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Heart Disease (Expert Forum)
Which medication?
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
Which medication?
by Terry, Dec 09, 1999 12:00AM
In August, I was diagnosed as hypertensive (BP in the range of 160/110) and put on a beta blocker (Toprol XL). It lowered my pulse into the 40's and had minimal effect on my BP, so my doctor tried a calcium channel blocker (Norvasc). It controlled my BP very well, but caused major swelling of my feet and ankles. Now, he's tried me on an ACE inhibitor (Accupril) at 20, then 40, then 60 mg. with little effect (BP stays around 150/105). The good part is the Accupril has no side affects that I am aware of. I have two similar questions: First, might another CCB work as well as the Norvasc, but without the swelling, or would they all be likely to cause swelling since one did? Second, might another ACE inhibitor work even though the Accupril did not?
Doctor's Answer
by CCF CARDIO MD JMF, Dec 09, 1999 12:00AM
You might have different results with a different CCB. You may also try a different ACE inhibitor. Very often, BP requires experimentation.
