Propranolol and atenolol have been studied most intensely in hypertension. For secondary prevention of myocardial infarction, the evidence is best for timolol. Sotalol is probably the best antiarrhythmic among the beta-blockers. Whether any individual beta-blocker is best for heart failure remains to be seen.
– Acebutolol (Sectral)
– Atenolol (Tenormin)
– Bisoprolol (Zebeta)
– Metoprolol (Lopressor, Toprol XL)
– Nadolol (Corgard)
– Nebivolol (Bystolic)
– Propranolol (Inderal, InnoPran XL)
Moreover, Are beta blockers bad for you?
When taken in very high doses, beta blockers can worsen heart failure, slow the heart rate too much, and produce wheezing and a worsening of lung disease. High doses may also cause lightheadedness from a drop in blood pressure, which puts people at risk for falls and injury.
Secondly, Which beta blocker has the least amount of side effects?
A cardioselective beta-blocker such as bisoprolol or metoprolol succinate will provide the maximum effect with the minimum amount of adverse effects. Beta-blockers that reduce resting heart rate less than others (due to ISA) tend not to be used for angina, e.g. celiprolol and pindolol.
Simply so, Which beta blocker has least side effects?
A cardioselective beta-blocker such as bisoprolol or metoprolol succinate will provide the maximum effect with the minimum amount of adverse effects. Beta-blockers that reduce resting heart rate less than others (due to ISA) tend not to be used for angina, e.g. celiprolol and pindolol.
Is there an alternative to beta blockers?
However, if you have problems with beta blockers, there are alternative drugs available. If you have angina or AF, for example, other drugs that slow the heart rate, such as diltiazem or verapamil, may be substituted.
26 Related Question Answers Found
What are the safest beta blockers?
Cardioselective. A number of beta blockers, including atenolol (Tenormin) and metoprolol (Toprol, Lopressor), were designed to block only beta-1 receptors in heart cells. Since they don’t affect beta-2 receptors in blood vessels and the lungs, cardioselective beta blockers are safer for people with lung disorders.
Are beta blockers bad for you long term?
And there are other potential side effects. Beta blockers may mask low blood sugar if you have diabetes. When taken in very high doses, beta blockers can worsen heart failure, slow the heart rate too much, and produce wheezing and a worsening of lung disease.
What is the most effective medication for hypertension?
– Thiazide diuretics.
– Calcium channel blockers – CCBs.
– Angiotensin-converting enzyme inhibitors -ACEIs.
– Angiotensin receptor blockers – ARBs.
Do beta blockers weaken the heart?
When taken in very high doses, beta blockers can worsen heart failure, slow the heart rate too much, and produce wheezing and a worsening of lung disease. High doses may also cause lightheadedness from a drop in blood pressure, which puts people at risk for falls and injury.
What is the first drug of choice for hypertension?
The strongest body of evidence indicates that for most patients with hypertension, thiazide diuretics are the best proven first-line treatment in reducing morbidity and mortality.
What is the most effective antihypertensive?
Angiotensin-converting enzyme (ACE) inhibitors are among the best tolerated antihypertensive drugs and have been used extensively as initial agents in the treatment of hypertension.
Is there a natural alternative to beta blockers?
Many fruits, vegetables, and plant-based foods contain antioxidants, which play a crucial role in the prevention of inflammatory conditions and may lower blood pressure as well. Research has shown that eating foods containing antioxidants, such as fresh fruits and vegetables, may reduce blood pressure levels.
Which is better ACE inhibitor or calcium channel blocker?
Comparative trials against conventional drugs and between ACE inhibitors and CCBs have failed to reveal conclusive differences in cause-specific outcomes. Studies in high-risk patients suggest that ACE inhibitors are superior to CCBs and other drugs in protection against cardiovascular events and renal disease.
How do beta blockers affect the heart?
Beta blockers work by blocking the effects of the hormone epinephrine, also known as adrenaline. Beta blockers cause your heart to beat more slowly and with less force, which lowers blood pressure. Beta blockers also help open up your veins and arteries to improve blood flow.
Can you ever stop taking beta blockers?
Do not stop taking a beta blocker suddenly without consulting your doctor. This is important because when you take a beta blocker regularly, your body becomes used to it. Stopping it suddenly could cause problems such as palpitations, a recurrence of angina pain or a rise in blood pressure.
Can you take an ACE inhibitor with a calcium channel blocker?
Calcium channel blockers (CCBs) are also effective antihypertensive agents, and evidence suggests that a CCB/ACEI combination is well tolerated and also decreases the risk of cardiovascular and renal disease.
What is the best blood pressure medication with the least side effects?
There are three major types of diuretics: thiazide, potassium-sparing, and loop diuretics. Thiazide diuretics generally have fewer side effects than the others. This is especially true when they’re prescribed in the low doses that are generally used in treating early high blood pressure.
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