the Effects of Concor 1.25 on Blood Pressure and Heart Rate

Taking Concor 1.25 mg lowers diastolic blood pressure?

Doctor, I have a question.
I usually have a fast heartbeat, so I went to see a doctor who prescribed me Concor 1.25 mg to take one tablet every morning.
After arriving at school, I measured my blood pressure and found it to be 117/49 in my right arm and 114/49 in my left arm, with a heart rate of 81.
Is this blood pressure too low, and could it pose any risks? Additionally, I sometimes experience a tingling sensation in my hands and feet; could this be related? My next follow-up appointment is in early June, and the doctor prescribed me a one-month supply, but I have only been taking it for a few days.
If my symptoms persist for several days, should I go back to see the doctor again? Thank you.

xuesheng, 10~19 year old female. Ask Date: 2020/04/07

Dr. He Dongjin reply Cardiology

Hello, your blood pressure is a bit low, but there is no danger as long as you feel fine.
Just monitor it for now.
If you are not taking any medication and have no discomfort, you can hold off on taking any medication and continue to observe.
Changhua Hospital cares about you.

Reply Date: 2020/04/07

More Info

Concor (Bisoprolol) is a beta-blocker commonly prescribed to manage conditions such as high blood pressure, heart rhythm disorders, and heart failure. It works by blocking the effects of adrenaline on the heart, which helps to lower heart rate and blood pressure. In your case, you have been prescribed Concor 1.25 mg daily due to a history of fast heart rate (tachycardia).
From the blood pressure readings you provided (117/49 mmHg on the right arm and 114/49 mmHg on the left arm), it appears that your systolic blood pressure (the top number) is within a normal range, but your diastolic blood pressure (the bottom number) is relatively low. A diastolic reading below 60 mmHg can be considered low blood pressure (hypotension), which may lead to symptoms such as dizziness, fainting, or fatigue. However, the heart rate of 81 beats per minute is within a normal range, indicating that your heart is functioning adequately despite the low diastolic pressure.

The symptoms of hand and foot numbness or tingling you mentioned could be related to several factors, including low blood pressure, circulation issues, or even anxiety. It's essential to monitor these symptoms closely. If they persist or worsen, it would be advisable to consult your healthcare provider sooner than your scheduled appointment in June.
Regarding the potential dangers of low blood pressure, it is crucial to consider how you feel overall. If you are not experiencing any significant symptoms such as dizziness, fainting, or extreme fatigue, it may not be a cause for immediate concern. However, if you do experience these symptoms, it is essential to seek medical attention promptly.
In terms of the medication, it is important to follow your doctor's instructions regarding dosage and timing. If you feel that your symptoms are not improving or if you have concerns about your blood pressure readings, do not hesitate to reach out to your healthcare provider. They may want to adjust your medication or investigate further to ensure that your treatment is effective and safe.

In summary, while your blood pressure readings suggest a low diastolic pressure, your heart rate remains stable. Monitor your symptoms closely, and if you experience any concerning changes, contact your healthcare provider. It is always better to err on the side of caution when it comes to your health.

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