Regarding the change of antihypertensive medication?
Hello, Director Huang.
I have been taking Kadyxin extended-release tablets for many years.
However, in the past year, I have experienced an increase in instances of missed pulses.
After several follow-ups, my doctor switched my medication to Xinsuhping (half a tablet daily).
However, starting from the fourth day of this medication, my blood pressure rose to 150-160, my pulse rate increased, and I experienced constipation.
These symptoms have persisted for two and a half months.
Recently, my doctor switched my medication back to Kadyxin extended-release tablets and advised that if I am concerned about the interaction between Kankun 1.25 and Kadyxin, I can take the two medications at different times.
Now, I would like to ask Director Huang if I can switch directly back to Kadyxin without any waiting period, or should I wait a few days for the residual medication to clear from my system before resuming Kadyxin? Thank you for your guidance.
Lao Zhang, 50~59 year old female. Ask Date: 2020/05/13
Dr. Huang Shenggang reply Pharmacology
Hello Mr.
Zhang: First of all, thank you for your question regarding switching back to the extended-release formulation of Katie's medication.
There's no need to worry about this issue; please follow your doctor's instructions for the switch and there's no need to wait a few days for the residuals to clear from your body before resuming the medication.
Thank you.
Reply Date: 2020/05/13
More Info
When it comes to switching hypertension medications, there are several key considerations and best practices that should be taken into account to ensure patient safety and effective blood pressure management.
Firstly, it is essential to understand the reasons for switching medications. In your case, it appears that you experienced increased side effects, such as more frequent missed heartbeats and elevated blood pressure readings after switching to a new medication (心舒平). This indicates that the new medication may not be suitable for your condition, and returning to your previous medication (凱蒂心) is a reasonable approach. However, it is crucial to communicate openly with your healthcare provider about any side effects or concerns you have regarding your medications.
One of the primary considerations when switching medications is the potential for drug interactions. In your situation, your doctor suggested that if you are concerned about taking 康肯 (which is likely a reference to another medication) alongside 凱蒂心, you can stagger the dosing times. This is a common practice to minimize interactions and side effects. It is advisable to follow your doctor's instructions regarding the timing of your medications, as they can provide guidance based on your specific health profile.
In terms of the timing of switching back to 凱蒂心, it is generally acceptable to transition back to a previously tolerated medication without a prolonged waiting period, especially if you have been experiencing adverse effects from the alternative medication. However, it is always best to consult with your healthcare provider for personalized advice. They may recommend a gradual tapering of the new medication before resuming the old one to avoid any potential withdrawal effects or exacerbation of symptoms.
Monitoring your blood pressure and heart rate during this transition is crucial. Keep a detailed log of your readings, noting any symptoms you experience. This information will be invaluable for your healthcare provider in assessing the effectiveness of the medication switch and making any necessary adjustments.
Additionally, lifestyle factors play a significant role in managing hypertension. Ensure that you are following a heart-healthy diet, engaging in regular physical activity, managing stress, and adhering to any other recommendations your healthcare provider has given you. These lifestyle modifications can enhance the effectiveness of your medications and contribute to better overall health.
Lastly, if you continue to experience issues with blood pressure control or side effects from your medications, do not hesitate to reach out to your healthcare provider. They may consider alternative classes of antihypertensive medications or additional therapies to better manage your condition.
In summary, switching hypertension medications requires careful consideration of the reasons for the switch, potential drug interactions, and the timing of the transition. Open communication with your healthcare provider, diligent monitoring of your blood pressure and symptoms, and adherence to lifestyle modifications are all essential components of effective hypertension management. Always prioritize your health and well-being by seeking professional guidance when making changes to your medication regimen.
Similar Q&A
Managing High Blood Pressure: Questions About Medication and Lifestyle Changes
Hello Doctor, I would like to ask you some questions. After switching to a different blood pressure medication (originally taking a beta-blocker, now switched to a calcium channel blocker, with similar dosages), my blood pressure has been difficult to control (previously around 1...
Dr. He Dongjin reply Cardiology
Hello, young individuals with hypertension often experience this condition due to overactivity of the autonomic nervous system. Therefore, taking a beta-blocker may yield better results, while other types of medications may be less effective. It is recommended to switch back to a...[Read More] Managing High Blood Pressure: Questions About Medication and Lifestyle Changes
Managing Hypertension: Is It Necessary to Switch Medications Regularly?
Dr. Hsieh: Hello, thank you for taking the time to answer. I have heard information regarding hypertension medications that they should not be taken long-term in the same type, and that a change in medication is necessary after a certain period. Is this accurate? I am currently t...
Dr. Xie Weigong reply Pharmacology
Hello MINI: Please take the medication as directed by your physician and at the same time every day. If you miss a dose but it is still within a reasonable time frame, take it as soon as possible. If several hours have passed or it is close to the time for your next dose, do not ...[Read More] Managing Hypertension: Is It Necessary to Switch Medications Regularly?
Managing Blood Pressure Fluctuations After Medication Change: What to Do?
My father has hypertension and was previously on a specific medication. However, since the hospital stopped purchasing that medication, his family doctor prescribed different types of medication. They have switched to three different medications and even increased the dosage to 1...
Dr. Lin Changqi reply Cardiology
1. It is necessary to review the list of medications being taken to determine if the cough is drug-induced. 2. It is important to examine the list of medications to assess whether the treatment is comprehensive. 3. It is essential to check for any unknown comorbidities such a...[Read More] Managing Blood Pressure Fluctuations After Medication Change: What to Do?
Managing Hypertension: Dealing with Medication Side Effects and Alternatives
I have hypertension, and my doctor prescribed the following medications: Atenol 100mg and Norvasc 5mg. After taking the medication, I noticed difficulties with erections. I later learned online that Atenol is a beta-blocker and can have this side effect. I also understand that be...
Dr. Xie Weigong reply Pharmacology
1. If blood pressure is not well controlled, immediately discontinue Atenolol and switch to another medication. If blood pressure is well controlled, consider reducing the dosage. 2. Alternative medications may include other ACE inhibitors such as Capoten, or switch Atenolol to a...[Read More] Managing Hypertension: Dealing with Medication Side Effects and Alternatives
Related FAQ
(Cardiology)
Medication Consultation(Cardiology)
Medication Safety(Pharmacology)
Drug Interactions(Cardiology)
Chronic Diseases(Pharmacology)
Medication Consultation(Pharmacology)
High Blood Pressure(Internal Medicine)
Drug Classification(Pharmacology)
Drug Interactions(Family Medicine)
Blood Pressure(Family Medicine)