Is it safe to take betahistine oral solution with low blood pressure?

Mar 31, 2025 Source: Cainiu Health
Disease description:

Today I went to the hospital for a checkup, and the doctor told me that my blood pressure is low. I have a relative who studies medicine, and they recommended that I take Betahistine tablets. May I ask, is it suitable for low blood pressure to take Betahistine tablets?

Doctor's answer (1)
Dr. Lv Zhiqin

Betahistine oral solution refers to betahistine hydrochloride oral solution, primarily used in the treatment of Ménière's syndrome, vascular headaches, and cerebral arteriosclerosis. It works by dilating blood vessels and improving microcirculation. This medication also has a certain blood pressure-lowering effect; therefore, patients with hypotension should use it with special caution.

For patients with hypotension, if taking betahistine hydrochloride oral solution, it is recommended to closely monitor blood pressure changes. If a持续 decrease in blood pressure occurs during use, administration should be stopped immediately and medical advice sought. Additionally, patients with hypotension should also pay attention to dietary regulation and appropriate physical exercise to strengthen their constitution and improve symptoms of low blood pressure.

Some hypotensive patients whose condition is caused by insufficient cerebral blood supply may, under close blood pressure monitoring, use the medication appropriately under a doctor's guidance. However, whether it is suitable must be determined by the attending physician according to the patient's overall health status, blood pressure levels, and treatment goals. Remember, any use of medication should be conducted under the guidance of a qualified physician and should never be decided by the patient independently.