Can Blood Pressure Medications Cause Unintentional Head Nodding? - Cardiology

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Can the side effects of hypertension medication cause involuntary head shaking?


My mother has a family history of hypertension and has recently started taking blood pressure medication.
It seems she is taking a medication called Mavik.
Recently, I noticed that she unconsciously shakes her head while eating and at other times.
She mentioned that she has also noticed it herself.
I want to ask if this is a side effect of the blood pressure medication? Is it very abnormal? I am really worried about her!!!!!!!!!

Jane, 20~29 year old female. Ask Date: 2012/06/10

Dr. Lin Jixiong reply Cardiology


Hello, it is generally uncommon to experience such phenomena while taking blood pressure medication.
It is recommended to consult a neurologist to discuss possible causes.
Sincerely, Dr.
Lin Chi-Hsiung, Taoyuan Hospital, Department of Health, Executive Yuan.

Reply Date: 2012/06/10

More Info


Unintentional head nodding, or involuntary movements of the head, can be concerning, especially when it occurs after starting a new medication. In your mother's case, since she has a family history of hypertension and has recently begun taking blood pressure medications like Norvasc (amlodipine), it is understandable that you are worried about the potential side effects of her medication.

Amlodipine is a calcium channel blocker commonly prescribed to manage high blood pressure and angina. While it is generally well-tolerated, like all medications, it can have side effects. Common side effects of amlodipine include swelling of the ankles or feet, flushing, palpitations, and dizziness. However, involuntary movements such as head nodding are not typical side effects associated with this medication.

There are several potential explanations for your mother's involuntary head movements:
1. Medication Side Effects: While not common, some medications can lead to movement disorders. If your mother is taking other medications in addition to Norvasc, it is essential to consider interactions or cumulative side effects. For example, certain psychiatric medications or medications for anxiety can cause tremors or involuntary movements.

2. Neurological Conditions: Involuntary head movements can also be a sign of neurological conditions such as essential tremor or dystonia. These conditions can occur independently of medication use and may require evaluation by a neurologist.

3. Anxiety or Stress: Sometimes, anxiety can manifest in physical symptoms, including muscle tension and involuntary movements. If your mother is experiencing stress or anxiety related to her health or other life circumstances, this could contribute to her symptoms.

4. Other Health Issues: Conditions such as thyroid disorders, electrolyte imbalances, or even dehydration can lead to muscle spasms or involuntary movements. It is essential to consider her overall health and any other symptoms she may be experiencing.

Given your concerns, it is crucial for your mother to consult her healthcare provider. A thorough evaluation can help determine whether the head nodding is related to her medication, an underlying health condition, or another factor. The doctor may consider adjusting her medication, performing blood tests to check for any imbalances, or referring her to a specialist if necessary.

In the meantime, it is essential to monitor her symptoms closely. If the head nodding becomes more frequent, is accompanied by other concerning symptoms (such as dizziness, confusion, or changes in vision), or significantly impacts her daily life, seek medical attention promptly.

In summary, while blood pressure medications like Norvasc are generally safe, they can have side effects, and involuntary head movements are not typical. A comprehensive evaluation by a healthcare professional is the best course of action to ensure your mother's health and well-being.

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