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Abbygirl2 Find out more about Abbygirl2
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  • Atenolol and BP

    I saw my cardiologist the other day and we discussed raising my Atenolol to 75mg. When I expressed concern over my BP dropping too low, he said that Atenolol doesn't effect normal BP. It only lowers high BP. This sounds fishy. Is this accurate info or is he trying to pull the wool over my eyes.

    Thanks all
    Pam
    It's not what you gather, but what you scatter that tells what kind of life you have lived.

    Dx in Feb/99. Obstructed. No ICD, no surgeries, no family history. 2 sons ages 14 and 6.

  • #2
    Re: Atenolol and BP

    I think you are right to be concerned. Medication doesn't know what your BP is --it only does what it is designed to do.

    I have been on one beta--blocker or another since I was 13 and my bp unmedicated is totally normal. On a beta-blocker, it is lower. Duh!

    What is your bp and heart rate now? What is your dose now? It isn't a linear progression (eg if you double your dose your bp won't drop double the amount) but I would be getting my rear to a specialist or conferring with the one you already have it you have one.

    take care,

    S

    Comment


    • #3
      Re: Atenolol and BP

      Sarah
      Thanks, I didnt' think it sounded right. Why he would tell me that I don't know...maybe he thinks I'm stupid.
      My BP resting is 110/65ish, my HR is about 75-80bpm. I had LESS problems(arrythmias etc) when my heartrate was over 100(yrs ago). So I don't know if things are worsening, changing with age.

      I am trying as we speak to get to see a specialist, my problem(and there always is one) is that I would have to drive 30+ hours to see one. I could fly-but I would have to be heavily sedated.... I have been working on going to Minneapolis(5 hour drive) but it doesn't sound promising.
      Thanks for your help
      Pam
      It's not what you gather, but what you scatter that tells what kind of life you have lived.

      Dx in Feb/99. Obstructed. No ICD, no surgeries, no family history. 2 sons ages 14 and 6.

      Comment


      • #4
        Re: Atenolol and BP

        Hi,

        I am on a BP Rx and my doc has also put me on atenolol 50 mg once a day. Yes it does lower blood presure.

        Ralph

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        • #5
          Re: Atenolol and BP

          Pam

          I would se another doctor your med doesn't know how low or high you BP is it will lower your BP even more

          Shirley
          Diagnosed 2003
          Myectomy 2-23-2004
          Husband: Ken
          Son: John diagnosed 2004
          Daughter: Janet (free of HCM)

          Grandchildren: Drew 15,Aaron 13,Karen 9,Connor 9

          Comment


          • #6
            Re: Atenolol and BP

            This just proves we have to "take the bull by the horns" and pay attention to our treatment. Doctors are not gods, they are human like us all. Some don't have all the information they should have regarding some Rx's as well as treatment for HOCM etc.

            Stay alert and pay attention to the treatment you are getting.

            Ralph

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            • #7
              Re: Atenolol and BP

              Pam,

              Atenolol is most often prescribed to lower blood pressure, so of course you have every right to be concerned. We HCM'ers just take it for it's other benefits and hope that it doesn't drop our BP too much.

              I think i know what your doctor was trying to tell you, even if he did word it rather poorly. For some of us, it seems that atenolol does a good job of lowering our heartrate without effecting our blood pressure too much. My own doctor gave me a rather long and complicated explanation of how all this works, but i believe the short version is that the beta blocker's effect on an HCM heart is a little bit different than that of a normal heart. It has the same potential to lower blood pressure, but with us HCM'ers, the primary effect of lowering the heartrate can kick in before the blood pressure is effected too much.

              I can tell you from my own experience that i have taken as much as 250mg of atenolol daily, and it did not lower my blood pressure by very much... maybe ten points plus or minus. I can also tell you that it was only at the intial dose that i saw any drop at all. Anything above 100mg has had no adverse effect. Unfortunately the only way any of us have of knowing these things is by trial and error... so we experiment and see what works well for each of us.

              As for the arrhythmias, these can be caused (or at least worstened) in part by the atenolol. I had a substantial increase in the number of PVC's i experienced after going on it. However, the benefits from my taking it have far outweighed the negative.

              Take care,

              Jim
              "Some days you're the dog... some days you're the hydrant."

