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Thread: OBS'S PHARMACOM (Experience Log)

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  1. #1
    Join Date
    Jun 2004
    Location
    the lower carolina
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    25,604
    You have to be very careful with Catspres/clonidine until you find the appropriate dosage.
    It can work too well and put your BP waaaay low. Beta blockers slow down your heart rhythm and the forcefulness of the contraction, which lowers BP. For my issues, CoReg/carvedilol work great.
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  2. #2
    Join Date
    Jun 2019
    Location
    Louisiana
    Posts
    122
    Quote Originally Posted by almostgone View Post
    You have to be very careful with Catspres/clonidine until you find the appropriate dosage.
    It can work too well and put your BP waaaay low. Beta blockers slow down your heart rhythm and the forcefulness of the contraction, which lowers BP. For my issues, CoReg/carvedilol work great.
    This is true, you have to titrate up from the lowest dose (0.1mg = 1mcg) until you find your appropriate dose. I can't remember, but I think I wen't up by 1mcg every week until I found mine. Another reason metoprolol didn't work for me is because I have an autonomic dysfunction where my HR goes very high when I stand (130-150 bpm) but when I sit down it's in the low 50's. It made my HR too low when I was sitting down and back then I was pretty much couch bound from the pain.

    Also, especially when it comes to BP meds, everybody reacts differently, so one med that works great for this person might be terrible for the next.

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