labetelol side effects

Have you suffered from HELLP syndrome or had a pregnancy complicated by an underlying disorder? Discuss your concerns here
tisansan
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Re : labetelol side effects

Postby tisansan » Sat Sep 05, 2009 11:50 pm

My ob did suggest I go see a cardiologist in the future. Although the internist at the hopsital ran ekg/echocardiograms, heart sonogram, ct scan of heart and brain.. they said everything looked good. I will follow up anyway! I am going to try breastfeeding in a few days... I am now off lisinopril and the diuretic hydrochlorothiazide. Im still on 200mg labetelol and really dont feel much tingling.. and alternating by day with aldomet. i will be doig that for a week and off labetalol..So we are letting the lisinopril get out of my system, than I can start breastfeeding! I have been pumping and dumping to build my milk supply.. I'm getting a little frustrated because I only get abot half an ounce of brstmilk and my baby is already drinking 3 oz of formula per feeding! So im gonna pump the heck out of myself these next few days to see if that builds up my supply! if not , my work and effort are toast and I have to go back on lisinopril!.... docs seem to think pre e unveiled chronic hypertension.. so we will see! i hope i prove them all wrong!

mellybute
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Re : labetelol side effects

Postby mellybute » Thu Sep 03, 2009 04:47 pm

Alexandra, I just delivered 8/2/09 and was on Labetalol for pp preeclampsia. I was sent home on Norvasc 5mg. Labetalol 200 mg. 2x a day and Maxzide (diuretic). I had a lot of tingling in my head while on the Labetalol. I am now off all of those meds and taking Benicar 20/12.5 since I am not breastfeeding and got my tubes tied so there is no chance of becoming pregnant (which the cardio said I could not take if that was an issue). If you are under the care of your OB which of course you still are pp, I would definitely see a cardio about all the BP issues. That's what they do and what they specialize in. No one really told me this and in fact my OB said I didn't need to follow up with one after my ICU stay. My OB is considered a high risk specialist and I don't think she knows enough about any of the preeclampsia stuff except to tell me that it happens. Just my opinion. I just know I have felt in much more capable accurate hands in dealing with the BP issues under a cardiologist.

As far as the night sweats, I had them too for the first couple of weeks and they are completely normal. I did not have them after my first pregnancy 3 years ago. It is your body's way of reducing the blood volume from pregnancy. Your body will either sweat or you will urinate more to accomplish this. I would wake up drenched. But it's all stopped now.

I do think a lot of what is happening with us is more the preelampsia than anything else. I was on Mag for 24 hours after delivery and then another 24 a few days later when I was back in ICU with high BP. I know it made me feel tired and like CRAP, but as far as lasting effects I don't know.

Hope you get to feeling better soon :-)

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patty
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Re : labetelol side effects

Postby patty » Sun Aug 30, 2009 02:25 pm

Alexandra, I am glad they are weaning you off the labetalol and that you are feeling better and your bp's are now behaving. That being said though I am not a doctor I really, really wonder why they have you on lisinopril when there are so many other bp meds that are breastfeeding friendly and you are obviously wanting to breastfeed. Soemtimes docs do not give the breastfeeding relationship as much thought as they should and have to be reminded. Here is a list of meds that are compatible with breastfeeding from kellymom: http://kellymom.com/health/meds/aap-app ... html#Heart You might also want to google Thomas Hale who is the leading expert on pharmocology and breastfeeding and see what he has to say about nursing and bp meds on his forum.

tisansan
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Re : labetelol side effects

Postby tisansan » Sun Aug 30, 2009 12:03 am

You guies were riht on! They discharged me from the hospital 4 days ago and a nurse comes daily to do bp checks at home. So day one that the nurse came pressures were 180/120 so she called my doc and they told me to go to er since it was already late in afternoon. told me to repeat my lisinopril at night . so the next day I bottomed out and almost passed out in thebathroom. so saw my doc and he is weaning me off labetalol.. I had a huge headache the day i Cut the dose in half but the tingling is almost all gone and I am now able to fall asleep without ambian! So instead of 800 mg of labetalol, Im on just 200, and instead of 10mg lisinopril taking 20 daily and doc also told me to stop hydrochlorothia.. My pressures have been back to 120's/80's with slights peeks of 130's over 90's for 2 days.... One thing I've noticed is that the blood pressures do go quite low as well. they go down to 90's/60s. I feel light headed when i walk around. I'm not sure if I bottomed out in my sleep last night or if it was a dream but that was quite scary.. so it may be that my body is kind of getting back to normal and does not need all the meds! I just want to get off these meds so i can breast feed my bay! I pumped a little bit yesterday just to keep the ducts running, i never felt engorged since I gave birth.. so hoping we are on the right track!

