Suggest treatment for palpitation, insomnia and lightheadedness
Patient: I took naddol (40mg) daily for years for rapid heart rate and hypertension. My insurance company put this drug in a different tier and suggested i take pindolol. My Dr. wrote a prescription for 10 mg twice a day. I am now up to 15 mg twice a day. My blood pressure is OK but my pulse is rapid -- about 90 rpm. I also feel nervous light- hreaded and have trouble sleeping. Should i switch back to nadolol? Doctor: Hello!Welcome and thank you for asking on HCM!I passed carefully through your question and would explain that your symptoms could be related to pindolol adverse effects. Nadolol has a longer half life and can be tolerated better compared to pindolol. Coming to this point, I would first recommend raising the dose of pindolol up to 30mg daily. If this doesn't help, I would recommend discussing with your doctor on the possibility to switch to nadolol again. Hope to have been helpful!Kind regards, Dr. Iliri