Doctor insights on:
Are Beta Blockers Used To Treat Both Stable And Unstable Angina
Angina is chest pain that is caused by poor blood flow to the heart muscle. Angina is not an actual disease, but rather a symptom of an existing heart problem. Most commonly, this underlying problem is due to an obstruction of the coronary blood vessels that surround the heart. There are different types of angina including stable angina, unstable ...Read more
Absolutely: Beta blockers are frequently used in the ICU for management of various conditions related to the heart and sometimes for blood pressure control. In the icu, the patient may sometimes benefit from intravenous beta blockers that can be specifically titrated on a real time basis, with less fear about erratic absorption from the gut. ...Read moreSee 1 more doctor answer
Knowing that certain beta blockers are sometimes prescribed for angina just curious ad to how effective coreg (carvedilol) is for angina?
Considering the heart need for oxygen, can exercise be helpful to both stable and unstable angina patient?
exercise is medicine: The heart extracts the same amount of oxygen at rest or exercise. What the heart needs is more flow which is why blocked up arteries cause chest pain/heart attacks. One way to increase flow is to exercise to build up the bodies ability to recruit blood flow when needed. You should not exercise while you have unstable angina until it is controlled though. In stable angina exercise it great. ...Read more
Are beta blockers alone effective in vasodilation around the heart or is combination therapy neccessary, i.e. ace-inhibitors, calcium blockers, etc?
BB not vasodilators: The medicines you mention act in three different ways and depending in what you are trying to achieve they can be used separately or together for a variety of conditions, from hypertension to even heart failure (although cal antagonists not recommended for the latter). But beta blockers are not vasodilators ...Read moreSee 1 more doctor answer
Generally, how potent is clonidine when compared to other hypertensive medications, such as beta blockers and ACE inhibitors? Or, is it so individual?
Hypertension: Current 1st line medication for hypertension or high blood pressure is a thiazide diuretic (water pill) like hctz (hydrochlorothiazide) unless you have a compelling reason eg diabetes, heart disease, kidney disease, etc for something else. Clonidine is far down list. It works but all BP meds work. Down side of Clonidine is rebound hypertension if you forget to take dose. Some find it sedating. Potency depends upon dose. ...Read more
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. ...Read more
Are these drugs used to reduce cardiac output: calcium channel blockers and beta (receptor) blockers?
Are Sympathetic Blocks used to treat angina or tachycardia that isn't well controlled by medicine?
No: Many other treatments for this problem.Get a more detailed answer ›
Is labetalol as effective as atenolol for pots syndrome and angina? Im on Prazosin, and Verapamil but those alone dont control.
Not the same meds: Labetalol and Atenolol are not the same medications. Labetaolol has alpha blockade too along with BB. I am assuming you have Postural Orthostatic Tachycardia Syndrome. Would stick to a pure BB, short acting. Would talk to your MD. a pure BB will also help with angina. This is a imp discussion to have with your MD. ...Read more
Any alternatives to beta blockers to help with palpitations . Can not take beta blockers because of bradycardia.
Calcium channel bloc: Makes sure you are well hydrated....that is #1 cause of palpitations. Further eliminate caffiene containing drinks. Work on your anxiety by trying to actively stay calm, meditate, etc. AFter all those techniques, you could try Calcium channel blockers for palpitations, but they, too cause bradycardia. Norvasc (amlodipine) causes least amount of bradycardia typically... ...Read more
How are loop duretics used for acute renal failure and CHF though ther are contraindicaticated in borderline RF and CHF ?
Medicine vs. poison: There's a saying in healthcare: "medicines & poisons r the same chemicals given with different intent". If u r volume overloaded in acute renal failure or CHF, then u need volume reduction. The easiest & fastest way is diuretics, which "force" the kidney to get rid of water, tho side effects can occur (so u have to b monitored). If there is no volume overload in renal failure, skip the side effect ...Read more
Continuum: Angina can be quite severe and respond to rest, oxygen, nitroglycerin. And fully recover with no muscle death. The pain fibers are the same source. Some myocardial infarction can be asymptomatic all the way to the worst, ominous, pain ever! there is heart muscle death as the defining entity may need surgery or intervention. ...Read moreSee 1 more doctor answer
Can ACE inhibitors or ARBs given to control Bp if s.cr is1.56 in patient with atrial fibrillation?
ACE-ARB, CRF A-FI: ACE and ARB in chronic renal failure can be administered together. However will have no therapeutic effect on chronic atrial fibrillation. For arterial hypertension with chronic renal failure you will require to switch one of the current HPT med to a beta blocker. Such as Sotalol 80 mg twice a day (minimal dose), and have BP controlled twice a day, adjust as . Have you ever underwent cardio-versi ...Read more
Which is better to control high BP beta blockers or calcium channel blockers.Are there factors based on which dr decides which will help more.Thanks?
Is propranolol ER 80 mg better for cad, artery blockage, and angina than 5 mg bystolic (nebivolol). Generally, which other medicine is best for those?
Beta blockers: Propranalol and bystolic (nebivolol) are beta blockers-they act by blocking beta receptors. They act by decreasing the workload of the heart, slowing the heart rate & decreasing blood pressure. With coronary disease these medications are relatively similar. They are great for lowering the work load of the heart therby helping with CAD but with angina a calcium channel blocker or nitrates are usually better. ...Read moreSee 1 more doctor answer
Many: Many medications can be used for this depending on your overall history. Some common ones include lasix, (furosemide) aldactone/spironolactone, ace inhibitors (e.g. Lisinopril), arbs (e.g. Losartan), and nitrates. This requires a discussion with your doctor who knows your history well. ...Read more