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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by Deneb on June 22, 2010, at 22:45:03
I'm confused. Pdoc says one thing and GP says another.
Pdoc told me not to take propranolol when my blood pressure is under 100/65. Pdoc recommends I take the propranolol as needed for my anxiety and tremors.
GP told me it is OK to take propranolol even with low blood pressure and recommends that I take an increased dose everyday. GP wrote me a prescription.
Who should I listen to? I'm confused.
Posted by Zyprexa on June 22, 2010, at 23:53:01
In reply to Should I listen to GP or pdoc?, posted by Deneb on June 22, 2010, at 22:45:03
I think I would listen to the pdoc. If it gets too low it can be deadly.
Posted by Deneb on June 23, 2010, at 0:37:45
In reply to Re: Should I listen to GP or pdoc?, posted by Zyprexa on June 22, 2010, at 23:53:01
I took the propranolol anyways. My blood pressure got down to 88/52, but was mostly in the 90/60 area. I felt fine.
How low is deadly?
Posted by morganator on June 23, 2010, at 2:19:23
In reply to Re: Should I listen to GP or pdoc?, posted by Deneb on June 23, 2010, at 0:37:45
Listen to pdoc.
Posted by Phillipa on June 23, 2010, at 10:41:32
In reply to Re: Should I listen to GP or pdoc?, posted by morganator on June 23, 2010, at 2:19:23
Agree with all of above Phillipa
Posted by Dinah on June 23, 2010, at 11:12:00
In reply to Should I listen to GP or pdoc?, posted by Deneb on June 22, 2010, at 22:45:03
Or you can leave a message for pdoc telling her what GP said, and asking what she thinks.
It's my understanding that she sent you to GP for GP's opinion? In which case it doesn't have to be an either/or.
Posted by Goering on June 23, 2010, at 15:32:31
In reply to Re: Should I listen to GP or pdoc?, posted by Deneb on June 23, 2010, at 0:37:45
> I took the propranolol anyways. My blood pressure got down to 88/52, but was mostly in the 90/60 area. I felt fine.
>
> How low is deadly?This is low. Listen to your pdoc. Bye.
Posted by Zyprexa on June 23, 2010, at 16:38:37
In reply to Re: Should I listen to GP or pdoc?, posted by Deneb on June 23, 2010, at 0:37:45
I'm not sure, from what I found on the internet is that 50/33 is dangerously low. I watch a lot of ER reality shows. and they are worried when it gets too low that the person will die.
Do you find the bp medicine helps the anxiety? My doctor put me on toprol xl bp med because she thought it would help anxiety. It didn't help any for that, but reduced my high bp.
Posted by Deneb on June 23, 2010, at 17:11:09
In reply to Re: Should I listen to GP or pdoc?, posted by Dinah on June 23, 2010, at 11:12:00
I told pdoc that I found through my online research that propranolol doesn't usually lower already low blood pressure, but she said that it could. She said she thought the risk of fainting was too great.
GP said our bodies have a mechanism to prevent itself from having too low blood pressure.
I don't feel like bothering pdoc for such a minor thing. Fainting is not life threatening.
I think I'm going to try taking 40 mg propranolol two times a day to see what happens. GP suggested I do that and then get my blood pressure measured two weeks later before my pdoc appointment.
Posted by Deneb on June 23, 2010, at 17:14:51
In reply to Re: Should I listen to GP or pdoc?, posted by Zyprexa on June 23, 2010, at 16:38:37
Yeah, I do find that the propranolol helps my anxiety.
My tremors are not completely controlled though, that is why I want to increase it.
I don't think my BP will drop that low. It was 88/52 for a short while and that is nowhere close to 50/33.
Posted by morganator on June 23, 2010, at 21:11:14
In reply to Re: Should I listen to GP or pdoc?, posted by Deneb on June 23, 2010, at 17:14:51
Do you know exactly why you have tremors? Do you think there is a root cause that could be treated naturally? There are some things that I know people have taken for their tremors. I think one of them was Benfotiamine. I can remember the others. I would have to do a little research.
I guess nothing else helps your anxiety like propanol does?
Posted by europerep on June 24, 2010, at 15:48:59
In reply to Re: Should I listen to GP or pdoc?, posted by morganator on June 23, 2010, at 21:11:14
have you done psychotherapy? anxiety is one of the disorders for which therapy is most effective, so do consider it if you haven't done that so far...
Posted by Deneb on June 24, 2010, at 16:27:33
In reply to Re: Should I listen to GP or pdoc?, posted by morganator on June 23, 2010, at 21:11:14
I don't know why I get tremors. Anxiety makes them worse, but I don't always feel anxious when I get them.
I do get psychotherapy for my anxiety. That is my main form of treatment. Pdoc does psychotherapy with me. Meds are secondary.
Posted by Continuous Relapser on June 26, 2010, at 21:45:23
In reply to Re: Should I listen to GP or pdoc?, posted by Deneb on June 24, 2010, at 16:27:33
some meds can cause tremors. I have been suffering from severe dizzy spells and greying out. My GP though it was from low blood pressure, which it was. Low for me is 110/65 which is low for a 40 year old male. Now it's settled down. So stop taking the prop. You're blood pressure is WAY too low. Have you tried a mild low dose benzo for shaking. Good luck
Posted by Deneb on June 27, 2010, at 17:43:43
In reply to Re: Should I listen to GP or pdoc? » Deneb, posted by Continuous Relapser on June 26, 2010, at 21:45:23
I have dizziness and blacking out too, but it doesn't happen all the time, only when something triggers it. I can just be careful when there are triggers. I think it is neurocardiogenic.
I think taking the propranolol is OK for the most part.
I haven't tried benzos for the tremors. I don't think pdoc likes benzos very much.
Posted by Continuous Relapser on June 27, 2010, at 19:21:27
In reply to Re: Should I listen to GP or pdoc? » Continuous Relapser, posted by Deneb on June 27, 2010, at 17:43:43
> I have dizziness and blacking out too, but it doesn't happen all the time, only when something triggers it. I can just be careful when there are triggers. I think it is neurocardiogenic.
>
> I think taking the propranolol is OK for the most part.
>
> I haven't tried benzos for the tremors. I don't think pdoc likes benzos very much.Yes I agree, mine does get worse when I'm stressed or in a stressful situation. I had to take atenolol for mild serotonin syndrome because my blood pressure sky rocketed. As soon as it was over though I had to stop it very quickly as it went way too low. Benzo's don't seen to have that effect on me. Good luck and I'd listen to your pdoc, don't take it
This is the end of the thread.
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