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low blood pressure

Heartfelt46 profile image
25 Replies

Anyone had this issue?I have been on a calcium channel blocker for about three years after taking bisop and flec for some twelve years, no issues. I am currently undergoing chemo for breast cancer, about to throw the towel in after three cycles, just too horrific. Have had two three night sessions in hospital with low blood pressure and uti’s. A throw away remark by a cardiologist made me sit up when I left the hospital on Sunday. “Slozem does lower the bp”! Why wasnt this spotted before??? A quick call to the GP and he has lowered the dose, hopefully this will help.

Apart from the big one, stay well hydrated, has anyone any tips on keeping the blood pressure at a reasonable level, Iknow this current weather doesn’t help, but I am thinking more long term. Thanks.

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Heartfelt46 profile image
Heartfelt46
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25 Replies
CDreamer profile image
CDreamer

You are coping with a lot and your body is responding accordingly. How low is low? What was your norm when you were healthy?

I used to have very low BP 90/60 was good. Nowadays I have a steady 120/75, hardly varies - unless I’m in AF but even then it tends to stay above 90 systolic. Some people become very symptomatic with BP under 100 but for me, it has to go below 90 before I feel it.

I stopped all heart meds - that helped.

Kept electrolytes in balance - that helped.

Starting taking 6g+ of salt - that helped - a lot.

Started meds for neurological condition which coincidentally, can also be given for low BP but it’s very rare.

Got Pacemaker that helped the most!

It really depends on why your body is reacting this way and it could be the chemo? Presumably you do have AF so is low BP only in AF (if episodes) or also in NSR? It is SO hard to manage multiple health conditions and all the meds.

I found this site very helpful for tips in living with low BP - heartrhythmalliance.org/sta...

My heart felt best wishes for all you are coping with.

CDreamer profile image
CDreamer

PS - have you had a tilt table test?

Heartfelt46 profile image
Heartfelt46

Hi, thanks for the comprehensive thoughts. As you say the poor body is coping with quite a few issues at the moment and small wonder is complaining. I am in constant Af. Told I couldnt have a pacemaker, heartbeat is strong and would try and overide the technology! Sounds a bit like me! Bp ranges from 83/75 to 121/87 but at the moment mostly under 100/74.

I don’t know what a tilt table test is.

The woozy head does make my ‘good’ chemo days difficult, I am not a person who finds sitting around easy, as my family have told me, ‘you are not a good patient’.

CDreamer profile image
CDreamer in reply to Heartfelt46

The clue is in the name - patient! I’m not a naturally idle person but my 2 conditions have taught me how to pace myself - interesting how the words themselves say it all!

Electrolytes - please ensure your diet is rich in electrolytes - it seems to be the last things most doctors mention but should be the first in my opinion. Take care.

Buffafly profile image
Buffafly in reply to CDreamer

Bit confused about electrolytes - Ladybird explanation please!

CDreamer profile image
CDreamer in reply to Buffafly

It’s magnesium, potassium, sodium and trace elements that make your cells work properly. When there is a deficiency then you can start to feel ill or have palpitations.

Buffafly profile image
Buffafly

What dose of diltiazem? I’m stuck in AF at the moment, BP much lower than usual but the diltiazem is keeping my heart rate at a reasonable level so reluctant to take less. Going to contact GP today.

Heartfelt46 profile image
Heartfelt46 in reply to Buffafly

Hi, 300XL. I agree, Catch 22 situation. Thanks anyway.

Buffafly profile image
Buffafly in reply to Heartfelt46

That’s quite high so you’ve got some leeway, best wishes ❤️‍🩹

KMRobbo profile image
KMRobbo

Slozem is diltiazem and is a blood pressure medicine. As is bisoprolol

Heartfelt46 profile image
Heartfelt46 in reply to KMRobbo

I am not sure if there was more to that note.

KMRobbo profile image
KMRobbo in reply to Heartfelt46

No , just that both drugs reduce blood pressure . AFIBBERS use them as rate control, but people with high BP use them to reduce that.

