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What May Cause Elevated BP Levels For 5 Months While On Budecort, Rozavel-F And Delizem-SR?
Posted on
Sat, 31 Mar 2018
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sat, 31 Mar 2018
Answered on
Tue, 30 May 2023
Last reviewed on
Question : Hello Doc,
Medical history
1. Bronchitis asthma
2. Thalassemia Minor
3. Severe Iron deficiency anemia
4. Shoulder pain , muscle pain in shoulder has supraspinatus tear
Recently diagnosed Blood pressure and has been put on blood pressure tablet from past 3 months
Dilzem SR 90mg
She has been having high pulse rate of 100 at resting and at times goes till 120 also.
Current medication
1. Delizem SR 90 --- Blood pressure and pulse
2. Rozavel F --- cholesterol
3. Budecort 200 MCG - Asthma
Current problem :
My mother has been diagnosed with Bronchitis asthma in 2015, she use to take sereflo 125
But she stopped taking inhaler from past 7 – 8 months as on taking inhaler she was feeling high palpitations
Recently she was getting little breathlessness and was snoring a lot in the night with cough and as an observer I could observe her sleeping patterns like she snors and then skips 2 or 3 breaths the noise goes away and then again snoring starts .
Basis the PFT report which we did recently doctor asked to continue the inhaler
But my mom felt very high palpitations for around 3 hours after she took the puff and we had to rush to the casualty yesterday night becoz her pulse went up to 120 and palpitations were not stopping In the emergency, docs did the Cardiac profile test , her pulse came as 118 which the doc said its high but je said may be it is due to the puff the palpitations have started
The doctor changed the inhaler today to Budecort 200mcg
current complain : Even after taking Pulse rate and hypertension tablet her pulse rate goes till 110, 120 at times and blood pressure keeps on fluctuating it comes to 155 over 120 and 52 over 80 .
Questions
1. Please examine the Ambulatory test report done recently and help us understand the reason of fluctuating Blood pressure.
Please advice further on the investigations to be done and the medications .
I am really very concerned as her blood pressure has been on the higher side always from past 5 months and medications have been changed but still no effect
I am attaching the latest Echo report, ECG report, TMT report and Ambulator bp report . please help evaluate the same.
Regards
Medical history
1. Bronchitis asthma
2. Thalassemia Minor
3. Severe Iron deficiency anemia
4. Shoulder pain , muscle pain in shoulder has supraspinatus tear
Recently diagnosed Blood pressure and has been put on blood pressure tablet from past 3 months
Dilzem SR 90mg
She has been having high pulse rate of 100 at resting and at times goes till 120 also.
Current medication
1. Delizem SR 90 --- Blood pressure and pulse
2. Rozavel F --- cholesterol
3. Budecort 200 MCG - Asthma
Current problem :
My mother has been diagnosed with Bronchitis asthma in 2015, she use to take sereflo 125
But she stopped taking inhaler from past 7 – 8 months as on taking inhaler she was feeling high palpitations
Recently she was getting little breathlessness and was snoring a lot in the night with cough and as an observer I could observe her sleeping patterns like she snors and then skips 2 or 3 breaths the noise goes away and then again snoring starts .
Basis the PFT report which we did recently doctor asked to continue the inhaler
But my mom felt very high palpitations for around 3 hours after she took the puff and we had to rush to the casualty yesterday night becoz her pulse went up to 120 and palpitations were not stopping In the emergency, docs did the Cardiac profile test , her pulse came as 118 which the doc said its high but je said may be it is due to the puff the palpitations have started
The doctor changed the inhaler today to Budecort 200mcg
current complain : Even after taking Pulse rate and hypertension tablet her pulse rate goes till 110, 120 at times and blood pressure keeps on fluctuating it comes to 155 over 120 and 52 over 80 .
Questions
1. Please examine the Ambulatory test report done recently and help us understand the reason of fluctuating Blood pressure.
Please advice further on the investigations to be done and the medications .
I am really very concerned as her blood pressure has been on the higher side always from past 5 months and medications have been changed but still no effect
I am attaching the latest Echo report, ECG report, TMT report and Ambulator bp report . please help evaluate the same.
Regards
Brief Answer:
Kindly refer to the detailed answer below
Detailed Answer:
Hello,
I would like to tell you that Budecort doesn’t cause palpitations and your mother can continue with this.
