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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Blood Pressure Fluctuations, Uncontrolled Despite Beta Blockers?

My blood pressure is 167 over 96. Last week I went off 50 mg Atenolol because it was not working anymore (been on it for 13 yrs.) Doctor changed me over to 5 mg Bystolic along with my 25 mg Hctz. I have not been able to get control over this for about 1 yr. I am 5'4", 120 pds., have a horrible family history, 55 yrs. old. Beta blockers just don't seem to be doing it anymore, but my doctor thinks it will be OK with this new med. What do you think?
Fri, 16 Sep 2016
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Cardiologist 's  Response
Hi,

Beta blockers are not in the first line for treating high blood pressure. Especially if they don't help, it would be a better idea to change the medication or add another medication.
Other medications are diuretics, calcium channel blockers and ACE inhibitors. Most frequently prescribed medications are ACE inhibitors with diuretics.
Your doctor has already added a diuretic, and if it doesn't help, adding ACE inhibitor, such as Enalapril or Ramipril may be a good idea

Take care

Come back if you have any further questions
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How To Treat Blood Pressure Fluctuations, Uncontrolled Despite Beta Blockers?

Hi, Beta blockers are not in the first line for treating high blood pressure. Especially if they don t help, it would be a better idea to change the medication or add another medication. Other medications are diuretics, calcium channel blockers and ACE inhibitors. Most frequently prescribed medications are ACE inhibitors with diuretics. Your doctor has already added a diuretic, and if it doesn t help, adding ACE inhibitor, such as Enalapril or Ramipril may be a good idea Take care Come back if you have any further questions