I’m not a medical professional, but I can give you some general information that might help you talk with your doctor.
Entresto (sacubitril/valsartan) is a medication used mainly for heart failure with reduced ejection fraction. One of its effects is to lower blood pressure, which can be beneficial for some patients but also a concern if your blood pressure is already on the lower side.
A systolic reading of 92 mm Hg and a diastolic of 61 mm Hg is generally considered low (hypotensive) for most adults. Taking a drug that further lowers blood pressure could potentially lead to dizziness, fainting, or other symptoms, especially if you’re already feeling light‑headed or fatigued.
Key points to discuss with your healthcare provider:
| Topic |
What to ask |
Why it matters |
| Current BP trend |
“Is my blood pressure consistently low, or was this a one‑off reading?” |
Persistent low BP may need a different treatment approach. |
| Symptoms |
“Am I experiencing dizziness, fainting, or exercise intolerance?” |
Symptoms help gauge the clinical impact of low BP. |
| Other meds |
“What other drugs am I taking that could lower BP?” |
Some meds (diuretics, beta‑blockers, etc.) can add up. |
| Kidney function |
“What are my kidney labs and electrolytes?” |
Entresto can affect renal function and potassium levels. |
| Target BP range |
“What is the optimal BP range for my condition?” |
Different heart conditions have different BP goals. |
Practical steps you might take in the meantime:
- Track your BP over a few days, especially before and after meals, to see if the 92/61 is typical.
- Stay hydrated and maintain a balanced diet; sometimes low BP can be related to dehydration or low salt intake.
- Avoid sudden position changes (e.g., standing up quickly) to reduce the risk of dizziness.
- Discuss timing of medication doses with your provider (sometimes taking a drug in the evening can help).
Bottom line: If your blood pressure is that low, it’s usually best to pause Entresto until you’ve had a full evaluation by a healthcare professional. Your doctor can decide whether to adjust the dose, switch to a different therapy, or add measures to support your blood pressure.
Please schedule a follow‑up with your cardiologist or primary care provider to go over these concerns. They can tailor a plan that balances your heart‑failure needs with your blood‑pressure profile. Take care!