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theartsymom
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Re : labetelol side effects

Postby theartsymom » Sat Aug 29, 2009 09:40 pm

it is also possible that your dose of labetalol is to high- check with your Dr.

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patty
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Re : labetelol side effects

Postby patty » Sat Aug 29, 2009 00:25 am

It hyped me up and kept me wide awake too which was awful when I was on bedrest with Raleigh. I also had the tingling scalp thing. Made me feel like I had bugs crawling in my hair, very unpleasant. When they put me in the hosptial with Randall they decided I was allergic to it and gave procardia instead. You can breastfeed with several different drugs. If it were me I would get the docs to switch meds.

blythe
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Re : labetelol side effects

Postby blythe » Wed Aug 26, 2009 01:20 pm

Very good point that some people are allergic to labetolol! Here's one site that looks reputable:
http://www.medicinenet.com/labetalol/article.htm
The most common side effects of labetalol are fatigue, dizziness, headache, diarrhea, edema (fluid accumulation), dry eyes, and tingling of the scalp and skin. Postural hypotension (a rapid decrease in blood pressure when going from the lying or seated position to the standing position that may cause light-headedness or fainting) occurs rarely. Patients should be observed for this possible side effect within two to four hours of the first labetalol dose and after any changes in dose. Sexual dysfunction, abnormal heart rhythm and difficulty breathing also may occur.

You might ask your doc if changing meds might help your symptoms...

hope08
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Re : labetelol side effects

Postby hope08 » Wed Aug 26, 2009 01:10 pm

My first advice would be to inform your Dr. of your symptoms.I do agree that what your experiencing could be from Pre-Eclampsia.Please keep an eye on your symptoms PP Pre-Eclampsia is just as bad as Pre-Eclampsia. In my case Labetelol gave me really bad side effects.When I first started it I had tingling scalp(not inside of my head) and a heaviness in my chest.When I was being weaned off I headed to the er for palpitations and chest pain. I am allergic to Labetelol and it caused some pretty nasty sensations.Alot of people on here have successful outcomes with this medication it just didnt work for me.I hope you recovery is swift and enjoy your baby!!1

preg29
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Re : labetelol side effects

Postby preg29 » Tue Aug 25, 2009 11:50 am

I have to agree with previous poster. I felt many of the similar things after I had my daughter. I was on labetelol from week 23 and have not been off it since so I do not attribute my sweating, tingling, awakeness to that. Good luck and hoping you and your baby are home soon!

blythe
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Re : labetelol side effects

Postby blythe » Tue Aug 25, 2009 01:00 am

Welcome, Alexandra! I'm glad you found us but sorry you had to! I'm so glad your baby was born healthy.

My totally-not-a-doctor guess is that your side effects are not from the labetalol, but from your body recovering from PE. Post-partum PE can happen up to 6 weeks after birth, and giving birth can make PE worse (some recent research about the underlying biology of the disease implicates hypoxia of the placenta - lack of oxygen - something that happens in labor quite a bit!).

Night sweats can be normal post-partum, but I remember having a much harder time after being on mag with #1 than when I didn't need it with #2 - but it may have also been because I was more sick with #1.

I know there's an old thread (sorry I can't find it at the moment!) where Caryn and other women talk about being really *awake* after the birth of their babies. It might be a biological part of the disease / recovery, it might be a psychological reaction to the trauma (as I stick my totally-not-a-doctor foot in my mouth and make guesses ;-D).

You sound pretty miserable and I'm so sorry I can't say more! I believe Labetalol is considered generally safe for breastfeeding, and I know that lots of women around here have been on it and breastfed successfully!

Please tell your doctor / nurses your symptoms and keep a close eye on your bp - the blurry vision and the sensations in your chest worry not-a-doc me. How is your swelling?

I'll see if anyone else can chime in. If this is PE/ HELLP related, it will get better, it just might take longer than your doctors are expecting - hang in there!


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