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Atenolol and BP


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  • #16
    Re: Atenolol and BP

    Well Ise,
    We are all different and so each of us requires different amounts of medication to control our individual problems.

    Online Atenolol Use Indication:
    The dose of Atenolol beta-blocker will be different for different patients. Follow your doctor's instructions or the directions on the label. The following information includes only the average Atenolol doses. If your dose is different, do not change it unless your doctor tells you to do so.
    The number of Atenolol capsules or tablets or teaspoonfuls of solution that you take depends on the strength of the medicine. Also, the number of Atenolol doses you take each day, the time allowed between doses, and the length of time you take Atenolol medicine depend on the medical problem for which you are taking the beta-blocker.

    Medication Atenolol Side Effects:
    Check with your doctor as soon as possible if any of the following Atenolol side effects occur:
    Less common Atenolol side effects:
    Breathing difficulty and/or wheezing; cold hands and feet; mental depression; shortness of breath; slow heartbeat (especially less than 50 beats per minute); swelling of ankles, feet, and/or lower legs
    Rare Atenolol side effects:
    Back pain or joint pain; chest pain ; confusion (especially in elderly patients); dark urine—for acebutolol, bisoprolol, or labetalol; dizziness or lightheadedness when getting up from a lying or sitting position; fever and sore throat; hallucinations (seeing, hearing, or feeling things that are not there); irregular heartbeat; red, scaling, or crusted skin; skin rash; unusual bleeding and bruising; yellow eyes or skin—for acebutolol, bisoprolol, or labetalol
    Signs and symptoms of Atenolol overdose
    Slow heartbeat; dizziness (severe) or fainting; fast or irregular heartbeat; difficulty in breathing; bluish-colored fingernails or palms of hands; convulsions (seizures)


    Norpace and Norpace CR are indicated for the treatment of documented ventricular arrhythmias, such as sustained ventricular tachycardia, that, in the judgment of the physician, are life-threatening. Because of the proarrhythmic effects of Norpace and Norpace CR, their use with lesser arrhythmias is generally not recommended. Treatment of patients with asymptomatic ventricular premature contractions should be avoided.
    Initiation of Norpace or Norpace CR treatment, as with other antiarrhythmic agents used to treat life-threatening arrhythmias, should be carried out in the hospital. Norpace CR should not be used initially if rapid establishment of disopyramide plasma levels is desired.
    Antiarrhythmic drugs have not been shown to enhance survival in patients with ventricular arrhythmias.

    The dosage of Norpace or Norpace CR must be individualized for each patient on the basis of response and tolerance. The usual adult dosage of Norpace or Norpace CR is 400 to 800 mg per day given in divided doses. The recommended dosage for most adults is 600 mg/day given in divided doses (either 150 mg every 6 hours for immediate-release Norpace or 300 mg every 12 hours for Norpace CR). For patients whose body weight is less than 110 pounds (50 kg), the recommended dosage is 400 mg/day given in divided doses (either 100 mg every 6 hours for immediate-release Norpace or 200 mg every 12 hours for Norpace CR).

    For patients with cardiomyopathy or possible cardiac decompensation, a loading dose, as discussed below, should not be given, and initial dosage should be limited to 100 mg of immediate-release Norpace every 6 to 8 hours. Subsequent dosage adjustments should be made gradually, with close monitoring for the possible development of hypotension and/or congestive heart failure (see WARNINGS).

    For patients with moderate renal insufficiency (creatinine clearance greater than 40 ml/min) or hepatic insufficiency, the recommended dosage is 400 mg/day given in divided doses (either 100 mg every 6 hours for immediate-release Norpace or 200 mg every 12 hours for Norpace CR).

    For patients with severe renal insufficiency (Ccr 40 ml/min or less), the recommended dosage regimen of immediate-release Norpace is 100 mg at intervals shown in the table below, with or without an initial loading dose of 150 mg.

    I hope this is of some help to you.


    • #17
      Re: Atenolol and BP

      200 mg. of atenolol is on the high end, but its not that unusual for HCM patients. I take 175 mg. myself, and my Dr. may raise to 200. I accidentally took 200 mg. yesterday and lived to tell the story.

      You seem to be on the standard dose of Norpace. I don't know about taking the two together, but I am sure your docs at UCLA know what they are doing.
      Daughter of Father with HCM
      Diagnosed with HCM 1999.
      Full term pregnancy - Son born 11/01
      ICD implanted 2/03; generator replaced 2/2005 and 2/2012
      Myectomy 8/11/06 - Joe Dearani - Mayo Clinic.


