Q. What can be done if diastolic blood pressure and heart rate decreases with medications?
Hello doctor,
I am a 30-year-old obese male who has not taken any previous medications. I have a normal BP of 145/85 mmHg and my heart rate has been 55 to 65 bpm. Now after the initiation of the stimulant Methylphenidate, my systolic BP stayed at 145 mmHg but my diastolic fell down to 61 mmHg and my heart rate was also 61 bpm. Then I took ECG that said sinus bradycardia with 51 bpm. What should I do as diastolic BP and heart rate fell down with medications? Also, I feel relaxed and maybe lightheaded a bit. Kindly help.
Hi,
Welcome to icliniq.com.
Thank you for writing and I understand your concern. I suggest you should stop taking Methylphenidate and then your blood pressure will come to a normal range. If still high then I would suggest you change the medicines you can go for a tablet of Amlodipine 5 mg once a day. But a blood pressure of 145/85 mmHg is not high blood pressure so you should avoid medications and start dieting instead. Lower salt intake, do regular exercise like walking and running and try to lose some weight. By stopping Methylphenidate your symptoms will improve. Can you please tell me your body weight? Since when you are taking Methylphenidate? Please let me know. Thank you.
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