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Suggest Treatment For Terrible Balance, Dizziness, Headaches And Frequent Falling

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Posted on Thu, 7 Sep 2023
Question: My doctor has prescribed BP meds (Bestolic, Losartan) which create a terrible balance (dizziness) problem + terrible headaches. I've fallen several times already. He said they are doing a very good job controlling the BP but I want to stop taking them and take something else. What should I do (before changing Doctors)?
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Answered by Dr. Ilir Sharka (16 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:

Hello,

Both these drugs may lead to dizziness as a known adverse effect in up to 4 % of the patients. I would like to know if you started both these drugs at the same time or one after the other. Coming to this point, I would recommend trying to stop one of them once and see if it is the main cause of dizziness.

In this regard, I would first recommend switching from losartan to amlodipine and see if your situation improves. If your situation dose not improve, stopping bystolic would be the next step to consider. In the meantime, I would recommend you to closely monitor your blood pressure values and heart rate.

Losartan's main action is on blood pressure values, while bystolic affects more the heart rate by reducing it. You should discuss with your doctor on the above issues.

I remain at your disposal for any further questions whenever you need!

Regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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Suggest Treatment For Terrible Balance, Dizziness, Headaches And Frequent Falling

Brief Answer: I would recommend as follows: Detailed Answer: Hello, Both these drugs may lead to dizziness as a known adverse effect in up to 4 % of the patients. I would like to know if you started both these drugs at the same time or one after the other. Coming to this point, I would recommend trying to stop one of them once and see if it is the main cause of dizziness. In this regard, I would first recommend switching from losartan to amlodipine and see if your situation improves. If your situation dose not improve, stopping bystolic would be the next step to consider. In the meantime, I would recommend you to closely monitor your blood pressure values and heart rate. Losartan's main action is on blood pressure values, while bystolic affects more the heart rate by reducing it. You should discuss with your doctor on the above issues. I remain at your disposal for any further questions whenever you need! Regards, Dr. Iliri