avatar
 
Join Date: Apr 2007
Location: Canada
Posts: 3,171
flowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB User
Re: Effects of antihypertensives on a heart rate

Fam,

you could be right. I'd started mowing earlier & had to stop. I felt sick to my stomach & my arm bothered me. It has been extremely tingly today. I went back out after dinner, instead of going for a walk, and finished the job. It took a while to clean up after the bears, especially underneath the cherry trees. Just in case my potassium levels are off, I'll have one of those banana smoothies from the other post for desert. It can't hurt.
I'll be getting some help from a friend in my search for a new doctor. She is a healthcare worker who works with the elderly, with health problems of her own. What I see as a potential problem is the fact that she goes through doctors like there's no tomorrow.....No surprise there weren't any she could recommend. She is researching a new one at the moment.

Thank you for your pill-cutting tips. I decided to hold off until tomorrow on the beta blocker/HCTZ. I did not want to take them so late in the day.

Flowergirl

Last edited by flowergirl2day; 07-26-2007 at 07:26 PM.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Questions about side effects of beta blockers... cubeus19 Heart Disorders 3 12-19-2009 12:45 PM
How long for side effects? miranda262 Heart Disorders 7 01-19-2008 01:29 PM
Antihypertensives and cholesterol levels flowergirl2day High & Low Blood Pressure 12 01-13-2008 08:29 AM
Hypertensive and atherosclerotic effects on blood vessels flowergirl2day High & Low Blood Pressure 25 11-06-2007 08:21 PM
High Blood Pressure Medications side Side effects?? lmejianyc High & Low Blood Pressure 19 08-19-2007 04:24 AM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added




Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Atenolol
Benicar
Clonidine Cozaar
Diovan
  Lisinopril
Lotrel
Norvasc
Potassium
Toprol




TOP THANKED CONTRIBUTORS



Machaon (55), atengnr (48), JJ (35), soflsun (29), Flutterbye77 (17), flowergirl2day (16), flitz (16), zuzu8 (15), cartner (12), rudiraven (12)

Site Wide Totals

teteri66 (1164), MSJayhawk (997), Apollo123 (898), Titchou (833), janewhite1 (823), Gabriel (758), ladybud (745), sammy64 (666), midwest1 (665), BlueSkies14 (610)



All times are GMT -7. The time now is 03:51 AM.



Site owned and operated by HealthBoards.com™
Terms of Use © 1998-2014 HealthBoards.com™ All rights reserved.
Do not copy or redistribute in any form!