Doctor insights on:
Beta Blockers List
Are beta blockers & calcium channel blockers truly contradicted in Wolff-Parkinson-White patients?
Are these drugs used to reduce cardiac output: calcium channel blockers and beta (receptor) blockers?
Answer: If severe or symptomatic, intravenous pressers (drugs that mimic adrenaline) and/or temporary pacing is needed. This is not to be tried at home kids! if not severe and patient young/healthy, might only need close monitoring and IV fluids in icu. I hope this person is in a hospital! ...Read more
Reverses Ht Failure: Toprol xl (specifically that formulation, not metoprolol tartrate) and Carvedilol (generic or Coreg (carvedilol) brand name) have been shown in large, well controlled clinical trials to slow and sometimes reverse the damage of heart failure. They operate by blocking a malfunctioning feedback loop of hormones and signaling molecules, ultimately by blocking the effect of adrenaline on the heart. Good question! ...Read more
Poss side effects: Possible side effects of beta-blockers include: sexual dysfunction in males, HDL reduction, increased triglycerides, bronchoconstriction/ shortness of breath, bradycardia, hypotension, heart block, fatigue, and dizziness. However, don't forget that most people do fine, or have a brief adjustment period then are fine. Talk w/ ur doc about whether potential benefits>potential risks. ...Read moreSee 2 more doctor answers
Fatigue: Fatigue is the most common side effect, which may include daytime sleepiness. Erectile dysfunction may also occur. A beta- blocker also lowers heart rate and blood pressure, so if you are sensitive to it, or the dose is too large, bradycardia (low heart rate) or hypotension (low blood pressure) may occur. ...Read more
Depression and meds: Reportedly, some people taking Bystolic (nebivolol) have avoided developing symptoms associated with depression. However, many other factors may contribute to someone developing depression symptoms while on any medication. If Depression symptoms occur, contact your doctor. ...Read moreSee 2 more doctor answers
Not the first choice: According to the newest JNC guidelines, beta blockers are not the first choice for treating hypertension. If you have conditions like portal hypertension, panic disorder, or chronic migraine headache along with hypertension, then the doctor may choose propanolol to treat two conditions with just one medicine. ...Read moreSee 1 more doctor answer
Is Cardura (doxazosin) a reasonable second BP drug with Lisinopril when CCBs, diuretics, beta blockers are not well tolerated? Also on B-agonists for asthma.
Yes, it is an option: Cardura (doxazosin) or another alpha blocker type drug is an option when the other classes of drugs mentioned are not well tolerated. Alpha blockers can cause dizziness so they are best taken at night to minimize this effect. The dose needs to be increased slowly. Make sure you are exercising and minimizing salt, alcohol and caffeine as well. ...Read more
Do any beta blockers act on Central Nervous System? Labetalol, Propranalol? What about Alpha-1 blockers?
Yes, most of them: Beta blockers are either water soluble or lipid soluble. The latter cross the blood-brain barrier and act on the CNS (central nervous system). Atenelol and Naldolol are 2 water soluble ones that do not readily cross into the brain. Alpha blockers generally do act on the CNS, and the 2 most common side effects are hypotension and dizziness. ...Read more
Resistant pulmonary htn due to sjogrens. Norvasc (amlodipine) works but isosorbide unpredictable. Beta blocker worsens. Arb acs contraindicated ckd high K. Advice?
Pulmonary HTN: There are a range of molecules available by prescription that address P HTN ;go see a cardiologist or pulmonologist that has an interest in treating this condition ...Read more
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