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Semi Beta Nicardia 25 Mg/10 Mg Tablet Health Feed

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I'm 37 year old male on bp meds since the age of 29, i've been on atenolol 50, nifedipine 10, amlodipine 5, currently on metoprolol succinate xl 50 and cilnidipine 10. I learnt from my personal experiences and also from web literature that beta blockers/calcium channel blockers can cause slow heart rate or bradycardia unlike angiotensin receptor blockers (arb' s) like telmisartan or thiazide diuretics such as hydrochlorothiazide or chlorthalidone. Can I switch from beta blockers to arb's with docs advice to negate the effects of beta blockers. What about celiprolol, carvedilol and pindolol? My last bp readings were, 130/90, 140/80 and 130/85 monitored every 7-10 days. I have undergone my lipid profile, kidney function, liver function and thyroid tests a month ago and everything seemed normal. I'm not diabetic and it doesn't run in the family as well. I do have allergic rhinitis from so many years for which I have tried levocetirizine, montelukast and fexofenadine meds as and when required. Also take placida plus for anxiety issues. I'm just asking this out of curiosity.

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MD - Medicine, DNB Medicine, DNB - Card...read more

Cardiologist•Ahmedabad
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Hi curiosity is fine, but if you try googling each and every medication you will find something which your mind wants to find. What is best for you your doctors know better than you as the beta blockers which you have mentioned you have just googled them and have no idea regarding their efficacy potency or mortality benefit. You should know that not any beta blocker can be started as there is scientific evidence behind which one to start in a particular patient and this information sadly your go...more
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MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi
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It seems you think of bp as paramount determinant of health. Measuring bp is a new phenomenon, never previously done.
It can be helpful if done as advised, but it causes plenty of difficulties if done without following the recommended methods. Correct management requires measuring it once every month or 3 months when resting comfortably and feeling ok. Measuring bp whenever one wishes too is not healthy. Bp fluctuates in everybody every day. It may be 170 when climbing stairs, or only 80 whe...more
Asked for male, 48 years old from Bangalore
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MBBS, CCEBDM, Diploma in Diabetology, Di...read more

Endocrinologist•Dharwad
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Mr. lybrate-user, Thanks for the query.
Beta blockers are used quite often to control hypertension and related cardiac problems in patients with diabetes also. They are fairly safe. Some times hypoglycemic episodes may not be easily recognised. Thanks.
Asked for male, 48 years old from Bangalore
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MBBS, Fellowship in Clinical Cardiology(...read more

Cardiologist•Ghaziabad
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No beta blockers does not affect diabetes and Propanol and Atenolol are both similar medications.
You need to understand about high blood pressure. 
Normal range of blood pressure is between 90/60 to 140/90, anything above or below is is abnormal.
Many factors can affect blood pressure, including:
1) The amount of water and salt you have in your body
2) The condition of your kidneys, nervous system, or blood vessels
3) Your hormone levels
4) your lifestyle - smoking, ...more
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MRCPsych, Certificate of Completion of T...read more

Psychiatrist•Mumbai
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In addition to above, a longer acting (la) preparation of propranolol is worth trying. Good luck for your presentation.
180 people found this helpful
Asked for Male, 55 years old from Nagpur
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Pain Medicine Externship, Fellowship In ...read more

Psychiatrist•Panchkula
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Atenolol is not a drug for Anxiety. Its Propranolol that is useful for the physical components of anxiety reponses (trembling, quivering of voice etc). Ability to act on Beta 2 receptors gives it the above utility, while atenolol is only active on B1 receptiors. Moreover, Atenolol does not cross blood brain barrier so I do not see the merit of it here.
As for Sudden Withdrawal of Medication- Yes, typically B Blockers like Atenolol etc are not to be stopped abruptly. They can lead to increase...more
Asked for male, 35 years old from Mehsana
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MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi
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Atenolol is similar to metoprolol and will work similarly amlodipine is another bp medicine, so combination is double dose. If atenolol keeps bp controlled then amlodipine need not be taken, but if it is high with atenolol then combination should be tried.
Asked for male, 24 years old from Kolkata
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MBBS, MD - Internal Medicine, DM - Cardi...read more

Cardiologist•Delhi
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There are faster acting medicines like metoprolol with telmesaratan or beta blocker with nifedipine retard.
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Asked for male, 38 years old from Anand
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MS - Obstetrics and Gynaecology

Gynaecologist•Delhi
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Nicardia and depin both contain nifidipine, difference is only of trade name. Nicardia retard is long acting.
Nifidipine AMD M-dopa both are safe in pregnancy. Take medicine as advised by your doctor.
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