In clinical trials, additional blood pressure reductions were seen in people who took bystolic with ace inhibitors, arbs, and or diuretics.
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a fourth placebo-controlled trial demonstrated additional antihypertensive effects of bystolic at doses ranging from 5 to 20 mg when administered concomitantly with up to two other antihypertensive agents ace inhibitors, angiotensin ii receptor antagonists, and thiazide diuretics in patients with inadequate blood pressure control.
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