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Doctor insights on: Beta Blocker Vs Calcium Channel Blocker For Hypertension

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Dr. Tim Conrad
323 doctors shared insights

Hypertension (Definition)

A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more


Dr. Warren Foster Dr. Foster
Cardiology - Cardiac Electrophysiology
16 years in practice
Emory University School of Medicine
2

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If you have tachycardia and hypertension together, do you need a beta blocker or a calcium channel blocker?

If you have tachycardia and hypertension together, do you need a beta blocker or a calcium channel blocker?

Maybe: The type reason for the tachycardia needs to be understood before suppressing it with either medication. Furthermore, some underlying conditions can lead to both problems and may need addressing specifically (e.g. pheochromocytoma, or other foods or medications). A thorough review of your records and discussion with a cardiologist can better answer your question. ...Read more

Dr. Tarek Naguib Dr. Naguib
Internal Medicine - Nephrology & Dialysis
36 years in practice
University of Cairo Faculty of Medicine
3

3
Which calcium channel blocker is most effective for severe raynauds, digital ischemia and exercise-induced pulmonary hypertension? I take 7.5 mg amlodipine but now wondering if diltiazem was better.

Which calcium channel blocker is most effective for severe raynauds, digital ischemia and exercise-induced pulmonary hypertension?  I take 7.5 mg amlodipine but now wondering if diltiazem was better.

Unsure. But: You can always try and see which one works best for you, with the support of you doc. There are many issues that vary the results among different calcium blockers including different absorption and metabolism from a patient to another. We usually use amlodipine but you can tell better if Diltiazem feels more effective for you. Would discuss with my doc regarding a possible switch trial. ...Read more

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Dr. Mark Rasak Dr. Rasak
Internal Medicine - Cardiology
29 years in practice
The University of Iowa Roy J. and Lucille A. Carver College of Medicine
4

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What is the difference between a calcium channel blocker and a beta blocker?

What is the difference between a calcium channel blocker and a beta blocker?

Name says it all: Calcium channel blockers block the channel that allows vascular tone to increase and lowers blood pressure. The beta blockers work on beta recetors on the vessels to lower pressure . The heart has both beta receptors and calcium channels. Therefore betablockers and some calcium channel blockers can slow the heart rate as well. ...Read more

Dr. David Finke Dr. Finke
Obstetrics & Gynecology
11 years in practice
University of Missouri - Kansas City School of Medicine
5

5
What is the difference between a beta blocker and a calcium channel blocker for arrhythmia?

What is the difference between  a beta blocker and a calcium channel blocker for arrhythmia?

How they work.: Calcium channel blockers (ccb) affect calcium channels in the heart muscle cells. Beta blockers (bb) affect beta receptors in the conduction pathways of the heart. Each act to decrease heart rate and can also decrease blood pressure. Sometimes with ccb, the heart experiences an increase in heart rate when blood pressure decreases. There are different brands and kinds of both medications. ...Read more

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Dr. Robert Kwok Dr. Kwok
Pediatrics
29 years in practice
Baylor College of Medicine
6

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If I am taking a calcium channel blocker for raynaud's and a beta blocker for migraines, does that defeat the purpose of taking the calcium channel blocker?

If I am taking a calcium channel blocker for raynaud's and a beta blocker for migraines, does that defeat the purpose of taking the calcium channel blocker?

Can strike a balance: When a person has two or more medical conditions needing treatment, his doctors will try to strike a balance with the medications, to improve each condition as much as possible without worsening the other condition(s). In regards to migrainers, medications such as triptans and ergot alkaloids can lead to raynaud's symptoms, so maybe using beta blockers is less problematic in a particular patient. ...Read more

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Dr. Mary Callahan Dr. Callahan
Internal Medicine - Cardiology
25 years in practice
University of New England College of Osteopathic Medicine
7

7
What is the drug of choice for controlling pacs and afib? Calcium channel blocker or beta blocker?

What is the drug of choice for controlling pacs and afib? Calcium channel blocker or beta blocker?

PACs and afib: Of these two usually beta blockers are better tolerated and have a somewhat lower side effect profile. There are also some who feel that beta blockers are better at preventing afib. ...Read more

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Dr. Ira Friedlander Dr. Friedlander
Cardiology - Cardiac Electrophysiology
38 years in practice
University of North Carolina School of Medicine
8

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Is cilindipine 5 mg a calcium channel blocker or beta blocker. Does it have any effect on lowering heart rate?

It is a long: acting calcium channel blocker indicated for the management of hypertension. It will also lower the heart rate a small amount. It is less likely to produce peripheral edema as a side effect than some other calcium channel blockers. ...Read more

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Dr. Jesus Yap Dr. Yap
Internal Medicine - Cardiology
49 years in practice
University of the City of Manila College of Medicine
9

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I'm on warfarin and flecainide. Why should flecainide should always be used in conjunction with a beta blocker or a calcium channel blocker?