              Comment


              • #8
                Re: Atenolol and BP

                Pam, Jim is so right about the individual response to the med. Don't just assume your doctor gave you wrong information. If you expect to continue to see him, ask him for more complete info, a better explanation, and tell him your concerns. Ask him for specific guidelines and parameters for your expected BP and heart rate on that dose. Then call him if they go lower or you have other problems such as dizziness. Atenolol may not lower your BP to a problem level, or you may notice that it does so at certain times. You may have to stand up more slowly,etc, to give your body time to adjust to the dose. It can help to eliminate irregular heart beats in some people, even tho others, like Jim, have not had this experience. It's fine to get other peoples stories and experiences from the message board, it helps you to learn and know when to question. But remember, this is not medical information or advice, you must get that from your doctor. Linda

                Comment


                • #9
                  Re: Atenolol and BP

                  I have been on Atenolol for HCM for 5 years. And for the last 4 years I have been on Florinef Acetate just for the purpose of raising the BP that the Atenolol lowers. It works for me. Talk to your doc.
                  Heart Transplant 7/16/06 - PRAISE GOD

                  Comment


                  • #10
                    Re: Atenolol and BP

                    Thanks for your helpful replies. I have sinced asked my Dr(GP) about what the cardio said and he agreed, that in general, atenolol does not lower normal BP. I assume now that THEY know what they are talking about and have chosen to leave it alone.
                    Thanks all for your wise insight....
                    Pam
                    It's not what you gather, but what you scatter that tells what kind of life you have lived.

                    Dx in Feb/99. Obstructed. No ICD, no surgeries, no family history. 2 sons ages 14 and 6.

                    Comment


                    • #11
                      Re: Atenolol and BP

                      Pam,

                      Have you started on the increased dose of Atenolol yet? What has been the effect on your blood pressure, etc.? Hope you are doing well

                      Jim
                      "Some days you're the dog... some days you're the hydrant."

                      Comment


                      • #12
                        Re: Atenolol and BP

                        Jim, I did up the dose from 50mg to 75mg without any change to my BP. I do feel better, except for the arrhythmias, they seem to be worse. Thanks for your concern, hope you are well, I haven't had a chance to read the 455 new messages since the last time I was here, I will get around to it though.

                        Take care
                        Pam
                        It's not what you gather, but what you scatter that tells what kind of life you have lived.

                        Dx in Feb/99. Obstructed. No ICD, no surgeries, no family history. 2 sons ages 14 and 6.

                        Comment


                        • #13
                          Re: Atenolol and BP

                          Abbygirl Pam,
                          We missed you. I hope this posting means that you are going to be with us again. That would be very nice indeed.

                          About the Atenolol, I would suggest taking an occasional blood pressure reading and monitor whether or not you show any change over time. As I’m sure you know, no medication will turn itself on or off based on the person’s need. If that were the case we would all be taking a giant pill containing all the medications, and our body would then select the drugs it needs from the assortment.

                          Actually there are some exceptions to that rule, in that the body will dispose of an overdose of some things, keeping only what it needs. As an example, for most people who use an excessive amount of salt, the excess is just voided and never used. Of course if the body has its own maladies, that process may not function as it should. However when it comes to most drugs, such as Atenolol, it is fully absorbed into the system. Maybe its effectiveness is altered one way or the other based on the balances in the system already, but an increase or decrease of the dosage will have its effect. At least that is the way it was explained to me, and my own experiences have confirmed it.

                          If one person told you to jump off a tall building you would think they were crazy. If ten people told you to do it, you would think they were all crazy. You would not put your own logic aside and go jump would you? This is the same thing.

                          Nice to have you back,
                          Burt

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                          • #14
                            Re: Atenolol and BP

                            Pam,

                            I'm glad to hear that the increased dose is going well for you so far.

                            For most of us, no one drug or combination of drugs is going to make us feel 100 percent better, so remember that there will probably be trade-offs. The only real guage for the effectiveness of any HCM med is one that can't be measured... it's all about symptom management, and how the drug makes us feel. You may find that you experience a few more PVC's on the atenolol, but that overall you feel much better. Or you may find that a different drug works just as well and with fewer side-effects. It'll take some time, so try not to get discouraged.

                            It sounds like your doc is taking you up in small increments and seeing how this affects you, which is good standard protocol. Be sure to keep your doctor apprised of any changes you note on the increased dose. I found that it was helpful to keep a daily log and jot down my BP and heartrate every day, as well as a few words about how i felt in general on the new dose.

                            Hang in there, and thanks for writing back.

                            Jim
                            "Some days you're the dog... some days you're the hydrant."

                            Comment


                            • #15
                              Re: Atenolol and BP

                              whoa you guys are talkin about taking 50 mg a day, im on 200 mg of atelenol and 400 mg of norpace-a day. im only 16 but is that an insane amount?

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