Before going further, I’d like to go through the report, kindly upload the reports from your dashboard so that I can guide you in a proper way.
Kindly revert with the required details.
Regards,
Dr. Bhanu Partap
Cardiologist
Kindly refer to the detailed answer below
Detailed Answer:
Hello,
I would like to tell you that Budecort doesn’t cause palpitations and your mother can continue with this.
Before going further, I’d like to go through the report, kindly upload the reports from your dashboard so that I can guide you in a proper way.
Kindly revert with the required details.
Regards,
Dr. Bhanu Partap
Cardiologist
Above answer was peer-reviewed by :
Dr. Remy Koshy
Hello doc,
Reports attached. I want you to help me evaluate the Ambulory blood pressure report and tell me why there are soo many fluctuation like BP drops at 52 and even raises till 160 and pulse rate is always very high more than 100 always.
Please advice
Reports attached. I want you to help me evaluate the Ambulory blood pressure report and tell me why there are soo many fluctuation like BP drops at 52 and even raises till 160 and pulse rate is always very high more than 100 always.
Please advice
Brief Answer:
Feedback
Detailed Answer:
Hello,
Her Echo and TMT reports are essentially normal for her age. I’ve reviewed her ambulatory BP report and that is also overall all right except for one or two readings of slightly high Blood pressure.
I would like to tell you that blood pressure is an ever changing phenomena and can’t remain constant every hour as it depends on our activity. Emotional state, stress levels and other physiological phenomena.
Her tachycardia is because she has anemia so the body is trying to compensate so as to supply proper oxygen to all body parts by increasing heart rate slightly.
I hope this information will answer your query and relieve your worries. Let me know if I can assist you further.
Regards,
Dr. Bhanu Partap
Cardiologist
Feedback
Detailed Answer:
Hello,
Her Echo and TMT reports are essentially normal for her age. I’ve reviewed her ambulatory BP report and that is also overall all right except for one or two readings of slightly high Blood pressure.
I would like to tell you that blood pressure is an ever changing phenomena and can’t remain constant every hour as it depends on our activity. Emotional state, stress levels and other physiological phenomena.
Her tachycardia is because she has anemia so the body is trying to compensate so as to supply proper oxygen to all body parts by increasing heart rate slightly.
I hope this information will answer your query and relieve your worries. Let me know if I can assist you further.
Regards,
Dr. Bhanu Partap
Cardiologist
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Hello Doc,
AS per the Ambulatory BP test her BP is quite fluctuating like it reaches to 160 and the daistolic pressure goes down in the range of 50's. Also my mom gets chest pain which goes to the back at time like once in 10 days and all, doc said it is gastric problem and asked her to start nexpro 40mg capsule and pregaba 75mg tablet for 14 days
Also for Bood pressure he has added one tablet in the night called as Telma 40 mg once a day affter dinner . My concern is she is currently taking delizem CR 90mg once a day post breakfast . Her BP is still not under control it goes to 160 and most of the time its 140 over 120 . Looking at the same doc asked to add one more tablet named telma 40mg . But I am concerned If I add the tablet telma 40mg the diastolic pressure is anyways on a lower side like in 50'2 it will go down more and cause a sever problem
Please help understand . I am attaching the ambulatory report for your reference
Pls advice whether she can take nexpro 40mg twice a day and even take pregaba 40mg and also telma
AS per the Ambulatory BP test her BP is quite fluctuating like it reaches to 160 and the daistolic pressure goes down in the range of 50's. Also my mom gets chest pain which goes to the back at time like once in 10 days and all, doc said it is gastric problem and asked her to start nexpro 40mg capsule and pregaba 75mg tablet for 14 days
Also for Bood pressure he has added one tablet in the night called as Telma 40 mg once a day affter dinner . My concern is she is currently taking delizem CR 90mg once a day post breakfast . Her BP is still not under control it goes to 160 and most of the time its 140 over 120 . Looking at the same doc asked to add one more tablet named telma 40mg . But I am concerned If I add the tablet telma 40mg the diastolic pressure is anyways on a lower side like in 50'2 it will go down more and cause a sever problem
Please help understand . I am attaching the ambulatory report for your reference
Pls advice whether she can take nexpro 40mg twice a day and even take pregaba 40mg and also telma
Brief Answer:
Diltiazem, Telma, Nexpro and Pregaba
Detailed Answer:
Hello,
Diltiazem mainly affects heart rate and has very less effect on blood pressure.
