Doctor insights on:
Ocular Beta Blocker Medication
Since bystoilc is selective beta blocker (works on the heart only), can it still lower ocular pressure in glaucoma or does non selective bb is better?
Yes: Systemic beta blockers (bb) can lower iop, but not as effectively as when a topical ophthalmic preparation is used. Selective vs non- selective bbs very in their potency at blocking beta receptors in the eye & heart. Non-selective bbs block both types of receptors (b1 & b2) and lower iop more than selective type (b1). The later type is thought to be a safer medication with less pulmonary side effect. ...Read more
Male 83... BP flux 65/35 to 100/65 in a matter of minutes. .. pulse consistent between 60 and 65...blood oxygen level 95...medication for beta blocker?
Yes: Beta blockers block the beta 1 receptor on the heart. Some are not specific for that and also block the beta 2 receptor in the lungs which can worsen asthma. Choosing a selective beta 1 blocker (metoprolol and atenolol are probably the most commonly used) at the appropriate dosage eliminates this problem. ...Read more
Just about any: We often combine beta blockers w/mild diuretics, ace inhibitors, arb, ccb, etc. Many patients need 3 or more BP lowering medications to achieve their goal bp. It's just a matter of choosing a drug from each class, looking for secondary gain if possible, while avoiding side effects. Diuretics are good if you have swollen feet. Ace inhibitors & arbs protect heart in CHF & kidneys in diabetcs. ...Read more
Which type of high blood pressure medication would be best to combine with a low dosage of beta blocker?
Any: The low dosage of beta blocker would not especially influence my choice of a second agent except for the fact that medications like verapamil or Diltiazem also slow the pulse as does the beta blocker. So one would want to make sure that the beta blocker has not significantly lowered the pulse. ...Read more
Should you drink alcohol, if going to have one or two cups, after or before taking beta blocker medication metropolol 25 mg.?
Not a good idea:
Its never a good idea to mix medication with alcohol. Although there is not a direct reaction between alcohol and a beta blocker the efffect of alcohol on blood pressure and pulse rate may make immediate use of either after the other a bad idea. To be safe I would take the beta blocker either in the morning or just before bed so that alcohol can be taken at the "usual" cocktail hour time!
Dr Z ...Read more
I have Wolff Parkinson white syndrome with narrow tachycardia and I'm on beta blocker! Is this a good medication?
Yes: Beta blockers can help to avoid episodes of tachycardia, but ultimately you may benefit from an interventional approach to eliminate the problem. ...Read more
Which is the better medication to be on following a heart attack: a beta blocker or an ACE inhibitor?
Heart attack: Actually both drugs can increase longevity after a heart attack. ...Read more
Can you please explain how hbp medication such as CCB causes GERD and acid reflux. Would beta blocker such as bystolic (nebivolol) causes less GERD than ccb?
LES relaxation: Calcium channel blockers such as amlodipine can cause muscles to relax. One of these might be lower esophageal sphincter which tightens to keep stomach acid in stomach. If it relaxes inappropriately, you might notice gerd or acid reflux. Beta blockers tend to slow heart rate by negating effect of adrenaline on your heart. But beta blockers can also relax your les. Only way to find out is to try... ...Read more
I have athsma but could I take a beta blocker for driving test anxiety and panic attacks. No antidepressent medication has helped with this.
Might not help too: And may flare up your asthma which may increase your anxiety. You are on Symbicrt, which contains a long acting beta agonist, which isn't a good combination with beta blockers, also your thyroid problem may be contributing to your anxiety. Confer with your psychiatrist/doctor and have a list of your medications for possible interactions/contraindications, other techniques may be helpful, goodluck ...Read more
Clonidine as an anti-hypertensive---is it an ACE inhibitor, arb, beta blocker? What class of medication is it in for hbp?
I have been diagnosed with early Graves' & hashimoto with antibodies. I am on beta blocker but still don't feel right. Should l be on a medication?
