Blood Pressure Is Stabilized But Pulse Goes Up?

[IDreamInColor]

The doc had me on florinef, but took me off it when my blood pressure was staying too high. He then gave me a prescrip for proamatine which I never took because I was afraid of raising my blood pressure even more. My blood pressure has been ok, for some reason its decided to stay pretty normal lately it's been hovering around 127/85,,but my pulse is going crazy everytime I stand up it shoots way up.

So my question is...was I right in deciding "not" to take the proamatine? What medications do they try when your blood pressure is behaving but your pulse is not?

[derekliz]

My Dr has me on Metoprolol 25 mg at nite and 12.5 mg in the am then Klonopin .5 mg at bedtime and Zoloft 1/4 of a 50mg pill in the am and it has been working pretty well for me the last week or so

Good Luck!

liz

[corina]

for me an ssri does the trick. octreotide works on everything else but i need the ssri to control heartrates on standing.

[Annaliese]

Ivabradine drops your heart rate but doesnt interfere with bp.

[cgnursegirl]

I too was on florinef but it raised my BP too high. Now I am on midodrine(ProAmatine) and the beta blocker metoprolol 25 mg twice a day. I also take paxil and klonopin every day. I think it would be worth a try to take to midodrine, and if it makes your BP go too high, you could always quit taking it. Good luck!

[Brye]

I take atenolol for HR control. Works great. I do have to worry about my BP running to low though. Needs to be adjuste once and a while. I take florinef and midodrine as well to keep my BP high enough so I'm able to take the atenolol.

Brye

[Csmith3]

I wish I knew. In theory the answer to your question is ivabradine.

In my experience, I can either control HR or BP in the medium term. In the short term I have controlled both and felt great, but it has only lasted a few weeks. I can only assume that my body then attempts to compensate for the medication and I end up back where I started or worse.

On proamatine, in the medium term, by BP rose from low/low normal to high normal. My HR initially reduced to about 80, but then kept on reducing to 40 or less so I had to stop taking it on a regular basis. I still occasionally use it for a quick raise of BP if I am feeling really bad. If I was you, I would still try it. It is short acting and may well improve things, particularly if you have EDS. It is the only thing I have taken and thought it has really got to the source of the problem rather than just dealing with symptoms.

I take ivabradine and it has managed my HR down to a consistently low level (60bpm) and has improved life for me. My BP has gone back to being low/low normal. The risk with ivabradine is that the range of possible HR is narrowed so it can limit activity. Low HR and BP is not helpful. I think it has increased the amount of time I can be stood up provided I am walking around. I am less convinced it has increased the amount of time I can stand still, though perhaps that it the NCS.