Doctor insights on:
Weaning Off Beta Blockers
Can you switch form none selective bb (propranolol ER 80 mg capsule) to selective beta blocker such as bystolic (nebivolol) 5 mg or bisobrolol with no wean off?
Usually Yes.: Your dose of Propranolol er 80 mg daily is high so you will need bystolic (nebivolol) 10 mg at least to begin with and may even need higher. Switch cane be made without weaning although there will be some initial withdrawal such as palpiatations or rise in pulse rate and BP but should not last longer. ...Read moreSee 1 more doctor answer
Switching from 25 mg of atenenol to 5 mg of bystolic (nebivolol) ,,,do I need to be weaned off the atenenol before starting bystolic (nebivolol)?
Lower the dose: Meds like zoloft (sertraline) can sometimes cause withdrawal effects including dizziness, electrical sensations in your head, nausea, mild muscle aches, feeling flushed, anxious, etc. Zoloft (sertraline) does this infrequently. These withdrawal effects are not dangerous, but they can be uncomfortable. If you are having problems stopping from 50 mg talk to your doc about cutting to a lower dose for a week or 2 and then stop. ...Read moreSee 1 more doctor answer
your doctor: Your doctor should help you with this. There are many schedules and none has been proven to be superior. The dose you take, the reason you take it, and length of time you've been on it all factor in. ...Read more
See below: It will help some symptoms but not all and I would only use it as part of a detox regimen ...Read more
Seizure: You should be free of seizures for 2-3 years before you stop this medication in consultation with your doctor. You don't have to wean. ...Read more
Will coming off of 75mg anafranil and 10mg inderal (propranolol) give me withdrawal, electric shock, agitation, tachicardia symptoms?
Not necessarily: Side effects are listed to warn people of POTENTIAL PROBLEMS of taking a medication. It's not an automatic guaranteed event that a patient will absolutely have happen to them. In fact, most side effects have less than about a 5% chance of happening to any given person exactly the way it's listed in the pharmacy pamphlet. Best thing is to follow doctor's instructions & immediately report problems. ...Read more
Is it necessary to wean off atenolol 75mg? Am switching to verapamil sr 120mg. Was advised that no wean is necessary. Stop atenolol, start verapamil?
Neither: you should only taper medications under the direct supervision of your physician. So if s/he determines that you need to discontinue one or both of these medications, they will give you specific instructions. It can be extremely dangerous to go off either without professional advice. In other words don't stop your meds! ...Read more
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 moreSee 1 more doctor answer
15yo son w/Zoloft-induced mania; stopped Zoloft. On Abilify (aripiprazole) 5mg & Trileptal 150mg bid for 3 wks. Want to titrate off. Safe titration schedule?
See your doctor.: Those are strong medications. It is best to follow closely with your physician on this one. Doing it on your own, and doing it wrong could cause harmful side effects like seizures. I know you are asking for a safe titration schedule, but due to the nature of these medications I would personally recommend not do this on your own. ...Read more
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
Will taking lopressor, (metoprolol tartrate) Norvasc and cardura together make your heart feel like it's stopping upon exertion?
No: No, but they will lower your BP nicely. ...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
What are the long term effects of beta blockers and ace inhibitors ie : lisinopril 2.5 and metoprolol succinate 50mg both q daily.
Do selective adeno-adenergic blockers (prazosin, terazosin, doxazosin, trimazosin) protect from acute cocaine-induced vasoconstrictive damage?
Some: Cocaine causes it's effect by preventing the reuptake of monamine (epinephrine, etc) and causes these neurotransmitters to continue exciting the a1 receptor. The meds listed block alpha-1 receptors, so theoretically will blunt the effects of Cocaine on some vessels, but focus mostly (esp. Tamsulosin) on a specific sub-type (alpha-1a) that is mostly in the bladder, not in the vessels. ...Read moreSee 1 more doctor answer
Sometimes: These are two totally different classes of drugs and depending on the mechanism by which your pvcs arise, a calcium channel blocker may indeed be more effective. If drugs fail you, an expert center and electrophysiologist may be able to perform a PVC ablation to eliminate the beats from within the heart, but such procedures require a skilled electrophysiologist for the best chance at good results. ...Read moreSee 1 more doctor answer
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