Talk to doctor: The dose of beta blocker may need to be adjusted. Nonetheless beta blocker would not likely solve all your symptoms until the thyroid comes under control. It is highly unusual to have Grave's and Hashimotos however. Which condition you have depends also on the clinical picture. ...Read more
Can atrial tachycardia with aberrant conduction in a normal heart lead to sudden death? Is a beta blocker the right medication to prevent/treat it?
Atrial tachcardia: Can atrial tachycardia with aberrant conduction in a normal heart lead to sudden death? Is a beta blocker the right medication to prevent/treat it? ANS: yes can kill. The best treatment is to find out the cause: heart disease, low K, digitalis, inherited etc. Then treat that. ...Read more
Hi I suffer from anxiety and was prescribed 3.125 mg of coreg (carvedilol) a beta blocker. Is this drug safe?
Resubmitted #: inderal (propranolol) is a beta blocker. Are their any advantages of it over any other drug in its class? I doubt it. Speech making, perhaps?
Inderal (propranolol): Inderal (propranolol) is used in migraine control, essential tremor treatment, for anxiety or panic attacks, hypertension, and for heart rate control. In the absence if bronchial asthma or diabetes Inderal is a great alternative when treating a oerson with one or more of the above conditions. Althouth is not hanit gorming it annot be stopped abruptly and requires slow tapering specially in the presence of known cardiac conditions. ...Read more
Is bisoperal fumerate a beta blocker? What, in your opinion, is the best rate control drug for AF?
Drugs that prolong AV nodal refractoriness include β-adrenergic receptor blockers, nondihydropyridine calcium channel blockers, and digitalis glycosides. In an analysis of the AFFIRM study, β-blockers were more successful than calcium channel blockers in achieving rate control - 70% versus 54%, respectively.
Check this Article
http://circ. Ahajournals. Org/content/124/24/2746.full ...Read more
Why is it that propranolol, a beta-blocker drug is given to a patient with double outlet right ventricle?
To relax the heart: Some patients with double outlet right ventricle have abnormally thick muscle bundles that block the flow of blood to the lungs when the heart contracts. When the blockage is severe the oxygen level in the body can drop to dangerous levels. Beta blockers such as Propranolol reduce the strength of the heart's contraction allowing more blood to pass to the lungs and can improve the oxygen level. ...Read more
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
What are the best anti-hypertensive drugs to be given for a patient with hyperlipidemia (beta-blocker vs ACE inhibitor)?
Depends on co-morbid: Depends on other co-morbidities. That is, if hypertensive patient is also diabetic, then ACE inhibitor. If patient is hypertensive and has a history of coronary disease, then ACE inhib and beta-blocker given their secondary benefits, etc. Each patient is unique and the whole pic needs to be considered. ...Read more
Should anticoagulants taken with beta-blocker and drug against angina pectoris? I woke up with sudden pain in lower left stomach, just under ribs?
Get 2nd opinion: The history you've given (chest pain, periorbital edema, allergies), the meds you list (vitamin D, B6, magnesium?!, azelastine antihistamine spray), and your question (anti-angina Rx, beta-blocker) simply don't add up. We can't judge the appropriateness of a regimen like what you list, especially without much more information. ...Read more
Patients with heart arrhythmias or tachycardia are often prescribed a type of drug called a "beta-blocker". Should I be?
Arrhythmia: Individuals with rhythm disturbances that are fast, tachyarrhythmias, are sometimes given beta blockers as a first agent. These are blood pressure meds that act by lowering the heart rate and can prevent some arrthymias. These are used if someone has symptoms from the arrhythmia and overall are safe and well tolerated meds. ...Read more
My dad has "40% stenosis at it's origin" in LAD & 40% plaque in the OM1 of LCx. He takes aspirin, beta blocker & chol. Drugs. His heart attack risk?
Manageable: If he has no symptoms, the recommended medical regimen includes the medications he is taking. The only addition, based on his risk factors, would be an ACE inhibitor (highly recommended for diabetes, but may also be helpful otherwise). He should not smoke and all around him should not smoke. If he can be active in moderation, that's good! He should be aware of symptoms and notify his doc ASAP! ...Read more
May need to stop it: If you've been taking it for just a short time, you can stop the medicine. If you've been on it for a while, you'll need to taper the dose down. ...Read more