low blood pressure and dizzy

hi, I am 48 ys old and had a MI in April and is now on 2 Metoprolol and 1/2 Candesartan, 1 Adalat and 1 Atorvastatin, and 1 81mg Asprin a day.....is this too much meds? MY BP is usually 98/75....
Thanks

4 replies   

You don't list your dosages, those are important. The metoprolol (beta blocker), candesarten (ARB), adalat (calcium channel blocker), statin and aspirin are pretty standard although I don't know if people usually take both an ARB and a calcium channel blocker since they are both for controlling BP. And the beta blocker does as well. I take metoprolol, ace inhibitor, aspirin and something for cholesterol, but not a statin. I was originally given 50 mg of metoprolol twice a day, but if my BP goes below 100 systolic I get dizziness. 98/75 isn't considered low though, I think it has to be below 90 to be considered low. If you are experiencing dizziness, tak to your doctor about adjusting your meds. I don't think you are on too many, most of us are taking this many in different combinations following a heart attack.

It's difficult adjusting to taking all those meds, especially if you previously didn't have to take any. I was in "the same boat" (although I'm older than you) , as I didn't take anything except Aspirin. Since my heart attack last spring, I have been taking an ACE inhibitor, Beta blocker, Ramipril, Plavix and 81 Asp. daily. I was taking Lipitor but had to stop that as it affected my liver in a very bad way. My BP is often lower than what you stated, but if you are concerned, you should talk to your doctor or her nurse (or nurse practitioner). I think feeling dizzy is a normal reaction to the drugs and in time it may decrease greatly. Good luck to you and take good care of yourself !!

I think tolerance to lower BP might be related to size, height and weight. I am tall, under a hundred causes me problems, other people, maybe to so much so, consider, your size may impact it because you have longer blood vessels, more mileage for oxygen rich blood to travel. What is normal for some people, not so much for others. The meds do make a difference too, but if her MI was in April she should have adjusted to them by now. So I would question the doc on why two BP meds. Ramipril by the way is an ace inhibitor....

Oops, 'Threesacharm'...you are right. Ramipril is an ACE inhibitor. As you stated, each individual's situation is unique and everything must be considered. I take Coreg and Ramipril , which I think maybe is standard treatment...but until last May when I had a heart attack and received three stents, I knew nothing about heart disease and the medications used in the treatment. I'm trying to learn about heart disease through this website and other websites. I also have Lupus , which likely was a component of my heart problem. Am thankful for this great website and message board.

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