Orris

A 65 year old man complaining weakness, sudden dizziness like ,BP drop no diabetic on going medicine Nebicard 2.5.

Reading File
Finding Sources
Finding Sources
Searching PubMed

hypotension AND older adults

Searching the Web

NHS low blood pressure symptoms emergency call 999 dizziness fainting chest pain

A 65-year-old with sudden dizziness, weakness, and a drop in blood pressure needs urgent medical assessment today, especially if the symptoms are ongoing or recurrent.
Call an ambulance now (112/108 in India, or your local emergency number) if he has any of these:
  • Fainting, confusion, severe drowsiness
  • Chest pain, breathlessness, sweating, palpitations
  • New facial droop, slurred speech, one-sided weakness, trouble walking or seeing
  • Very slow pulse, especially below 50/min, or BP around below 90/60 with symptoms
  • Black stools, vomiting blood, fever, severe vomiting/diarrhea
Nebicard 2.5 (nebivolol) is a beta-blocker. It can lower both heart rate and blood pressure, and can contribute to dizziness or weakness, particularly with dehydration, an illness, or an abnormal heart rhythm. A beta-blocker should be reviewed promptly when someone develops symptomatic low BP. The medical text notes reducing beta-blocker therapy when symptomatic hypotension or marked bradycardia develops. Recent evidence also supports reviewing antihypertensive treatment in older adults with low-BP symptoms (PMID: 41491674; 38772447).
Until assessed:
  1. Have him lie flat with legs raised. Do not let him stand or walk alone.
  2. Check and write down BP and pulse now, then repeat after 5-10 minutes while lying down.
  3. If fully alert and not on a fluid restriction for heart/kidney disease, give small sips of water.
  4. Do not drive.
  5. Contact the prescribing doctor or emergency department before the next Nebicard dose. Do not self-adjust long-term treatment without their instructions.
The clinician may need an ECG, blood sugar even without diabetes, blood count, electrolytes, kidney function, and review for dehydration, infection, bleeding, heart rhythm disturbance, or a neurologic cause. The American Heart Association advises emergency help for sudden abnormal heart rate with dizziness, fainting, chest pain, or shortness of breath.
This is a shared conversation. Sign in to Orris to start your own chat.