Managing Low Blood Pressure Issues from Heart Health Medication

The issue of hypotension caused by heart health supplements?

I have a history of low blood pressure, but it is not low enough to be classified as hypotension.
However, I was prescribed "Heart Care Tablets" for migraine treatment, taking half a tablet in the morning and half in the evening.
It seems that this medication has caused my blood pressure to drop significantly.
I feel that my heart rate is quite slow, so I measured my blood pressure and found that my systolic pressure is below 80 and my diastolic pressure is below 60.
Besides the sensation of a slow heartbeat, I also experience slight weakness.
My question is: since "low blood pressure" is listed as a side effect of this medication, should I consider it a normal side effect and not worry about it? Or is my blood pressure low enough to be concerning, and should I consult a doctor about changing my medication? (The doctor prescribed a three-week supply, and I'm worried about going back too early and getting reprimanded XD)

Lanlan, 20~29 year old female. Ask Date: 2023/03/24

Dr. Wu Mukhan reply Neurology

Hello, it appears that your blood pressure is indeed too low.
It is recommended to discontinue the use of XinKangLe and to return to the outpatient clinic as soon as possible to discuss medication options with your physician.
There are various other medications available for the treatment of migraines, and if you experience any discomfort after using the medication, you can discuss with your attending physician the possibility of further adjustments.

Reply Date: 2023/03/24

More Info

Managing low blood pressure, especially when it is potentially linked to medication, is a crucial aspect of maintaining heart health. In your case, it seems that you are experiencing significant drops in blood pressure, particularly after starting "心康樂錠" (likely a medication for migraine management that may have cardiovascular effects). Your readings of systolic blood pressure below 80 mmHg and diastolic blood pressure below 60 mmHg indicate hypotension, which can lead to symptoms such as dizziness, fainting, and fatigue.

Low blood pressure can be a normal physiological state for some individuals, particularly if they are asymptomatic and have no underlying health issues. However, when blood pressure drops significantly, especially in conjunction with symptoms like a slow heart rate (bradycardia) and feelings of weakness, it can become a cause for concern. The fact that you are experiencing these symptoms suggests that your body may not be adequately perfused, which can lead to complications if not addressed.

The medication you mentioned likely has hypotension as a side effect, which is not uncommon with certain cardiovascular or migraine medications. It is essential to consider the following steps:
1. Monitor Your Symptoms: Keep a detailed log of your blood pressure readings and any associated symptoms. Note the times of day when your blood pressure is lowest and if specific activities exacerbate your symptoms.

2. Consult Your Doctor: While you may feel hesitant to return to your doctor early, it is crucial to communicate any adverse effects you are experiencing, especially if they are impacting your daily life. It is better to address these concerns sooner rather than later. Your doctor can evaluate whether the benefits of the medication outweigh the risks associated with your low blood pressure.

3. Medication Review: Your healthcare provider may consider adjusting your dosage or switching to an alternative medication that does not have hypotension as a side effect. There are various options available for migraine management that may be more suitable for your situation.

4. Lifestyle Adjustments: In the meantime, you can make some lifestyle changes to help manage your blood pressure. Staying hydrated, increasing salt intake (if not contraindicated), and avoiding prolonged standing can help mitigate symptoms of low blood pressure. Additionally, wearing compression stockings may assist in improving circulation.

5. Follow-Up Testing: If your symptoms persist or worsen, your doctor may recommend further testing to rule out other underlying conditions that could be contributing to your low blood pressure and bradycardia.

6. Educate Yourself: Understanding the potential side effects of your medications and how they interact with your body can empower you to make informed decisions about your health.
In conclusion, while it is possible that your low blood pressure is a side effect of the medication, it is essential to take your symptoms seriously. Do not hesitate to reach out to your healthcare provider for guidance. They can help you navigate your treatment options and ensure that your heart health is not compromised. Remember, proactive management is key to maintaining your overall well-being.

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