Is the patient compliant with medications? IF his heart rate
is greater than 60 and he is not having any side effects from the atenolol
, the atenolol may be increased. The two medications that you have chosen both work similarly. Perhaps a medication from a different class should be added once you max his atenolol. A diuretic like HCTZ (hydrocholorthiazide) or an ACE inhibitor
would also be helpful.
Be well, Dr. Kimberly