I'm on warfarin and flecainide. Why should flecainide should always be used in conjunction with a beta blocker or a calcium channel blocker?

Recurrence: Atrial fibrillation can still recur with Flecainide and Flecainide does not prevent rapid heart rate from Atrial fib. Thus the need for drugs like beta blockers and either of the 2 calcium channel blockers that effectively controls the rate just in case. ...Read more

Dr. James Rochester Dr. Rochester
Family Medicine
22 years in practice
10

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if i take calcium channel blocker and beta blocker (one at night, one in morn) is the overall effect more? my heart rate feels very low through day

if i take calcium channel blocker and beta blocker (one at night, one in morn) is the overall effect more? my heart rate feels very low through day

What type of CCB: Kimberlie, calcium channel blockers (CCB) come in 2 basic "flavors". The dihydropyridine mostly effect blood vessels to lower blood pressure. The non-dihyropyridine work at the heart to reduce heart rate and force of muscle contraction by the heart. Beta Blockers (BB) also have some with affect blood vessels more (Beta 2) and some which affect heart more (Beta 1). Best to talk to your doctor. ...Read more

Dr. Manjeet Singh Dr. Singh
Cardiology - Cardiac Electrophysiology
6 years in practice
Touro College of Osteopathic Medicine
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Why is it necessary that white patients should be started with an ACE inhibitor or beta blocker while blacks with calcium channel blocker/diuretics?

Why is it necessary that white patients should be started with an ACE inhibitor or beta blocker while  blacks with calcium channel blocker/diuretics?

There's no rule: There's no rule that white patients need to be started on ACEI or Beta blocker and vice versa. It all depends on what is being treated HTN vs Coronary artery disease. ...Read more

Dr. Sireesha Vemuri Dr. Vemuri
Family Medicine
13 years in practice
Manipal College of Medical Sciences
12

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I have osteoporosis and high blood pressure, and take a calcium channel blocker with an arb. Besides exercise, will taking calcium pills help?

I have osteoporosis and high blood pressure, and take a calcium channel blocker with an arb.  Besides exercise, will taking calcium pills help?

Calcium with vita D: Osteoporosis needs to be treated up prevent fractures. You need up start calcium with vitamin d 500/200 2-3x/ day plus a medicine called Fosamax or one in its class to adequately treat osteoporosis . A DEXA scan should be done after a year of treatment initiation. Increase in physical activity will help bone remodeling. ...Read more

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Dr. John Norris Dr. Norris
Cardiology - Cardiac Electrophysiology
31 years in practice
Temple University School of Medicine
13

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Is beta blocker or calcium channel blocker safer in 1st trimester pregnancy?

Is beta blocker or calcium channel blocker safer in 1st trimester pregnancy?

Calcium blocker: Calcium channel blockers are often used for the management of hypertension in pregnancy. Beta blockers are classified as pregnancy category c, meaning that they have not been systematically studied. Although both classes of medications are used in pregnancy, calcium channel blockers are likely to be safer. ...Read more

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Dr. Payam Mehranpour Dr. Mehranpour
Internal Medicine - Cardiology
19 years in practice
Islamic Azad University, Teheran Medical Unit
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Dr. Jesus Yap Dr. Yap
Internal Medicine - Cardiology
49 years in practice
University of the City of Manila College of Medicine
16

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What are the symptoms of calcium channel blocker overdose?

Depends on the type: There are 3 types of calcium channel blocker and they have their own unique side effects .The dihydropyridine group such as amlodipine causes shock like picture with very rapid heart beats while the other groups verapamil and Diltiazem cause very slow heart beat and low blood pressure. ...Read more

Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
17
Dr. Michael Hajdu Dr. Hajdu
Internal Medicine - Cardiology
24 years in practice
The University of Iowa Roy J. and Lucille A. Carver College of Medicine
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Is atacand (candesartan) a calcium channel blocker?

Is atacand (candesartan) a calcium channel blocker?

No : Atacand (candesartan) is an angiotensin receptor blocker. Calcium channel blockers are drugs like amlodipine, Diltiazem or verapamil. ...Read more

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Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
19

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Could a calcium channel blocker cause palpitations?

Calcium : It is possible for a calcium blocker to cause palpitations. ...Read more

Dr. Joshua Liberman Dr. Liberman
Internal Medicine - Cardiology
17 years in practice
Boston University School of Medicine
20

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Can we give nimodipine with other calcium channel blocker?

Not recommended: It is not usual practice to be on duplicate medications within the same class. ...Read more