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Hawaii-MD, Doctor
Category: Health
Satisfied Customers: 216
Experience:  Graduated from Brown University. Residency at Yale New Haven/Tripler MC. Battalion Surgeon in OIF V.
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my blood pressure averages 136/78 but my pulse averages ...

Resolved Question:

my blood pressure averages 136/78 but my pulse averages around 90. I''m on a Beta blocker for the condition. Are there any concerns I should know about ?
Submitted: 9 years ago.
Category: Health
Expert:  Hawaii-MD replied 9 years ago.


I'm happy to help out.

To better address your question it is important that you answer every question below. Thank you.

1. Do you have any medical problems (hyperlipidemia, coronary artery disease, asthma, metabolic problems, etc)?

2. What medications are you on?

3. Do you smoke?

4. Are you experiencing any problems with your medications?

5. What are your specific concerns?

Customer: replied 9 years ago.
also take an anti-depressant, Imipramine 75 mg
10 mg Diazapam
40 mg Zocor
folic acid
40 mg of Diovan
smoke less than one pack aday
Expert:  Hawaii-MD replied 9 years ago.

Based on the information you provided it seems like you may have what is called metabolic syndrome. It also seems like your hypertension is somewhat substantial requiring (based on your medication list) the addition of an ARB (Diovan). The main concerns w/ betablockers are adverse effects w/ individuals w/ asthma, diabetes, and certain heart problems (such as heart block) . In short, I don't see any overt contraindications from what you show me unless your EKG is abnormal.

However, I strongly recommend that you address any specific questions regarding concerns w/ medications prescribed to you w/ your primary care doctor. Good luck.
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