I'm 86 and I've been having some issues. I've been getting occasional angina pain and my doctor told me to take Imdur isosorbide mononitrate, 30mg every day. But since I started, I've been feeling dizzy when I stand up or get out of bed, so I'm guessing it's because my blood pressure drops. Should I stop taking Imdur, or is there something else I can do? I'm not sure what's best and would really appreciate some advice.

Dr Ibrahim Salah

General Practitioner

• MBBS
• 2+ Yrs

Consult Now

Don't stop Imdur abruptly. Consult your cardiologist to adjust dosage or switch to alternative medications. Possible solutions: Medical Adjustments 1. Reduce dosage: Gradually decrease Imdur to 20-10mg daily. 2. Alternative medications: Consider nitrate-free options like beta blockers or calcium channel blockers. 3. Combination therapy: Add medications to stabilize blood pressure (e.g., fludrocortisones). Lifestyle Changes 1. Increase fluid intake. 2. Elevate head while standing. 3. Slow rising from bed. 4. Avoid sudden movements. Monitoring 1. Regular blood pressure checks. 2. Electrocardiogram (ECG) monitoring. 3. Follow-up appointments.

Answered 11 days ago