Yes, she can safely take Telma as it mainly controls the systolic blood pressure. After starting Telma she needs to monitor BP twice a day for 3-5 days to see the affect of Telma on her blood pressure.
In my opinion, she can start with Telma 20mg and gradually increase the dose to 40mg as per her blood pressure readings.
Yes, can take Nexpro and Pregaba as advised.
Hope I have been Helpful. Let me know if I can assist you further.
Regards,
Dr. Bhanu Partap
Cardiologist
Diltiazem, Telma, Nexpro and Pregaba
Detailed Answer:
Hello,
Diltiazem mainly affects heart rate and has very less effect on blood pressure.
Yes, she can safely take Telma as it mainly controls the systolic blood pressure. After starting Telma she needs to monitor BP twice a day for 3-5 days to see the affect of Telma on her blood pressure.
In my opinion, she can start with Telma 20mg and gradually increase the dose to 40mg as per her blood pressure readings.
Yes, can take Nexpro and Pregaba as advised.
Hope I have been Helpful. Let me know if I can assist you further.
Regards,
Dr. Bhanu Partap
Cardiologist
Above answer was peer-reviewed by :
Dr. Kampana
Hi Doc,
Telma will not put the diastolic pressure down? As it has gone down to 52 and in 50's . I am worried about that if that gies down she might collapse and can you help me understanding the reason for high pulse rate even after talking the medicine Delzem SR 90 the pulse rate has not gone down.
Regards, XXXXXXX
Telma will not put the diastolic pressure down? As it has gone down to 52 and in 50's . I am worried about that if that gies down she might collapse and can you help me understanding the reason for high pulse rate even after talking the medicine Delzem SR 90 the pulse rate has not gone down.
Regards, XXXXXXX
Brief Answer:
Telma dosage
Detailed Answer:
Hello,
That was the reason why I suggested to start with the lowest dose i.e., 20 mg of Telma to see her blood pressure response.
She is having tachycardia mainly because of anemia so that also needs to be corrected and Dilzem 90 is a minimal dose so it’s dose has to be increased.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Bhanu Partap
Cardiologist
Telma dosage
Detailed Answer:
Hello,
That was the reason why I suggested to start with the lowest dose i.e., 20 mg of Telma to see her blood pressure response.
She is having tachycardia mainly because of anemia so that also needs to be corrected and Dilzem 90 is a minimal dose so it’s dose has to be increased.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Bhanu Partap
Cardiologist
Above answer was peer-reviewed by :
Dr. Prasad
Hello Doc,
Request your urgent help here
My mom started using seroflo 125 today again for her asthma . Till now from past 3 months she was using budecort as Seroflo causes high pulse rate in her more than 120.
But her lungs capacity has gone down and doc has asked to start seroflo or symbicort to improve the lung function.
Now we are very worried as she took seroflo today at 4.30pm and till now its been 2.5 hrs she is having high palpitation more than 120 and Bp as 147/80
And her body started shivering hands specially. We are worried as we have to take seroflo also becoz of lungs .
She took Inderal 10mg tablet for high pulse rate but that is beta blocker . I am worried that can she take beta blocker sos whenever her pulse goes up
she is already on BP and pulse rate tablet - Delizem 90mg one in morning everyday
Please advice
Which puff she should use symbicort or seroflo
and can she take beta blocker Inderal 10mg tablet on SOS basis
Please advice next steps
Regards,
Request your urgent help here
My mom started using seroflo 125 today again for her asthma . Till now from past 3 months she was using budecort as Seroflo causes high pulse rate in her more than 120.
But her lungs capacity has gone down and doc has asked to start seroflo or symbicort to improve the lung function.
Now we are very worried as she took seroflo today at 4.30pm and till now its been 2.5 hrs she is having high palpitation more than 120 and Bp as 147/80
And her body started shivering hands specially. We are worried as we have to take seroflo also becoz of lungs .
