Concern Over Low Diastolic Blood Pressure from Nebivolol
This morning, my blood pressure was recorded at 103/48, and my heart rate was 77 bpm. I've been taking 5 mg of nebivolol, which I just began two days ago. Since starting the medication, I've noticed a significant drop in my diastolic pressure—previously, it usually hovered in the 60s, but now it was 56 yesterday and an even lower 48 today. I'm uncertain about whether to continue the medication. Before taking nebivolol, my resting heart rate was often in the 80s and at times even reached the 90s, which I certainly felt. However, currently, I don't experience any symptoms of low blood pressure, and my heart rate appears to be decreasing. My intention for taking this medication was primarily to lower my heart rate rather than to influence my blood pressure. I am a 19-year-old male, standing 175 cm tall and weighing 62 kg.
Answers (1)
3/21/2025, 10:30:38 AM
OpenHealth AI
It's great that you're closely monitoring your blood pressure and being proactive about your health. Your current reading of 103/48 suggests that while your systolic blood pressure is within a generally acceptable range, your diastolic reading is quite low. This change may be a result of starting nebivolol, which is known to lower both heart rate and blood pressure.
Explanation:
Diastolic blood pressure (the bottom number) measures the pressure in your arteries when your heart is at rest. While a slight drop in blood pressure can be normal after starting a new medication like nebivolol, a diastolic reading below 60 mmHg (especially at 48 mmHg) can be concerning if it leads to symptoms such as dizziness or fainting.
Here are the steps you should consider taking:
Next Steps:
-
Monitor Symptoms: Since you currently do not feel any symptoms of low blood pressure, continue monitoring how you feel. Pay attention to symptoms like dizziness, fatigue, or lightheadedness.
-
Check Blood Pressure Regularly: Measure your blood pressure consistently over the next few days at different times (morning and evening) to observe trends. If readings consistently remain low, take note.
-
Hydration and Diet: Ensure you are well-hydrated and consuming a balanced diet. Sometimes, dehydration can contribute to low blood pressure.
-
Consult Your Prescribing Provider: If your diastolic pressure remains low (especially below 50 mmHg) or if you start experiencing any concerning symptoms, reach out to the healthcare provider who prescribed the nebivolol. They may adjust your dosage or consider alternative treatments based on your needs.
-
Avoid Sudden Changes: Avoid making sudden changes to your medication without guidance from your provider, as this could lead to fluctuations in your heart rate and blood pressure.
It’s reassuring that your heart rate has improved with the medication, but maintaining a balance is essential. If you need further assistance or have any specific concerns, feel free to reach out!
Related Questions
Interpretation Request for Recent Spinal NM Bone Scan
Hello, doctors. I'm reaching out for your insights regarding a recent NM bone scan of my spine. I've previously undergone a similar scan in 2022, and I'd like to compare the two. To provide context, I am a 29-year-old female weighing 100 kg, and I've been diagnosed with conditions including endplate sclerosis, spinal stenosis, cervical bone spurs, degenerative disc disease (DDD), and mild scoliosis. My medication regimen consists of several prescriptions. Unfortunately, my next appointment with my general practitioner is still a few weeks away, so I would appreciate your assessments on how the latest scan compares to the previous one. Thank you in advance for your help!
Unexpected Eye Issues: Headache and Double Vision Concerns
A 33-year-old female, measuring 1.67 meters in height and weighing 55 kilograms, residing in the Netherlands, experienced a sudden onset of symptoms. Last evening, shortly after dinner, my partner complained of a slight headache localized at the rear of her head. Along with this discomfort, she encountered double vision and noticed her right eye deviating outward. Interestingly, when she shut either eye, the double vision resolved, enabling her to see without distortion. We rushed her to the emergency room later that night. The medical team conducted a variety of assessments, including physical examinations, neurological evaluations, visual tests, and laboratory analyses. Fortunately, all results were normal. However, the doctors found it peculiar that her right eye exhibited normal movement and accurately tracked a pen in all directions when her left eye was closed. The medical opinion suggested that it may be a migraine-related episode, a condition she has experienced previously. Nonetheless, she insists that this feels unlike any migraine she has had in the past. A teleconsultation with a neurologist is scheduled for Monday to arrange an MRI should the symptoms continue. The doctors advised that if her symptoms worsen, we should return to the hospital immediately. Fortunately, after a night's rest, her vision had returned to normal by morning, the headache had subsided, and her right eye was aligned properly. I am understandably concerned, particularly due to her assertion that this does not resemble a typical migraine. Is it possible that this is indeed a migraine, or could it be indicative of another underlying issue? Thank you for your attention to this matter.
Unexplained Bruises on My Right Hand – Seeking Advice
I've noticed some unusual bruising on my right hand over the past month. Strangely enough, they don't hurt at all. Should I be concerned about this? It's quite puzzling to see these random marks without any apparent cause.
Intense Pain in Left Thumb
Greetings, I’ve been experiencing a piercing pain at the tip of my left thumb intermittently. This discomfort is situated within the thumb rather than on the outer skin. It primarily affects the underside of the thumb and surrounds the base of the nail. The pain seems to extend only to the first skin fold, specifically around the distal phalanx. When applying pressure, I’ve noticed some red streaks appearing beneath the surface, alongside the white area. I trust this explanation is clear. This issue has persisted for over a year, occurring sporadically but intensifying as time has passed. Could this be a cause for concern? A bit about myself: I am a 25-year-old female with no significant medical issues in my background. I previously smoked cigarettes for three years, transitioned to vaping, and have been vaping for six years now. I maintain an active lifestyle, frequently going to the gym and participating in various sports such as indoor football and pickleball. I don’t have any known allergies.
Persistent Need to Stretch Legs While Seated
I experience a significant discomfort when seated, particularly when my knees are bent at about a 90-degree angle. This sensation compels me to stretch my legs straight, and if too much time passes without doing so—typically around every five to six minutes—the urge intensifies to an uncomfortable level that’s hard to manage. It’s more than just a desire to fidget; fully extending my legs tends to offer the greatest relief. Adjusting my position provides some comfort, but it doesn’t alleviate the feeling nearly as effectively as a full stretch does. This issue predominantly arises when I remain stationary in a chair. Occasionally, I notice a similar feeling when I’m lying down, but these instances are relatively rare compared to the frequent occurrences while sitting. I consulted a relative who is a medical professional about this discomfort, and they suggested that it doesn’t appear to align with Restless Leg Syndrome. However, since this isn't their specialization, I acknowledge that there may be a chance of error. * What could potentially be causing these sensations? * Does anyone else relate to this experience? * Are there methods available to help manage or diminish this feeling? I would greatly appreciate any advice or insights.