Posted , 3 users are following.
I am on 2.5mg per day after a heart attack in March. My heart rate is slowed- resting used to be 70/80 but now 50/60 and my BP used to be 148/100 but now 110/65 consistently. Cardio nurse wants dosage increased as per NICE Guidelines to titrate upwards as long as tolerated. However I am worried about slower HR and lower BP. At night heart rate can be 39. What can I do?
Thanks
0 likes, 4 replies
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tino56 lenny36
Posted
Hi Lenny,
My advice is go and get a second opinion.
Your bp readings seem fine I'm also on 2.5 mg ,I wish my readings were as low.
Do yourself a favour and speak to your GP or consultant before deciding wether to increase the dose.
Good luck.
mike92384 lenny36
Posted
lenny36...Heart rates at 50/60 is fine, as long as it doesn't get lower than that. Mine is usually 60bpm because of the beta blocker I'm taking. It can get down to 54 when I'm quiet & resting. Your bp is great..no worries ther.
You mention the 'Cardio nurse"..NURSE is the word that bothers me. I don't know where you live, but is this nurse a Nurse Pracitioner? Here in Canada, Nurse Practitioners can prescribe medications, & make referrals to specialist. They of course do have limitations, & do not have the same scope as an M.D. I'd be concerned about a nurse adjusting heart medication, but that's just my opinion. She is not a specialist by any stretch.
You didn't say what medications she is suggesting to increase the heart rate. If you're on a beta blocker, it would seem to be that perhaps a decrease in the medication would work. The higher the dosage, the lower the heartbeat. See what I mean?
You need to ask questions...don't be shy about it.
lenny36
Posted
mike92384 lenny36
Posted
lenny36..by all means get back to your GP. You said the medication the Nurse wanted to increase was Rampiril. In case you're not aware, Rampiril is a BLOOD PRESSURE MEDICATION!!. If your b/p levels are usually at what you've written, I see no reason to increase the bp medication which in all liklihood would reduce the bp even further. Furthermore, it disturbs me that a Nurse..of all medical professionals...is the one wanting to increase medication. Here in Canada, unless she were a Nurse Practitioner, & you didn't have a GP, she wouldn't have the authority to be increasing medications. No nurse does, unless again she's a Nurse Practitioner. Usually a Nurse Practitioner working in a GP's office will see patients when the patient doesn't want to bother the doctor. Some see her on a regular basis, but when she's got questions she's not sure of., she consults the doctor. You on the other hand, have a GP. He/she is the one who's qualified here. Actually, I'm a little angry with the nurse you've mentioned. Don't let this upset you..but by all means get back to the GP. I don't profess to be a doctor, certainly I am not, but I truly don't see the sense in increasing the Rampiril when your bp levels are consistently as they are.
Please let us know how you get on with this.