Low Blood Pressure
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I'm a registered nurse with 25 yrs experience and a critical care concentration. My hypertension is treated with Carvedilol 12.5mg bid and Losartan 50mg bid. I recently had a going thru from a cardiologist. A left heart cath revealed a 100% occlusion of my right coronary artery with collateral circulation. He added isosorbide 30 mg daily to my medication regimen. Recently I have had a few episodes of what I believe to be stable angina. After talking with my cardiologist he suggested that I increase my isosorbide dose from 30 mg to 60. I did that today and it has caused my blood pressure understandably, to drop making me dizzy with a BP of 83 over 51. My question is, if one if one were to titrate and or delete medications would I'd be better off to decrease the dose off of losartan or the Carvedilol considering my hypertension and CAD? looking for opinions and rationales. Thanks in advance!
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