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I've been put on bisoprolol 5mg and ramipril 2.5mg after having a heart attack last month. For the first five weeks I've been on it, I've experienced no side effects, apart from a little tiredness, which I put down to recovering. However, yesterday I had an episode where I experienced brief palpitations and a dizzy/light-headed feeling, which made me feel like I was going to pass out. I panicked and ended up in A+E, where I was told that there was nothing to be worried about and that the palpitations were probably a sign of an arrythmia which would be investigated when I have my outpatient appointment next month.
While my heart has now returned to a regular rhythm and a pulse of about 60-65, the dizziness and lethargy remain, along with a heavy feeling in my legs. I didn't sleep at all last night, although this is quite possibly attributable to the stress of ending up in A+E.
The only thing that has changed lately is that I'm now using a different brand of bisoprolol and ramipril, having run out of the meds I was given when I was discharged from hospital and moved on to ones I picked up from the chemist. Surely a different brand wouldn't cause new side effects? It's the same drug, after all...
I guess what I'm asking is, are these normal side effects and why would they suddenly appear after so many weeks? I appreciate that they are all symptoms associated with low blood pressure, which the drugs cause, but I'm feeling anxious about being on them and I won't get to talk to a cardiologist about it until my outpatient appointment at the end of next month.
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