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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Metoprolol be taken instead of Atenolol to avoid HDL level increase?

I am a type 2 diabetic and hypertensive well controlled on Atenolol 50 mg once a day. I am also taking Enalapril 10 mg twice a day regularly. Recently done tests showed a Glycosylated Hb of 7.1. My HDL is a bit low at 0.95, but LDL is normal. My BMI is 25.5. I want to start metoprolol 100mg daily and stop atenolol altogether. Would you recommend that I should change to Metoprolol as Atenolol has been found to cause an increase in HDL levels. Please advise. Thanks Tan
Tue, 13 Aug 2019
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General & Family Physician 's  Response
Hello,

Metoprolol can be taken instead of Atenolol to control blood pressure.

They are in the same family of medications.

There are fewer side effects reported for Metoprolol regarding the HDL level.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr.Dorina Gurabardhi, General &Family Physician
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