Different advice : Not a question... - British Heart Fou...

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Different advice

Mrsbeevintage profile image
MrsbeevintageHeart Star
11 Replies

Not a question really but having just had a follow up chat with the pharmacist after starting my meds I told her how low my BP went half hour after taking the bisoprol 5mg and ramipril 5mg along with the aspirin in the mornings .she asked why I was taking them both at the same time and said I should take the ramipril at night ! After telling her that her colleage told me to take them that way she looked a little confused and said I should mention it to the doctor on Monday and maybe lower the dose...

All in saying is now I'm not sure who to trust and I am very grateful that I have found you guys .

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Mrsbeevintage
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11 Replies
skid112 profile image
skid112Heart Star

Hi mrsbee, interesting indeed. I should mention it to your doctor, sounds as if you either need your dosage adjusted or, indeed, take them at differing times. The bisoprolol is a beta blocker, relieves high blood pressure, the other is what's called an ace inhibitor, this too lowers blood pressure.

For what it's worth I was in both, my bisoprolol is now only 1.25 mg the ramipril was 2.5 mg but the latter caused me issues wuth a cough so I'm on candestartan now

Mrsbeevintage profile image
MrsbeevintageHeart Star in reply toskid112

Thanks for the reply ..luckly I don't as yet seem to have developed the cough..chemist as it to take the ramipril capsule at night so I will ask .I can see it's trial and error to get things right .

skid112 profile image
skid112Heart Star in reply toMrsbeevintage

Yes it is we have to learn to listen to our bodies and note any ill effects

Twobells profile image
Twobells in reply toskid112

I only take mine at night but changing from Ramipril as like Mark got a cough. I no longer take bisoprol as bp always on low side.

Shandypants profile image
Shandypants

Hi, I take mine together in the morning which is what the hospital and rehab nurse said to do. I’ve had some problems with a cough but not my bp. Like you say speak to the doctor and work out what works best for you. Tania

stevejb1810 profile image
stevejb1810

I take my bisoprolol in the morning and ramipril in the evening - this is how it was dished out in hospital pre and post surgery. My prescriptions just say take one a day. I don’t think there are any hard and fast rules here but I think you could split the two morning and evening without any issues but I would check it with your GP and I’d also see if you can reduce the dose of one or both as well.

Heartlady1 profile image
Heartlady1

Hi.... I was told to take my ramipril on the evening... the explanation was because the ramipril can make you feel dizzy and so I take mine about an hour before bed.

Mrsbeevintage profile image
MrsbeevintageHeart Star in reply toHeartlady1

Thankyou ...thats what I think I'll do after talking to the doc.

FMW62 profile image
FMW62

I have the feeling BP medication is a matter of trial and error! After having a mitral valve replacement, with complications due to an allergy, I left hospital in 2016 on Amlodipene, Bisoporol and Candarsartan, all for blood pressure etc. I have been back to hospital a couple of times since then and each time they reduce my Candarsartan dosage ( while monitoring my blood pressure several times a day). I am now down from 16mg to 6mg. If I hadn't been an in patient, I don't think this would have happened.

Recently, while talking to my GP, I mentioned that I had been re-reading the side effect leaflets and I seemed to have every minor side effect on the list for Amlodipene - none of them badly enough to mention normally. He said "Just drop it then. Its only for high BP and you don't have high BP"! I dropped it and it made no noticeable difference to my BP!

I would talk to your GP.

Mrsbeevintage profile image
MrsbeevintageHeart Star

Thankyou

Mrsbeevintage profile image
MrsbeevintageHeart Star

Yes I agree ..seeing the doc tomorrow

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