HomeAnswersCardiologyhypertensive urgencyCan my wife have bradycardia problems if she continues to use the decongestant prescribed for a blocked nose?

Can a person get bradycardia if they continue to use a decongestant given for a clogged nose?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At July 29, 2023
Reviewed AtAugust 16, 2023

Patient's Query

Hello doctor,

My wife experienced a hypertensive crisis. For years, she has been taking Coversyl 5. She believes a decongestant used for a clogged nose may have contributed to the hypertensive crisis. The doctor altered her therapy to Concor 2.5 and Coversyl 5 with posology. Please find the latest four days' worth of monitoring data attached. Does my wife's continued use of the existing posology put her at risk for bradycardia issues? Please assist.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern. Suppose her blood pressure was normal on Coversyl 5 mg for years and suddenly increased. In that case, it means there may be some acute medical issue causing blood pressure to rise, like acute anxiety, missing doses of medicine, and decongestants may also raise blood pressure. For such as blood pressure should be monitored daily. It will normalize once the acute event subsides. Concor (Bisoprolol) is a medicine that affects heart rate and has a negligible effect on blood pressure lowering. Usually not prescribed for blood pressure. If her blood pressure remains normal, continue and monitor her heart rate. At rest, the heart rate may reach 49 beats per minute without any problem. After seven days, withdraw Concor (Bisoprolol) by halving the dose for a week. Then, stop and monitor blood pressure and heart rate. Revert with the answer to assist further.

Thank you and take care.

Regards.

Patient's Query

Hello doctor,

Thank you for the reply.

We are still closely monitoring the cardiac readings, particularly the pulse rate. Is 45 beats per minute the lowest (safe) pulse rate?

Kindly help.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern. Every person has different safe levels. If her heart rate is that low, have an electrocardiogram (ECG) done to see whether it is sinus brady or some block. Usually, in young, healthy persons, the heart rate may drop to the 30s in sleep. In some, a heart rate of 60 causes problems.

I hope this helps.

Thank you and take care.

Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zohaib Siddiq
Dr. Muhammad Zohaib Siddiq

Cardiology

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