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Low blood pressure and dizziness upon standing
Heart & Blood Health | Last Active: Jun 26 7:42am | Replies (23)Comment receiving replies
I have similar issues. Have a pacemaker and also on amlodipine 5 mgm. My BP is low in the am’s (90/50 and increases to 130/82 in evening. Am taking the amlodipine in evening, but reduced it to 2.5 mgm. Cardiologist doesn’t seem concerned but I have little energy during the day with that low BP. If I don’t take the amlodipine at all, my BP goes up after a few days in the evenings to 154/86.
Replies to "I have similar issues. Have a pacemaker and also on amlodipine 5 mgm. My BP is..."
Hello @bennettad, that must be a difficult line to walk between being low in the morning and higher at night. Battling fatigue during the day when you want to be most active has to be a frustrating daily occurrence.
You mentioned your cardiologist is not concerned, but that does not necessarily address your issue of lack of energy. Did you discuss the reduction of your medication with them? Despite their lack of concern, it is wise to keep your cardiologist in the loop with any change in medication as completely reducing or eliminating can also have adverse effects. Although members can share their experiences, offering medical or medication advice is against the community guidelines and should always be cautioned by having an open honest discussion with our providers with any medication or treatment changes.
@bennettad - when you mentioned your cardiologist wasn't too concerned, was that about the blood pressure levels or your fatigue? Did they offer any guidance on how to combat that feeling?
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@bennettad
I have had a ICD/Pacemaker since 2006 (3rd device). I am on Entresto and Carvididol.
When my weight is under control my BP is 90/60. It causes some minor dizziness if stand up to quick. My heart failure doctor (Mayo Clinic) advised me to stand slowly, which I do now. He said if BP got lower and I had symptoms increased he would separate my medications and not take them at same time. The main thing of dizziness they asked was it temporary or did it continue for any significant length of time (more than a few seconds).
Some BP medications do cause fatigue. When I first started Entresto and Carvididol I had fatique and soreness. It was pretty significant and complained to my doctors. My EP and HF doctors said was normal and would take weeks maybe months for my body to gradually get used to the medications.
They were right and gradual I got better as would not have been able to function if it had not improved. Many people I know start Entresto and complain about fatique. I tell them my experience and to give it a chance. Some came back and said it did gradual get better and some said it did not. Those (did not) wanted a different medications and their doctors changed them.