Is atenenol safe for hypertension patients with low heart rate?!
Question: Is atenenol safe for hypertension patients with low heart rate!?
I am 47 yrs T2 diabetic for the last 12 years, I was prescribed aten25mg to control hypertension(160/110)!. My average heart beat is 72 bpmWww@Answer-Health@Com
Answers:
Atenolol used to be the "Gold Standard" treatment for 'hypertension' and all other drugs were assessed against it!.
BUT !.!. This was before the ASCOT controlled trial, which showed indisputably that more people died when on Atenolol and other beta-blockers than any other treatments for so-called high blood pressure, and it's no longer the Standard!.
Consequently, Atenolol (and beta-blockers in general) were withdrawn as first-line treatment in UK by N!.I!.C!.E!., (National Institute for Clinical Excellence) some 2 years ago!., with significant improvement in mortality rates!.
Wild horses wouldn't persuade me to take Atenolol or any other beta blocker, for high blood pressure!.Theoretical considerations alone make it inevitable that slowing the pulse-rate increases systolic pressure for any given level of cardiac workload, in an otherwise normal, healthy individual!.
ASCOT only proved it, in practice!.
It has no bearing on diabetes, however!.
The only other thing I'd say is that your pulse rate is not low!. It's average!. The crucial, defining test you can carry out is to stop taking Atenolol gradually, and carefully monitor what happens to your BP readings and your pulse rate!. If your pulse rate rises, the beta-blocking is having an effect (which is bad)!. If it doesn't rise, then that is an excellent sign!.
There are further tests involving your systolic, diastolic, and mean pressures, but these are a little complicated to describe here!.
EDIT: Atenolol, -like most beta blockers, is essentially dosage-neutral, that is, - if it affects you (and it doesn't affect some people, especially Afro-Caribbean) then it doesn't matter whether you take 10mg or 25, !.!. or more, the extent of pulse-lowering is the same!. So it's incorrect to say you"might need to take a higher dose"!. Read "ABC of HYPERTENSION" published by the BMAWww@Answer-Health@Com
BUT !.!. This was before the ASCOT controlled trial, which showed indisputably that more people died when on Atenolol and other beta-blockers than any other treatments for so-called high blood pressure, and it's no longer the Standard!.
Consequently, Atenolol (and beta-blockers in general) were withdrawn as first-line treatment in UK by N!.I!.C!.E!., (National Institute for Clinical Excellence) some 2 years ago!., with significant improvement in mortality rates!.
Wild horses wouldn't persuade me to take Atenolol or any other beta blocker, for high blood pressure!.Theoretical considerations alone make it inevitable that slowing the pulse-rate increases systolic pressure for any given level of cardiac workload, in an otherwise normal, healthy individual!.
ASCOT only proved it, in practice!.
It has no bearing on diabetes, however!.
The only other thing I'd say is that your pulse rate is not low!. It's average!. The crucial, defining test you can carry out is to stop taking Atenolol gradually, and carefully monitor what happens to your BP readings and your pulse rate!. If your pulse rate rises, the beta-blocking is having an effect (which is bad)!. If it doesn't rise, then that is an excellent sign!.
There are further tests involving your systolic, diastolic, and mean pressures, but these are a little complicated to describe here!.
EDIT: Atenolol, -like most beta blockers, is essentially dosage-neutral, that is, - if it affects you (and it doesn't affect some people, especially Afro-Caribbean) then it doesn't matter whether you take 10mg or 25, !.!. or more, the extent of pulse-lowering is the same!. So it's incorrect to say you"might need to take a higher dose"!. Read "ABC of HYPERTENSION" published by the BMAWww@Answer-Health@Com
Atenolol is a blocking agent that blocks the effects of adrenergic drugs!. One of the important functions of beta-adrenergic stimulation is to stimulate the heart to beat more rapidly!. Atenolol also reduces the force of contraction of heart muscle and lowers blood pressure!.
Since your heart beat is 72 bpm which is normal, there should not be any problem taking atenenol!. But, your BP level seems to be too high!. Atenenol 25mg may not be sufficient to control your BP!. May be higher dosage or in combination with some other drug, may be prescribed!. You need to consult your doctor for professional advice!. Www@Answer-Health@Com
Since your heart beat is 72 bpm which is normal, there should not be any problem taking atenenol!. But, your BP level seems to be too high!. Atenenol 25mg may not be sufficient to control your BP!. May be higher dosage or in combination with some other drug, may be prescribed!. You need to consult your doctor for professional advice!. Www@Answer-Health@Com
A heart rate of 72 is considered normal!. Your blood pressure is very high!. What you do have to watch out for when you take it though is that it might mask the signs of hypoglycemia which is a fast heart rate!.Www@Answer-Health@Com
for b!.p!. and heart related problems, it is wise and safe to consult a doctor in ur locality and to take the prescribed medicines!.!.Www@Answer-Health@Com
As long as your heart rate stays around 72 you shall be fine , atenolol should not be taken by people with bradycardia (pulse less than 50 bpm) Www@Answer-Health@Com