recommendation of a rate control drug that does not cause lung problems January 27, 2022 05:12PM |
Registered: 6 years ago Posts: 229 |
Re: recommendation of a rate control drug that does not cause lung problems January 27, 2022 05:53PM |
Admin Registered: 6 years ago Posts: 5,358 |
Re: recommendation of a rate control drug that does not cause lung problems January 27, 2022 09:19PM |
Registered: 6 years ago Posts: 229 |
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Carey
This would probably be an easy choice without the essential tremor. Diltiazem will control your heart rate and it has no effects on the lungs, but it probably won't do anything for the tremor. Diltiazem is a calcium channel blocker, and there's another CCB that does control tremor (nifedipine), but one of its side effects is tachycardia so that's a no go. The other drugs that are used to treat essential tremor are anti-seizure meds and tranquilizers, so adding one of those to diltiazem might work. There's probably a good combination of drugs that will do what you want, but what that combination would be is a bit out of my wheelhouse. What you probably need to do is find a practice like Mayo that can provide an entire team to figure out your problem.
Not sure what you read about ACE inhibitors but it sounds like some of the early worries that it could worsen COVID because they both affect the ACE receptors, but those concerns have since been allayed. It turns out that ACE inhibitors and ARBs both significantly reduce the risk of severe COVID disease. So ACE inhibitors are just fine but I doubt they're going to do what you want. They don't control heart rate.
Re: recommendation of a rate control drug that does not cause lung problems January 28, 2022 12:18AM |
Admin Registered: 6 years ago Posts: 5,358 |
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Madeline
I did not know ARBs & ACEIs would not control heart rate - is that primarily pulse or BP or both?
Re: recommendation of a rate control drug that does not cause lung problems January 28, 2022 12:59PM |
Registered: 6 years ago Posts: 229 |
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Carey
I did not know ARBs & ACEIs would not control heart rate - is that primarily pulse or BP or both?
Heart rate means pulse; the two are synonymous. BP is an entirely different thing that has nothing to do with heart rate.
Both ARBs and ACEIs are commonly used to control BP. I currently take an ARB for BP, but I've taken ACEIs in the past for the same reason. But neither one will lower your heart rate. They'll only affect BP.
As for that one study linking high dose ACEI usage over long periods of time to a slightly increased incidence of lung cancer, that's an outstanding example of why Dr. Google is sometimes not your friend. There are probably a dozen things you could change in your life that would reduce your risk of lung cancer hundreds of times more than avoiding ACE inhibitors.
Re: recommendation of a rate control drug that does not cause lung problems January 28, 2022 01:52PM |
Registered: 11 years ago Posts: 4,228 |
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Madeline
I believe if I remember from this site one wants to keep their pulse rate below 100 for sure. Is it okay to run in the high 80s? I basically stay very busy either with physical or mental activity from sunup to sundown. I do meditate as well. But I tend to easily run a higher pulse, but not over 100.
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I had my Natale cardiac ablation in August 2020 & am doing great. Not even on any blood thinners.
Re: recommendation of a rate control drug that does not cause lung problems January 28, 2022 06:56PM |
Registered: 6 years ago Posts: 229 |
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GeorgeN
I believe if I remember from this site one wants to keep their pulse rate below 100 for sure. Is it okay to run in the high 80s? I basically stay very busy either with physical or mental activity from sunup to sundown. I do meditate as well. But I tend to easily run a higher pulse, but not over 100.
I had my Natale cardiac ablation in August 2020 & am doing great. Not even on any blood thinners.
Hi Madeline,
If you are doing well after your Natale ablation, are you in NSR (normal rhythm)? If so, no need to worry about the 100 BPM heart rate. It is common and normal for heart rates to go above 100 when you are in NSR and active. The issue is for those who are in persistent afib. Their resting afib heart rate should not be above 100 for extended (weeks, months) periods of time. If a person in afib has heart rates > 100 for extended periods of time, the heart can enlarge leading to cardiomyopathy and heart failure. For someone in NSR, their resting heart rates are almost always < 100, so not an issue.
