What Causes Uncontrolled BP Levels Despite Having Prolomet And Betaloc?

Posted on Sun, 14 Dec 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 14 Dec 2014 Answered on

Fri, 9 Jan 2015 Last reviewed on

Question : I have been taking prolomet 25xl, ismo20, betaloc 150, prax 10 for the last 13 months after my 2nd angioplasty. For the last 15 days my bp is ranging between 105-160 and I feel chest heavyness also sometimes. I continued my morning walks of 5-6 km. but after that I feel tired. Pls advise whether I have to change my medicines. Besides the above dose I take Ecosprin150, atorvastin, betaloc150, Ismo20 before going to sleep also

Answered by Dr. Tushar Kanti Biswas (13 hours later)

Brief Answer:
Hypertension and coronary artery disease

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
Prolomet 25 XL contains 25mg of Metoprolol. Betaloc also contains Metoprolol .It is not clear why you have been prescribed same beta-blockers twice.
Since your BP is 160/105 i.e not adequately controlled ,you should take ACEI (angiotensin-converting-enzyme inhibitor) e. g. Ramipril ( standard dose 5 mg once daily) and in place of betaloc 500/150 ,more logical prescription would be Prolomet 50 XL once daily.
Otherwise,Ismo 20mg twice a day,Nicorandil 5 mg twice a day,Rosuvastatin 40 mg once daily,Prasugrel 10 mg once daily,Ecosprin 150 mg once daily,Pan 40 mg once daily are quite standard prescription.

Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj