Monday, May 28, 2012
Wednesday, August 20, 2008 Corlis asks

Q: Is Lotrel & Toprol used together & cause Virtigo?

I use Lotrel & Toprol for High Blood Pressure and have been suffering dizziness since last November.  Doctor told me the ear stones are messed up and causing me to suffer.  I am going to see an ENT doctor next week to try to get over the Virtigo.  Could both the medicines used together cause the severe dizziness?  I notice when I work a lot at my computer, the motion of looking at the monitor and back down a lot will bring on an attack.  I have to lay on my bed with my head hanging off to ward off the sickness.

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Martin Cane, M.D., Health Pro
8/23/08 7:50am

 

Cortis,

 

Thanks for your question.  Lotrel is a combination medication composed of a calcium channel blocker and an ACE inhibitor.  The toprol is a beta blocker.  This combination of medications works very well to control blood pressure.  If your pressure drops too much, one of the possible symptoms is dizziness.  It sounds like your doctor is keeping an eye on your pressure and has ruled out this possibility.  The eye movements associated with your computer activity causing your symptoms does make your inner ear a suspect cause.

 

The above medications themselves are not known to cause any inner ear problem and an ENT evaluation sounds like the next step in your evaluation.  In most people this is usually a temporary problem.  The ENT specialist will hopefully shed more light on the situation.  Don't be surprised if he asks for further studies to test your hearing, balance mechanism, and even an MRI of the brain. 

 

Feel better.

 

Martin Cane, M.D.

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By Corlis— Last Modified: 01/19/12, First Published: 08/20/08