George
Re: recommendation of a rate control drug that does not cause lung problems January 28, 2022 07:32PM |
Registered: 10 years ago Posts: 2,520 |
Re: recommendation of a rate control drug that does not cause lung problems January 28, 2022 09:17PM |
Registered: 11 years ago Posts: 4,228 |
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Madeline
Does anyone know about what might be good for me? I want to:
1. Control heart rate. My BP is pretty normal most of the time even w/o beta blockers, but I can easily get over 120/80. My pulse is on the higher side, maybe ave 70-high 80s.
2. Control moderate benign essential tremor of hands.
3. The least adverse affect on lung function.
Re: recommendation of a rate control drug that does not cause lung problems January 28, 2022 11:43PM |
Registered: 6 years ago Posts: 229 |
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GeorgeN
Does anyone know about what might be good for me? I want to:
1. Control heart rate. My BP is pretty normal most of the time even w/o beta blockers, but I can easily get over 120/80. My pulse is on the higher side, maybe ave 70-high 80s.
2. Control moderate benign essential tremor of hands.
3. The least adverse affect on lung function.
From what you've described, In my non-medical opinion, I don't think you need to worry about #1. Only something that will do #2 and #3. Completely out of my wheelhouse to suggest anything.
Re: recommendation of a rate control drug that does not cause lung problems January 29, 2022 12:01AM |
Admin Registered: 6 years ago Posts: 5,358 |
Re: recommendation of a rate control drug that does not cause lung problems January 29, 2022 08:07AM |
Registered: 11 years ago Posts: 4,228 |
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Carey
And don't think that things like whitecoat hypertension are due to you being afraid of doctors. My wife has a perfectly normal BP that's typically 110/70-ish no matter when she measures it. But at the doctor's office she's often 140/80-ish. She's not in the least bit afraid of the doctor, his office, or the staff.
Re: recommendation of a rate control drug that does not cause lung problems January 29, 2022 09:04AM |
Registered: 12 years ago Posts: 501 |
Re: recommendation of a rate control drug that does not cause lung problems January 29, 2022 03:34PM |
Registered: 6 years ago Posts: 524 |
Re: recommendation of a rate control drug that does not cause lung problems January 29, 2022 09:16PM |
Registered: 6 years ago Posts: 229 |
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GeorgeN
And don't think that things like whitecoat hypertension are due to you being afraid of doctors. My wife has a perfectly normal BP that's typically 110/70-ish no matter when she measures it. But at the doctor's office she's often 140/80-ish. She's not in the least bit afraid of the doctor, his office, or the staff.
I've known I've had white coat hypertension since 1982. My BP this morning was 102/50. I'm fine going to a doctor's office, unless I know they will measure my BP. If so, I can feel my pulse accelerate from its normal 50's into the 80's or 90's and my BP can go to 150 or so. It is a mental thing with me, and it is self reinforcing. My dentist office decided it was a good idea to measure BP at a teeth cleaning. I told them no way. It is now in my files they don't measure.
Re: recommendation of a rate control drug that does not cause lung problems January 29, 2022 10:06PM |
Registered: 11 years ago Posts: 4,228 |
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Madeline
Well, George, I certainly don't have low pulse rates & BPs like you do. I frequently can have high pulse rate. It was 92 late last night, but my BP was fine. I just don't understand it.
Re: recommendation of a rate control drug that does not cause lung problems January 29, 2022 10:57PM |
Registered: 6 years ago Posts: 229 |
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GeorgeN
Well, George, I certainly don't have low pulse rates & BPs like you do. I frequently can have high pulse rate. It was 92 late last night, but my BP was fine. I just don't understand it.
There can also be a fitness component. Endurance exercise can lower resting heart rates, though I wouldn't go wild about this.
Since your resting heart rate is < 100 BPM, I would not worry about it and certainly not take a med for it.
Re: recommendation of a rate control drug that does not cause lung problems January 31, 2022 05:50PM |
Registered: 11 years ago Posts: 4,228 |
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Madeline
but controls my moderate benign essential tremor of hands.
Re: recommendation of a rate control drug that does not cause lung problems January 31, 2022 09:26PM |
Registered: 6 years ago Posts: 229 |