Question 1

selective beta blockers instead of non selective for asthma patients? or are both bad?

Accepted Answer

Selective may be OK: Selective beta 1 blockers are are tolerated by most asthmatics at lower doses. Non-selective beta blockers are contra-indicated in asthmatics because they block the beta2 receptors in the airways, leasing to broncho-constriction. Even  non-selective applied to the eyes (for glaucoma) can cause asthma attacks or poorer control. High doses of beta1 may rarely cause similar worsening of asthma.

Question 2

how long does a beta blocker stay in your system ? i took atenolol for a month , 25 mgs twice a day . i discontinued it 3weeks ago, asthma flared up !

Accepted Answer

Half life: Atenolol half life is about 6-7 hours. A few of days after stopping the medication, almost all of it is cleared. After 3 weeks, there should be no trace of this medication in your system.

Question 3

can i take beta blocker if i have asthma

Accepted Answer

Not advised.: It is not a good choice for asthma. If there is no other option, you may ask your doctor to try a low-dose cardio-selective blocker.  One study showed that although the lung function did decrease slightly when people with asthma are treated with a selective beta blocker, their bronchodilator response actually improved.  I have not seen this study confirmed however.

Question 4

is a cardioselective beta blocker safe for someone with mild asthma? it is to treat pots when standing.

Accepted Answer

Maybe: It's highly individualized and depends on the severity of your asthma and dose of the drug being used. Some people will tolerate it and some won't. Even those who do may have a worsening of their asthma following a respiratory infection months or years hence. You can always try it, stop it if necessary, and use a bronchodilator till back to baseline.

Question 5

asthma bad since using bystolic (nebivolol). only beta blocker not allergic to. should i continue the bystolic (nebivolol)? bp was 200/120 now its only 131/66. renal pt.

Accepted Answer

Hypertension: Would talk with your doctor(s) about this. There are other classes of drug such as calcium blockers which might not cause problems with your asthma. Your doctors will understand more of your whole picture and can advise you more specifically to your problems.

Question 6

why don't we use beta blockers on patient with asthma and coronary disease?

Accepted Answer

We do: Beta blockers generally exacerbate asthma as they block the receptors that open up the airways. Think albuterol, the mainstay of asthma treatment, is a beta-agonist, or exactly the opposite of the beta-blocker. However, there are selective beta-blockers which act on the heart but not the lungs and may be used relatively safely in patients who have both problems.

Question 7

what's to be expected? might ventolin work at all if you have an asthma attack whilst taking beta blockers?

Accepted Answer

Less so: Ventolin may still work but would likely be less effective. It is also important to choose a cardio-selective beta blocker if there is no other alternative. One study showed that taking a cardio-selective  beta blocker reduced the fev-1 (the one-second airflow which is reduced in airway obstruction) by about 7% but made the lung more responsive to bronchodilators . Avoid beta blocker if possible.

Question 8

mild night asthma, given dulera (formoterol and mometasone). seem to be better options for asthma maintenance meds, please recommend. need to avoid interaction with beta blockers?

Accepted Answer

Or avoid b blockers: unless b1 selective, which should be used with caution too, also Delera is a combo medicine , contains Inhaled CorticSteroid, in adiition to  a long acting beta agonist (LABA) which are better avoided, if not extremely needed while on B blockers, generally those LABAs better be discontnued once asthma is controlled with other maintenance meds, please talk again to your doctor, take care

Question 9

do beta blockers like nadolol really lessen the effects of the albuterol for asthma patients?

Accepted Answer

Yes, to some extent.: Non-selective beta blockers can worsen or help cause an attack.  Selective b-blockers are less likely.  Those with so caslled, isa effect are less likely.

Question 10

do beta blockers like nadolol (corgard) really decrease the effect of the albuterol treatment for asthma?

Accepted Answer

Yes: Albuterol binds to beta receptors in the airways. So beta blockers, will decrease the effect of albuterol.

Get Virtual Care

For Businesses

About Us

HealthTap Online Primary Care Doctors Accepting New Patients

Doctor answers about:

Asthma beta receptor stimulator

A member asked:

Selective beta blockers instead of non selective for asthma patients? or are both bad?

A member asked:

How long does a beta blocker stay in your system ? i took atenolol for a month , 25 mgs twice a day . i discontinued it 3weeks ago, asthma flared up !

A member asked:

Can i take beta blocker if i have asthma

A member asked:

Is a cardioselective beta blocker safe for someone with mild asthma? it is to treat pots when standing.

A member asked:

Asthma bad since using bystolic (nebivolol). only beta blocker not allergic to. should i continue the bystolic (nebivolol)? bp was 200/120 now its only 131/66. renal pt.

A member asked:

Why don't we use beta blockers on patient with asthma and coronary disease?

A member asked:

What's to be expected? might ventolin work at all if you have an asthma attack whilst taking beta blockers?

A member asked:

Mild night asthma, given dulera (formoterol and mometasone). seem to be better options for asthma maintenance meds, please recommend. need to avoid interaction with beta blockers?

A member asked:

Do beta blockers like nadolol really lessen the effects of the albuterol for asthma patients?

A member asked:

Do beta blockers like nadolol (corgard) really decrease the effect of the albuterol treatment for asthma?

HealthTap Online Primary Care Doctors Accepting New Patients

Telemedicine

Primary Care

Manage Your Conditions

Women's Health

Children's Health

Men's Health

Senior Health

Wellness, Prevention & Lifestyle

Sexual Health

Mental & Behavioral Health

Travel Medicine

Urgent Care

Didn't find what you're looking for?

More of what we treat

Allergies

Antibiotics

Asthma

High Blood Pressure

Prescriptions

Type 2 Diabetes

For Businesses

Company

Health Content

Join Us

Download HealthTap

Questions?