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Heart disease and flunctuating blood pressure
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Anon_31973 posted:
My mom who is a young 91 yrs old had open heart surgery in 2003. She had 5 bypasses and until then was very healthy. She has CHF and CAD. Recently, she is experiencing low blood pressure (90/50) in the mornings with extreme fatigue. She is taking Coreg, Benazepril, and Amlodipine for high blood pressure. She also takes several heart meds. We have debated at what time of day she should take her medications and if she should ask the doctor about possibly reducing meds. She is usually very active but now has to go back to bed till the feeling passes which is now causing depression. Some mornings she gets up feeling fine but they are getting fewer. She is not having any swelling or shortness of breath. She is not obese, not a smoker or drinker. We have made several trips to ER thinking she is having a heart attack but nothing shows up. Her doctor said next time he will have to do a heart cath but I wonder if changing her meds or times she takes them would help. She takes all three BP meds at night and Coreg also at lunch. Any suggestions please?
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cardiostarusa1 responded:
Hi:

......"and if she should ask the doctor about possibly reducing meds."

This seems warranted.

......"but I wonder if changing her meds or times she takes them would help."

Hopefully yes. Sometimes an adjustment in the dosage, a change in the timing, or even eliminating one or more drugs can make a world of difference.

Best of luck to your 91-years-young mom.

Take care,

CardioStar*

WebMD member (since 8/99)

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General info

What Time of Day Should I Take My Blood Pressure Medications?

http://highbloodpressure.about.com/od/quickfacts/f/med-timing.htm


Taking Blood Pressure Pills At Bedtime May Prevent More Heart Attacks,Strokes

http://www.health.harvard.edu/blog/taking-blood-pressure-pills-at-bedtime-may-prevent-more-heart-attacks-strokes-201110253668


Taking Blood Pressure Meds at Bedtime May Be Better

http://health.usnews.com/health-news/family-health/heart/articles/2011/10/24/taking-blood-pressure-meds-at-bedtime-may-be-better

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James Beckerman, MD, FACC responded:
It's possible that she might benefit from a fresh look at her medication regimen. There are some medications which are given specifically to treat heart failure (like coreg and benazepril) and others that are more targeted toward treating high blood pressure (like amlodipine). It's possible that her doctor might consider making some adjustments based upon her current low blood pressures.


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