- Male
- 86 Years
- 22/01/2025
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.
Answered by 1 Apollo Doctors
Don't stop Imdur abruptly. Consult your cardiologist to adjust dosage or switch to alternative medications. Possible solutions:
Medical Adjustments
- Reduce dosage: Gradually decrease Imdur to 20-10mg daily.
- Alternative medications: Consider nitrate-free options like beta blockers or calcium channel blockers.
- Combination therapy: Add medications to stabilize blood pressure (e.g., fludrocortisones).
Lifestyle Changes
- Increase fluid intake.
- Elevate head while standing.
- Slow rising from bed.
- Avoid sudden movements.
Monitoring
- Regular blood pressure checks.
- Electrocardiogram (ECG) monitoring.
- Follow-up appointments.
Dr. Ibrahim Suggests...
Consult a Cardiologist
Answered 04/07/2025
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