Doxazosin tolerance after Minoca

[Hestir]

Hi all, I’ve been on hypertension meds before my Minoca a month ago and gradually the meds have been reintroduced. I find however, that the doxazosin I take in the evening makes me feel anxious and short of breath. Has anyone had a similar experience? I’m on a very low dose as it is. Before my HA it did not bother me at all. Thank you in advance.

[Milkfairy Heart Star]

Hello,

Has the cause of your MINOCA been determined?

I was prescribed doxazosin many years ago, but it didn't help me.

It didn't make me feel anxious.

What made me anxious at the beginning was not knowing the cause of my symptoms, followed by the Cardiologists not understanding what was going on.

Have you got a follow-up appointment with a Cardiologist soon?

[Hestir in reply to Milkfairy]

I know exactly what you mean and no, trying to find out the cause of my Minoca seems to be beyond the realm of public health in NZ. The message from my gp was plain… get on with your life. I must admit that I feel a bit neurotic from time to time but Im getting there.

[Milkfairy Heart Star in reply to Hestir]

I am sorry you are in this situation. I am in the UK and had all my tests through the NHS, including a functional angiogram using acetylcholine to confirm my diagnosis of coronary vasospasms, 10 years ago.

Your GP perhaps needs to update their knowledge. A MINOCA is a working diagnosis and by no means benign.

There is an acknowledged bias in medicine if you are a women or older.

heart.bmj.com/content/110/2...

[bluemoon572]

My wife and I have taken doxazosin for years and have not had these symptoms. A pronounced drop in BP has to be guarded against though,especially in elderly people such as us.

[fishonabike]

I agree with Milkfairy - but I would add that if a medication does not suit you it might be helpful to ask your doctor about any alternatives - doctors expect us to "comply" with the treatment they prescribed, but they have a responsibility to explain why they select this treatment and offer alternatives where necessary or appropriate