With all due respect for your doctor, he's living in the 20th. century.
This is the 21st. First of all, you must tell (not ask) him that you are going to wean yourself off beta-blockers. Don't do it suddenly, as you'll get a "bounce" effect. Simply take them less often, (forget to take them for half a day, perhaps) and take less of a dose. Wean yourself off them completely in about 2- to 3 weeks, and you'll find most of your tiredness
, lethargy, fainting
, etc will DISAPPEAR. Along with your headaches
Here is an incontrovertible fact:- For any level of cardiac activity, BETA BLOCKERS MUST INEVITABLY INCREASE SYSTOLIC PRESSURE. (That's why your top one is 140).
You don't say what your B/P readings are; it would help if you could enlarge on these in your Question?. I can take it from there.
If you really are healthy, normal weight, etc., your doctor is in all probability simply wrong; GP's (are you UK? - or USA?) simply don't understand hypertension
and dispense medication like Smarties, at the drop of a hat.
There is one thing to understand, and it's this:- High B/P readings (on their own) don't mean a thing. -Simply because everyone's DIFFERENT. -Just as you may be blonde, brunette, white or dark skinned, skinny, spotty, gorgeous, or simply 'homely', tall or short, big boobs or small, lop-sided or symmetrical, the same's true with your B/P's. What is "high" for someone else probably is "low" for you......
BUT. Here's the important thing. CHANGES in your B/P's are real. And significant. What we don't know, because you haven't told us, is has it changed? I guess you haven't a clue, and I bet a dollar to a plug nickel your doctor doesn't either.? So the chances are that you AREN'T hypertensive, you DON'T need to be on medication, and even if you do, the very last thing you should be on is BETA BLOCKERS for hypertension (which is mostly a myth,)
Thank you.(1) - Ramipril
is harmless. I doubt if it is helping you, but you are at no risk from taking it. (2) In prescribing Atenolol
for your "hypertension' your GP is directly contravening the N.I.C.E Guidelines issued in July 2006. These are of course only 'Guidelines' but were the result of intensive investigations which showed (in the ASCOT Trial) a greater mortality rate
amongst patients given Atenolol than those who weren't. There can be no justification (other than apathy and ignorance) for your GP to ignore NICE Guidelines.
Your 140 systolic reading isn't particularly high, (rule-of-thumb is "100 + your age" +/- about 10, - so you can see tht's ok). If you took this reading at the highest point of the Circadian Rhythm cycle, -say late afternoon, evening, when stressed, then that would translate to about 125-130 for late-morning levels. That's not even unusual for lots of people. However, your mean pressure (diastolic + 1/3rd of your pulse-pressure) isn't ideal. Could you take a reading (complete with pulse-rate) while resting, at about 11 a.m., and post it? That would be most informative.
Simultaneous pulse-rates would have been helpful -if you can give them too, I could make a better comment, but even in view of what you've told us, I do see that your mean arterial pressure is a cause for further investigatioin by a specialist - but one who agrees with the `NICE'`committee, - not one who is cavalier about the evidence.
I tend to concur with another of your Answerers, who suggests that renal function may be playing a part in your somewhat high mean pressure. But I'm a Cardiovascular Physicist, and can only (at this stage) suggest you (a) quit beta blockers and (b) get a second Cardiologist's opinion.
Feel free to comment further, or ask questions