Question

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.

Dr.Prashant Vazirani · Accepted Answer

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 google friend wonât give it out to you on a plate, for which you will need to study in a med school for atleast 8 years (md)
considering your young age you should be on a beta blocker but instead of cilnidipine you can change to ace or ars but even current medication is fine tc.

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