HF meds and weight loss: hello. I have... - British Heart Fou...

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HF meds and weight loss

Alim783 profile image
19 Replies

hello.

I have been taking Entresto, dapaogliflozin, and Bisoprolol for just over 3 weeks and have had quite a bit of weight loss, half a stone and I am already very slight! I am eating more and not putting any on! Is this common with these medicines? I’m getting a little worried. Thanks

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Alim783 profile image
Alim783
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19 Replies
Lowerfield_no_more profile image
Lowerfield_no_more

I suggest you ask a pharmacist or talk to the BHF Heart Helpline nurse who should be able to give a professional opinion on your circumstances.

bhf.org.uk/informationsuppo...

Alim783 profile image
Alim783 in reply toLowerfield_no_more

Yes I plan to speak to my cardiologist in a few weeks time!

TheBesty profile image
TheBesty

I think you lose some weight with dapa through peeing your sugar out and entresto is a diuretic so you pass loads of fluid. Obviously don't listen to me though, speak to a nurse.

Have the cardio department given you a non urgent number to call? I have one that I phone up and ask them about stuff like this or just phone up to moan at them about medications and stuff, you should have a local one too, find it out and give them a shout. Best to let them know just incase 👍

Alim783 profile image
Alim783 in reply toTheBesty

Thanks, I have heard that dapa can cause weight loss… have messaged my HF nurse too! Never thought I’d be complaining about loosing weight 😆

TheBesty profile image
TheBesty in reply toAlim783

Yeah! What you moaning at!! Eating more and losing weight... You are living the dream 😆

Alim783 profile image
Alim783 in reply toTheBesty

😂😂😂

Butterfly65 profile image
Butterfly65

Hello, Since your HF diagnosis you've stated you've had no symptoms with HF but we do retain fluids so if you're taking diuretics you may have lost fluid on lungs that has caused your weight loss.

Whilst in hospital last September I lost 1 & a half stone during an eleven day period when I was given diuretics intravenously but I had severe oedema in my feet, ankles, lower legs, tummy & lungs.

Your HF nurses & Gp should be checking your lungs & the rest of your body for oedema to ensure there is no fluid build-up.

Alim783 profile image
Alim783

thank you. I had an xray in November and my lungs were clear. This was before I even started on the meds.

Butterfly65 profile image
Butterfly65 in reply toAlim783

If you have no visible signs of oedema & your lungs are clear, then I would ask HF Nurses or your GP about your sudden weight loss & why you've been prescribed diuretics. Perhaps your sudden weight loss is due to the stress of you being diagnosed with HF?

I used to lose loads of weight whenever I was stressed, even when eating well.

I know many of us don't like to bother our HF nurses but you should put your mind at rest and give them a ring.

Alim783 profile image
Alim783 in reply toButterfly65

Hi, I messaged my HF nurse today and she said it can happen with the meds and should level out.

cappachina profile image
cappachina

I have just started the dapaglifozin and been told it causes weight loss as you get rid of more sugar The drug was originally just for diabetes but works well for heart Have you had any sideffects I am slightly concerned about starting mine. I would watch yourweight if you are already slight a nd report it. I am sure others on it will be along with info which I will read with interest too

Alim783 profile image
Alim783 in reply tocappachina

Hi, I messaged my HF nurse today and she said it can happen with the meds and should level out.

cappachina profile image
cappachina

Thanks hopefully you will stop losing it I can afford to lose 7lbs so I don't mind that My body doesn't like them and always reacts and I end up having to come off them which is why I am worrying

Alim783 profile image
Alim783 in reply tocappachina

Don’t be worried, apart from weight I have no other side effects and I feel good to know that this is helping my heart! Hopefully any side effects you may have will subside in time x

honeybubs profile image
honeybubs

Hi, I have been on these 3 same drugs for 2 years now and I haven’t put on weight or lost weight but with having low bp it made me more dizzy. I can only take low doses of them for that reason. Perhaps you could question the strength of the doses you are on it might be too high for you - just a thought. Hope you get answers. Good luck.

Pouchielou1972 profile image
Pouchielou1972

This happened to me. I lost 2 stone in 9 days. It settled down after a few weeks though. It was just my body adjusting to the meds. Now I've gone the opposite way and put on loads of weight and can't seem to shift it! 😫

Drawforaliving profile image
Drawforaliving

I lost quite a bit of weight from dapa despite my bmi being 25 to start with. I found eventually it to be unsustainable though. 2 years in I had to stop as I started to take an ill, gaunt appearance. Of my many cardiac woes HF isn't one of them so they allowed me to stop, the dapa was helpful rather than a must for me. I think it may be more important for a HF patient. What you are experiencing is totally normal in my experience but keep an eye on everything and discuss with the relevant medical professionals if you are worried.

A246 profile image
A246

Are you also on spironlactone that is water pill so will cause weight loss in water. Dapagloflozin although diabetes and HF drug caused water loss too. I am on them all. Try not to worry early days buddy.

Larneybuds profile image
Larneybuds

Good morning....like yourself I am quite small framed and am on the same meds. I eat really well but am careful with regard to certain things so eat 'heart healthily'. I initially lost weight on the meds but have levelled out though have to say find it difficult to put weight on and would love to be carrying more. I believe it's the Dapagliflozin being that it is also a drug for diabetics so you don't retain sugars as you would normally do. If you have HF you are more likely on a diuretic as well. This isn't because you have any fluid build, it's to stop it from building up so that most probably also keeps weight down. If you are concerned, speak to your GP or HF nurse but I am sure it will be the dapagliflozin. Xx

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