      • #18
        Re: Atenolol and BP

        I take 250 mgs of Atenolol and I have had a myectomy one year ago. We all need different amounts. I do not take any anti- arrythmia meds as well ( Norpace is one) or calcium channel blockers.
        Dx @ 47 with HOCM & HF:11/00
        Guidant ICD:Mar.01, Recalled/replaced:6/05 w/ Medtronic device
        Lead failure,replaced 12/06.
        SF lead recall:07,extracted leads and new device 2012
        [email protected] Tufts, Boston:10/5/03; age 50. ( [email protected] 240 mmHg ++)
        Paroxysmal A-Fib: 06-07,2010 controlled w/sotalol dosing
        Genetic mutation 4/09, mother(d), brother, son, gene+
        Mother of 3, grandma of 3:Tim,27,Sarah,33w/6 y/o old Sophia, 5 y/o Jack, Laura 34, w/ 5 y/o old Benjamin


        • #19

          Hi again
          I am taking 200mg of Atenonal daily, I was on Mexelatine for prevention of Arrythmias, but the new HCM Dr.s told me I should stop the Mexelitine and double dose of Tenormin (Generic Atenanol does not work for me) MY BP has dropped down since the Dr. doubled the dose 3/2. I have no symtoms that Iv'e noticed, just had ICD recall battery changed on 4/12 found out while in hospital. BP went down 90/40 no symtoms, yesterday was 110/50 when I had the dressing changed. I was told to check it daily, when I went to purchase one of those BP Readers, they wanted 100 dollars for one. I Just always feel tired and very heavy chest if exertion comes on like my heart can't increase beat when it needs to. Thanks for all the helpful imformation You guys are great!!!
          I am new to this site, Have had HCM for a while my septum grew from 14cm in 1998 to 27cm in Jan. 2003. Had a defiblerator dual pacer put in March 2003. Sometimes I feel like I still have the symtoms especially during menstration.


          • #20

            HCMers as a whole, I think, need larger doses than non-HCM patients. Our hearts are really working overtime.

            I took huge amounts of Norpace and I now take 100mg of Toprol XL (a 12 hour tablet) every 8 hours and could go higher.

            I weigh 115 lbs.


            • #21
              Hi, Loutinmanswife,

              Indeed your heart probably can't increase its beat (at least not to the degree that it did before beta blockers). That is part of what beta blockers do.

              As far as the price of bp devices goes, my take is that the wrist ones, if that is what you are looking at, are not accurate. My mother-in-law has one and we checked it for consistency, and found it was not. The old fashioned cuffs and stethoscope are better, I think. We got one complete with a mercury manometer for $12 here in China, but, although you cannot possibly get one of these for anything close to that in the US, you should be able to find one with a gauge for a lot less than $100. I bought the mercury one a couple of years ago because I thought my gauge was going out, but it turned out to be that my bp was really fluctuating so much that I thought the thing was broken. So, I use the gauge one most of the time still.



              • #22
                just a dumb question .what is the difference between altenol and toprol if their is a difference.thanks mike
                One day at a time.


                • #23
                  Automatic B.P. recorder

                  I am a technecrat (gadget geek) and last year wanted a device to measure B.P. and save the readings and date/time for presentation to the M.D. on my visits.
                  I found just the item in the Omron HEM-780 (as shown on their website) thus:
                  It saves the readings for 90 recordings. It will do about 100 +- recordings on (4) AA batteries or the A/C adapter is included.
                  It has a large cuff which is curved to better fit the arm and attaches with Velcro. It uses (2) buttons to make a reading, one to turn on/off (also automatically will turn off after some time and the second to take the reading. It is consistent in it's recordings. It shows the date, time, pulse, systolic, diastolic when you select the memory feature. I just transfer the readings manually into a spreadsheet and print it out for my M.D.. This allows me to do an averaging for him.
                  I bought it via one of the on-line purchasing tools (Priceline or whatever) for about $80+-. I believe it came from CA within 5 days.
                  When I was at the Mayo they used a walkaround monitor to take my B.P. every 10 minutes and it was about 5"x4"x3/4" and hung around your neck and attached to the cuff which stayed wrapped around my arm. I'd have preferred a similar one as the Omron is to bulky to carry around in my daily activities.
                  The Omron brand came well recommended per a few testing labs. Maybe CR? I forget.
                  It looks like they've slightly changed the style from the one I got last July.
                  It takes about 10-15 seconds to do a reading. It compares to my Tyco manual setup from my EMT days.
                  Let me know if you need any assistance in this area.


                  • #24
                    atenolol is the generic for Tenormin and Toprol is the brand name for metoprolol (confused yet?). metoprolol is also called Lopressor.

                    both are beta-blockers, they just have slightly different chemical compositions. you can google them to get technical details.


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