Tomred profile image
Tomred

They say to stay away from salt as it raises blood pressure, ive had some low bp issues, so i upped my salt intake, not too much but we need salt.

Heartfelt46 profile image
Heartfelt46 in reply to Tomred

Thank you, something I have considered, at times I feel I could do with a bucket load!

Auriculaire profile image
Auriculaire in reply to Heartfelt46

In hot weather lack of salt will bring on cramps. There is a lot of controversy over low salt diets for high blood pressure.

JOY2THEWORLD49 profile image
JOY2THEWORLD49

Hi360mg Diltiazem is the normal dose of this Calcium Channel Blocker.

I was given a change to 180mg Diltiazem am but I also took Bisoprolol.

I droppedH/R from 156 with AF so not CONTROLLED.

On CCB I dropped from 156 to 51! On 180mg.

I changed prescription to 120mg and to separate Bisoprolol to p.m taking 2.5mg.

As my H/R levelled at 77-88 day but 47 H/R night which has never changed.

Diltiazem brought down BP to normal. 123/72

I have been recently diagnosed with a soft systolic heart murmur. Perhaps that's why I cannot have an Ablation. Also one chamber behind is enlarged.

Its taken 2 years 3 mths to get CONTROLLED and a perfect BP.

Be patient and it looks like you are 'getting there'.

How low is your BP?

Cheri. JOY

As long as you are not light-headed. have headaches or dizziness the specialists dont worry.

Nothing has been done to my low pressure with low H/R at night.

baba profile image
baba in reply to JOY2THEWORLD49

"Hi360mg Diltiazem is the normal dose of this Calcium Channel Blocker."

There are several different forms of this drug and different dosages depending on formulation.

bnf.nice.org.uk/drugs/dilti...

Heartfelt46 profile image
Heartfelt46 in reply to baba

Thank you joy, further investigation may be required!

Heartfelt46 profile image
Heartfelt46 in reply to JOY2THEWORLD49

Hi Joy,, these drug combinations are a law unto themselves. Thank you for your comments,

irene75359 profile image
irene75359

I have also been undergoing chemo, last year, and also this year combined with radiotherapy. During treatment I was feeling very dizzy and took my blood pressure - 90/56. I told the doctor at the RMH and she told me to stop me blood pressure tablets, and said I might not need them again. I am 18 weeks out of treatment and so far my blood pressure is now 110/65. I do hope they get the side effects sorted out for you, my very best wishes.

Heartfelt46 profile image
Heartfelt46 in reply to irene75359

Thank you for your reply. It is hard to know if it is the combo of chemo and Diltiazem which is causing issues. Whichever, it’s not a lot of fun, as you have experienced. I trust your cancer treatment is at an end and has been successful. Take care.

irene75359 profile image
irene75359 in reply to Heartfelt46

No scan for another three months, first long break in fifteen months, we literally ran away to Spain!

Heartfelt46 profile image
Heartfelt46 in reply to irene75359

How wonderful

Singwell profile image
Singwell

Hello. I don't know if you feel you're already answered but I take Diltiazem too and have had issues with BP hypos whilst on it. Find out if your type is slow or normal release, as this can make a difference. In thr UK we can only get slow (or what they call 'modified release'). With my last hypo event I went down to 55/38 and it was horrible. You may be on too high a dose, especially as you're receiving other treatment. Perhaps you'll manage better on a lower dose. When I get a BP hypo I drink plenty of water, organic coconut water and also drink a miso soup to get my electrolytes up. Apparently drinking V8 can also.help. Find out if your most recent blood showed low levels of those essential minerals.mentioned above - sodium, magnesium and potassium. And don't believe all the stuff about reducing salt intake. We need 6gm of salt a day. What we need to avoid is too much processed foos, where there are often bidden salts, sugar and other chemicals

Heartfelt46 profile image
Heartfelt46

No, not at all, I appreciate all the replies people have been kind enough to send in. Everyone has something valuable to add. There are so many issues involved that one comment might just be the one that triggers a possible answer.

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