How to control the rise of BP during anxiety? Is tablet Concor advisable?
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Education:
MBBS
Professional Bio:
Dr.Anoop Mathew is an expert in the field of Cardiology. He is experienced and well-versed in all the treatment modalities in Cardiology.
This doctor is not available for online consultations on the platform anymore.
Dr. Anoop Mathew
Medically reviewed by
Patient's Query
Hi doctor,
I am suffering from high blood pressure for the last three years. During discomfort, the reading comes around 140-148/90-98 mmHg. In normal times, it is 120/80 mmHg. Presently, I have been taking Cilacar 10 in the morning after breakfast and Ecosprin AV 75 at night as suggested by my doctor. I am taking Cilacar since nine months and started Ecosprin just five to six months back. Earlier, I was taking Telma 40. But, my high BP has not cured fully. Sometimes, particularly in the evening due to the anxiety I feel some discomfort and uneasiness in the left chest. But, I do not have any pain. I am getting sleep only after some struggle for an hour or two. But after deep sleep, I feel relieved. My blood sugar level, lipid profile and last ECG report were fine. My doctor did not advise for echo or any further test. I have attached my latest blood report. I do not smoke and drink. But, inactive lifestyle due to sitting in front of a computer for hours. Please suggest some alternate or additional medicine to cure my hypertension and anxiety. Thank you.
Hi,
Welcome to icliniq.com.
You have hypertension (high blood pressure), which is out of control occasionally during episodes of anxiety. The baseline BP control is fine. I would suggest adding a new medicine, tablet Concor 2.5 mg (Bisoprolol) once daily at 8 AM. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Bisoprolol will help in controlling the rise of blood pressure during episodes of emotional stress and physical exertion. You may continue the Cilacar (Cilnidipine) and Ecosprin AV (Aspirin). Both are good tablets. Also, your lipid level is acceptable. Going ahead, I would like you to understand why we are trying to control your BP optimally. It is to prevent silent organ damage. Some of these drugs that you are taking, including Cilacar and Concor are excellent in preventing kidney disease and stroke. Let me encourage you to develop a more healthy lifestyle. One practical suggestion would be to join a good gym and have a trainer. You should start with elliptical trainer and treadmill. You need to change your sedentary lifestyle and that in turn will help you to decrease the number of medicines. Also, having a personal trainer will help you to have a sustainable activity program.
Patient's Query
Thank you doctor,
I am very much pleased for your kind and life saving advice. I have got the additional medicine from my doctor as suggested by you that is Concor Cor 2.5. I did not get Corcor 2.5. Is that fine? Also, I have a few more queries. As I usually take breakfast after 10 AM, can I take Concor before breakfast? Is it fine to take Concor and Cilacar both in the morning, one before breakfast and the other after breakfast?
Hi,
Welcome back to icliniq.com.
Yes, Concor Cor is same as Concor. It is just a brand name for the low dose formulation. Yes, you can take Concor Cor before food. Concor Cor does not have much interaction with food, hence you may take it with or without food. Try to take it at a fixed time every day as the action lasts for a fixed 24 hours only. It may take a few weeks before the full action of the drugs takes effect. Cilacar also can be taken before or after food. Yes, that is perfectly fine to take both Cilacar and Concor in the morning. But, keep the same time every day as fas as possible. You do have the option of home monitoring of BP also, with some good electronic BP apparatus. Just make sure it is an arm cuffed apparatus rather than a wrist cuffed one.
Patient's Query
Thank you doctor,
Today, I have taken Concor 2.5 at 9 AM and my regular tablet Cilacar 10 at 10.30 AM. At 12 PM suddenly I felt lightheaded and dizzy. So, I took my BP reading at 12.30 PM and it was 106/67 mmHg. In the last three years, I have never seen such low reading for me. I took some salty food to counter to restore normality. But, the hangover was for a whole day. I took some rest by sleeping and somehow managed. At 8.30 PM today, again, I took my BP reading twice and it came around 130/84 mmHg and 126/79 mmHg. No other complication, but it was like a hangover and lightheadedness. Is this normal? What would you suggest to overcome this issue? Should I take 1/2 tablet of Concor 2.5 or change the Cilacar time to 9 PM?
Hi,
Welcome back to icliniq.com.
It is likely that you had a low BP level, which your body is not used to. So, the best thing to do is to come down on the Cilacar to 5 mg and shift the Cilacar to evening time 9 PM. Concor COR 2.5 mg is already a very low dose. If still your BP is low, then we may be able to stop Cilacar completely. Consult your specialist doctor, discuss with him or her and alter the dosage accordingly. You may continue monitoring the BP to see if there are any more hypotension or low BP episodes. The best way to monitor BP is to check it at home when you are relaxed. Levels of home BP of less than 135 mmHg systolic and 85 mmHg diastolic are usually considered normal. Though there are many drugs that cause a severe first dose hypotension effect, Bisoprolol is usually not considered to have such an effect.
Patient's Query
Hi doctor,
I would like to share my condition with the medicine and dose you suggested. Day 1 - Concor 2.5 and Cilacar 10 in morning, feeling severe dizziness. Day 2 - Concor 2.5 only in the morning, last day hangover was continued and could only feel better after evening. Cilacar 5 mg taken at 9 pm. But anxious before gone to deep sleep. Day 3 - Morning feeling better. BP recorded 120/79 mmHg pulse 65 beats per minute at 8.55 am. Concor 2.5 taken at 9 am. Started to feel mild dizziness at 12 pm. BP recorded to 114/75 mmHg pulse 62 beats per minute at 12.50 pm. Even mild dizziness or lightheadedness is making me uncomfortable to concentrate on my work that is sitting in front of the computer. Tiredness feeling in eyes. One positive thing which I felt with this medicine is no pressure in the chest during anxiety or anxiousness, which was my main concern. My BP elevates during anxiety only. Would you like to suggest some other way to take this medicine like half of the Concor 2.5 and Cilacar 5 mg in the morning and Cilacar 5 mg in the evening or any other way?
Hi,
Welcome back to icliniq.com.
We will try changing the timing of the medicines. Shift Cilacar 5 mg to morning and Concor 2.5 mg at 9 pm. In that way, you will not feel any tiredness during the day. Since the BP levels are optimal, I do not think the fatigue is due to the medicines. Have you started some physical activity yet? Like walking at least for some time a day will make you less tired.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Dr. Anoop Mathew
Cardiology
Related Questions
What is the right time to exercise?
Will CMV or herpes infection before or after birth affect pregnancy or child?
How should I control my BP in winter?
Hypertension - How Aware Are You?
Hypertension and Skipping Anti-Hypertensive Pills - A Small Step Towards a Big Mistake
What could be the reason for right-sided anterior pelvic tilt?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
