Managing Side Effects of Heart Medications: What You Need to Know - Cardiology

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Hello, doctor: I previously had high blood pressure and visited a cardiologist who prescribed [Mavik] and [Nebivolol].
Recently, I went to a clinic due to headaches, and the doctor mentioned that it might be a side effect of [Mavik].
The clinic advised me to stop the medication for two weeks for observation.
Is it safe to stop the medication for two weeks? The clinic doctor also mentioned that [Mavik] could cause erectile dysfunction...
is this true? Should I return to the cardiologist to adjust my medication? Thank you.

Wu, 30~39 year old female. Ask Date: 2023/06/16

Dr. Cai Guiqin reply Cardiology


Recommendation: Please discuss the above situation further with your attending physician.
Thank you.
Wishing you good health!

Reply Date: 2023/06/16

More Info


Managing side effects from heart medications can be a complex issue, especially when dealing with conditions like hypertension and the medications prescribed to manage it. In your case, you mentioned being prescribed medications such as "脈優" (likely referring to a beta-blocker) and "耐比洛錠" (which may refer to a calcium channel blocker or another antihypertensive). It's important to understand the potential side effects of these medications and how to manage them effectively.

Firstly, it's not uncommon for patients to experience side effects from heart medications. Common side effects of beta-blockers, like "脈優," can include fatigue, dizziness, and headaches. In some cases, they can also lead to sexual side effects, including erectile dysfunction. This is due to the way beta-blockers affect blood flow and the nervous system. If you are experiencing significant side effects, such as persistent headaches or erectile dysfunction, it is crucial to discuss these with your healthcare provider.

Regarding your question about stopping the medication for two weeks, it is generally safe to temporarily discontinue a medication like "脈優," but this should always be done under the guidance of your healthcare provider. Stopping medication suddenly can sometimes lead to rebound effects, such as a spike in blood pressure or heart rate. Therefore, it is advisable to follow your doctor's recommendations closely. If your doctor has advised you to stop the medication for observation, they likely believe it is safe to do so in your specific situation.

If you find that your symptoms persist or worsen after stopping the medication, or if you experience new symptoms, it is essential to return to your cardiologist for further evaluation. They may consider adjusting your medication regimen or switching you to an alternative medication that may have a more favorable side effect profile for you.

In terms of managing side effects, here are some general strategies:
1. Communication with Your Doctor: Always keep an open line of communication with your healthcare provider. Report any side effects you experience, as they may be able to adjust your dosage or switch you to a different medication.

2. Lifestyle Modifications: Incorporating lifestyle changes can help manage blood pressure and reduce the need for medication. This includes maintaining a healthy diet, exercising regularly, reducing sodium intake, and managing stress.

3. Monitoring Symptoms: Keep track of your symptoms, including when they occur and their severity. This information can be invaluable for your healthcare provider in determining the best course of action.

4. Educate Yourself: Understanding your medications, including their potential side effects and how they work, can empower you to manage your health more effectively.
5. Consider Alternative Therapies: If medication side effects are problematic, discuss with your doctor the possibility of alternative therapies or medications that may be less likely to cause side effects.

In conclusion, while managing side effects from heart medications can be challenging, it is crucial to work closely with your healthcare provider to find a solution that works for you. If you have concerns about your current medications or their side effects, do not hesitate to reach out for a follow-up appointment. Your health and well-being should always be the priority, and there are often multiple options available to help manage your condition effectively.

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