Can Labetalol make your nose bleed?

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Can Labetalol make your nose bleed?

Postby karoliina » Sat Mar 28, 2009 07:10 am

Hello all,

I've had nosebleeds yesterday and today. I know they are common in pregnancy, but not for me. My nose has never bled outside of pregnancy or in my first one, and in this pregnancy I had some bleeding some weeks ago (being already pre-preeclamptic), but then I had a flu, and the weather was still colder and drier. And my BP was rising then, which can result in nosebleeds.

Now I don't have a flu, the spring is coming so the air is not very dry. I wouldn't think I would get normal pregnancy nosebleed at this point (being 37 weeks along), as I don't think the blood volume is increasing anymore.

The only recent change I could think of is I started taking BP meds (Labetalol) a couple of days ago. It's lowering my BP, so high BP shouldn't be the reason for my nosebleeds now, but could the bleeding be a side effect of the drug? It doesn't say so in the Albetol leaflet, nor could I find that sort of information online, but I was wondering if any of you experienced this while taking Labetalol? Or should I start worrying about my platelets and liver...

Always worried about something, I guess. :)

Karoliina
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Re : Can Labetalol make your nose bleed?

Postby theartsymom » Sat Mar 28, 2009 08:43 am

I just started on labetalol, but no nosebleeds here.
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Re : Can Labetalol make your nose bleed?

Postby trish » Sat Mar 28, 2009 09:56 am

I have no links but I'll see if other moderators do. I haven't heard of that as a side effect of Labetalol (and I was on it for over a year & never had one even though I had lots of other reactions to it). I have heard of it as an indicator of lowered platelets. I would cerainly call your OB and let them know what's going on. You are already full term so there's just no need to mess around IMO.
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Re : Can Labetalol make your nose bleed?

Postby trish » Sat Mar 28, 2009 10:06 am

I decided to go searching and here's what I have found so far: http://preeclampsia.org/forum/viewtopic.php?t=4729&SearchTerms=,nose,bleed,platelets
and this one: http://preeclampsia.org/forum/viewtopic.php?t=8439&SearchTerms=,nose,bleed,platelets

Are you having any other new symptoms like bleeding gums? Looks like bloody nose *could* just be a pregnancy thing but as a new symptom, with PE already out there for you, I'd certianly not treat it as "normal". Let your OB know what's going on ok?
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Re : Can Labetalol make your nose bleed?

Postby bb0708 » Sat Mar 28, 2009 01:01 pm

I really would be concerned with nosebleeds. Any nosebleeds regardless of the cause should not last two days. Sorry to ask TMI but is blood on a tissue when you blow your nose or is your nose suddenly trickling blood, has it been pretty much continuous ( more on than off)How long does each episode last? I would call your doc or head in!!
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Re : Can Labetalol make your nose bleed?

Postby mrs.spit » Sat Mar 28, 2009 01:17 pm

Hey Karolina:

Are you also on Low Dose Asprin? It might be prudent to have your platelets and your clotting factors checked. Just in case. Then again, depending on where you are, it might also be incipent winter dryness. (My skin looks like an alligator's!)
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Re : Can Labetalol make your nose bleed?

Postby susheli » Sat Mar 28, 2009 01:18 pm

Dear Karoliina,
oh, it's so tough isn't it, how PE never lets you not worry. But I think you're so right and so strong to stay aware and take every possible symptom seriously at this point. You're 37 weeks and there's no reason you or Dani should be at any risk now. After reading the threads above, I hope you've been able to call someone for reassurance.
I never had nosebleeds on any bp med, nor for that matter during my entire first pregnancy despite PE (and I don't get nosebleeds normally either). BUT I have had them quite often in this pregnancy (without high bp or PE). As the others have said, they are common in pregnancy, but since this is a new symptom for you and you already have PE I'd try to let your hospital know. I hope they will listen!
I'm thinking of you very much... it's getting through each day, day by day now, and though the worry must be difficult, you're almost there!!
Let us know how you are when you can, okay?
((((((((((((((((HUGS))))))))))))))))))))
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Re : Can Labetalol make your nose bleed?

Postby karoliina » Sat Mar 28, 2009 03:50 pm

Trish, thanks for the links! Yes, also my gums are bleeding a little. That happens to me some other times, too, but I don't think it's a coincidence it goes together now with the nosebleeds.

Bernadette - Oh no, I think I made it sound worse than it is! It's not like my nose had been bleeding constantly for two days, but - yes, sorry for TMI - more like suddenly getting these yucky clumps with clots in my nose and throat. So I mostly notice it, when I blow my nose (and I don't have to do that often, not having a cold), and then after that the bleeding might continue on its own for a little while.

So it doesn't seem anything very alarming, but still something I haven't experienced before.

Mrs.spit - no, I'm not on aspirin. I'm in Finland, and we're heading towards spring now, so the air is not very dry anymore. I have a prenatal check on Monday with a nurse, and I'll ask for a referral to blood tests to see how my platelets are just in case. They have been fine so far (354 at the beginning of Feb, and 295 at the beginning of March).

Sush and Theartsymom, thanks for sharing about your experiences with BP meds!

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Re : Can Labetalol make your nose bleed?

Postby lilillini » Wed Apr 01, 2009 08:55 am

Karoliina, I was started on Aldomet last Friday and noticed my nose started bleeding a little the following day. Well, not really bleeding, but clumps of blood on the tissue when I blow my nose. I was switched to Labetalol on Monday and it's still happening. My labs have all been fine thus far, but I am on aspirin. So I think maybe it is a side effect that some of us experience and some don't.
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Re : Can Labetalol make your nose bleed?

Postby ambersjourney » Wed Apr 01, 2009 10:22 am

This is my 3rd Pe/Pih pregnancy. I have not experienced this before, but for the past couple of months I have been having the same thing. blood clumps etc from my nose. Very weird! When I asked my OB he said it was from pregnancy and dry air. I have never been pregnant before during this season... maybe the season does have something to do with it. If I start having nosebleeds I would be much more concerned! But for now things are alright. I was actually relieved when I read this post. I am glad I am not alone experiencing some kind of freak symptom!
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