She took Inderal 10mg tablet for high pulse rate but that is beta blocker . I am worried that can she take beta blocker sos whenever her pulse goes up
she is already on BP and pulse rate tablet - Delizem 90mg one in morning everyday
Please advice
Which puff she should use symbicort or seroflo
and can she take beta blocker Inderal 10mg tablet on SOS basis
Please advice next steps
Regards,
Brief Answer:
Seroflo
Detailed Answer:
Hello,
Seroflo contains salmetrol and fluticasone and neither of that causes palpitations or shivering.
As she has bronchial asthma so beta blockers should not be given as it can worsen asthma.
For her heart rate control first I would like to suggest you to take her to an ER and get an ECG done during the time when she is having palpitations so as to confirm what sort of rhythm is happening. If it’s a normal sinus tachycardia then in my opinion the dose of Dilzem should be increased to control her heart rate.
Also, she needs to relax as more stress she will be more the heart rate will be.
It’s important to first get an ECG done and then to decide further.
I hope this information will guide you properly. Let me know if I can assist you further.
Regards,
Dr. Bhanu Partap
Cardiologist
Seroflo
Detailed Answer:
Hello,
Seroflo contains salmetrol and fluticasone and neither of that causes palpitations or shivering.
As she has bronchial asthma so beta blockers should not be given as it can worsen asthma.
For her heart rate control first I would like to suggest you to take her to an ER and get an ECG done during the time when she is having palpitations so as to confirm what sort of rhythm is happening. If it’s a normal sinus tachycardia then in my opinion the dose of Dilzem should be increased to control her heart rate.
Also, she needs to relax as more stress she will be more the heart rate will be.
It’s important to first get an ECG done and then to decide further.
I hope this information will guide you properly. Let me know if I can assist you further.
Regards,
Dr. Bhanu Partap
Cardiologist
Above answer was peer-reviewed by :
Dr. Prasad
Hello Doc,
Serolo has this effect on her even earlier it was the same. So do you suggest she should continue with seroflo even if the heart rate goes to 115 120 types ?
Also, at times it is not possible that she goes to the hipsital to do ECG at the time of palpitation . So can she use the inhaler in the hospital only and immediately do the ECG ?
Please advice
Serolo has this effect on her even earlier it was the same. So do you suggest she should continue with seroflo even if the heart rate goes to 115 120 types ?
Also, at times it is not possible that she goes to the hipsital to do ECG at the time of palpitation . So can she use the inhaler in the hospital only and immediately do the ECG ?
Please advice
Brief Answer:
ECG
Detailed Answer:
Hello,
ECG is just required once during palpitations to confirm any abnormal rhythm. Regarding inhaler, it’s best if you take the guidance of your treating pulmonologist. However, I still feel Seroflo should not be the reason for palpitations.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Bhanu Partap
Cardiologist
ECG
Detailed Answer:
Hello,
ECG is just required once during palpitations to confirm any abnormal rhythm. Regarding inhaler, it’s best if you take the guidance of your treating pulmonologist. However, I still feel Seroflo should not be the reason for palpitations.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Bhanu Partap
Cardiologist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Hello doc
Just a last question on blood pressure and pulse rate. I understand beta blockers should not be given to asthma pateints. But can she stop dilzem sr 90 mg and instead take nebixart 2.5mg one in the night.
Please advice ia it safe to take nebicart as she is asthamatic
Regards
Just a last question on blood pressure and pulse rate. I understand beta blockers should not be given to asthma pateints. But can she stop dilzem sr 90 mg and instead take nebixart 2.5mg one in the night.
Please advice ia it safe to take nebicart as she is asthamatic
Regards
Brief Answer:
Nebivolol and Dilzem
Detailed Answer:
Hello,
Even Nebivolol should be avoided in asthma patients unless very much required.
It’s not advisable to stop Dilzem, instead the dose should be increased to 90 mg twice daily to control heart rate.
Hope I have been helpful.
Regards,
Dr Bhanu Partap
Cardiologist
Nebivolol and Dilzem
Detailed Answer:
Hello,
Even Nebivolol should be avoided in asthma patients unless very much required.
It’s not advisable to stop Dilzem, instead the dose should be increased to 90 mg twice daily to control heart rate.
Hope I have been helpful.
Regards,
Dr Bhanu Partap
Cardiologist
Above answer was peer-reviewed by :
Dr. Kampana
Answered by
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