Carvedilol 6.25 prescribed for high blood pressure,patient without heart disease?

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Hello,new here...45yo f,never been obese,non smoker non diabetic but have high bp likely caused by a former drinking habit,sober since 6.17.2019...for a while bp was kept down with 12.5mg HCTZ alone,recently started going up again(possibly due to taking ibuprofen 400mg at night for a month or so,which I've since stopped).Yesterday at dr's my bp was 160/113, was prescribed carvediol 6.26mg in addition to the hctz,wasn't told much about the drug other than it may lower my heart rate,but after researching it online and seeing that a "very common" side effect is heart failure(which I don't get,as the drug is actually used to TREAT hf in higher doses??)I'm more than a bit scared to try it.

I'm in the US,uninsured,ineligible for Medicaid and reliant on the local county system,so "switching doctors" is unfortunately no option.And both Amlodipine and Lisinopril were ineffective alone and both caused hair loss,and I'm trying to hold on to a bit of my dignity as well as my health.(BP readings at home today are between 142/100 and 134/89.)

Does anyone have experience with this drug?Is the side effect of hf because so many patients taking it already have pre-existing hf,or can it cause hf?Would appreciate any answers and info...thanks.

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  • Posted

    Beta blockers as a class are widely prescribed for blood pressure and some other conditions, and I am not aware that they cause heart failure, you may be right about the association with preexisting conditions.

    If you're paying for drugs out of pocket there might be cheaper beta blockers available, I use atenolol which is generic and appropriate for BP.

    Amlodipine generates a lot of side-effect complaints and I don't recommend it, Lisinopril generates a few complaints, and again, you might try other ACE/ARB generics, I use olmesartan (generic for Benicar), and I think the list price even for the generic is still high but you might get (much) better prices with one of the discount cards.

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    One side-effect can be higher levels of uric acid, so this should be tested for at least annually. There are other diuretics that are supposed to be better on this, if necessary.

    Generally the only direct side-effect is obvious, so take the pill in the morning rather than before bed, so you don't have to get up in the middle of the night to side-effect!

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