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Old 01-03-2005, 05:08 PM   #1
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CCB vs Beta Blockers?

Does anyone know if verapamil or diltiazem can lower pulse rate as well as atenolol? And will they control palpatations? I have taken both of these CCBs with atenolol. (one at a time ). Together they lowered my pulse too much. But both of the CCBs had a better effect on my BP than any other medication. I have tried to get off the atenolol several times but when I get down to 25 mg I start to have really bad palps. As for other CCBs, I have tried Norvasc and Plendil. Had a bad allergic reaction to both.
Right now I take Benicar HCT and atenolol. BP runs 140's / 70, 80.
Thans for any info.
Cass

 
Old 01-03-2005, 07:33 PM   #2
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Re: CCB vs Beta Blockers?

Hi Cass,

Regarding CCBs...Some, like amlodipine, have very little effect on heart rate.
BUT... verapamil and diltiazem DO have an effect on the heart and are useful in reducing the strength and/or rate of contraction.

Generally not as effective as the betas for this but nevertheless they will slow the old ticker down a bit. It all depends on the individual how much "help" you need.

zuzu xx

Last edited by zuzu8; 01-03-2005 at 07:35 PM.

 
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Old 01-04-2005, 07:24 AM   #3
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Re: CCB vs Beta Blockers?

I've found that any drug that lowers pressure, lowers heart rate to one degree or another. That's a very personal observation.

Last edited by Lenin; 01-04-2005 at 07:25 AM.

 
Old 01-04-2005, 09:39 AM   #4
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Re: CCB vs Beta Blockers?

I take Tiazac (diltiazem) and it does slow my heartrate. I can't remember how much, I wasn't recording bp and pulse when I was taking that drug alone. I now take Tiazac with clonidine (another drug which slows heartrate) and my resting pulse is generally in the 60s.

How much atenolol do you take? Did you maybe try to get off it too quickly? I was on Toprol XL for a bit and did fine slowly stepping down from 100 mg to 12.5 mg. Going from 12.5 mg to 0 mg was a bit uncomfortable, I had racing pulse off and on for a few days and had to go back to 12.5 mg every other day for a bit. Then I still had gradually diminishing withdrawals for 2 or 3 months.

 
Old 01-04-2005, 10:46 AM   #5
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Re: CCB vs Beta Blockers?

Great medications Toprol & Atenolol..... sarcasm mode turned on.

 
Old 01-04-2005, 04:24 PM   #6
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Re: CCB vs Beta Blockers?

I hate the beta blockers. I was on procardia several yrs ago. More recently toprol xl. It was the worst bp med i've ever taken. I 'll keep saying it.

 
Old 01-04-2005, 06:08 PM   #7
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Re: CCB vs Beta Blockers?

I have just been on atenolol too long. 18 years. A couple of dr.s have just told me to stop but I know better! I have tried to wean off but when I get down to 25mgs I start to get palps (really bad) they keep me awake at night.
I am one of those people that needs a beta blocker. I was put on it for tachycardia.
I am afraid that Zuzu is correct. The CCb's just aren't strong enough to handle my heart rythm problem.
Got my 6mo check-up with the cardio Thurs. Maybe she has some new ideas. Thanks for all the replies,
Cass

 
Old 01-05-2005, 07:02 AM   #8
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Re: CCB vs Beta Blockers?

For people that need Beta Blockers that have heart problems, I feel that they need the beta blockers to prevent stroke, heart attack & etc. With all of the new studies coming out on drugs like Atenolol, which is a Beta Blocker, that are showing very interesting things concerning prevention of heart attacks or lack of, it will be interesting to see what docs. prescribe in the future. I don't understand why the use Beta-Blockers as a 1st or 2nd choice when it comes to lowering B/P though. It doesn't make much sense with the side-effects & the fact that there are more effective B/P meds. in different classes on the market. I know that when I go to the specialist on 2/10, I will bring in the research, as well as my readings, which are around 108/64-68 & try to see if I can wean off of Atenolol. It brings my pulse down to 52-58 during the day a lot of the time & makes me feel like junk. I'm 34, slim & don't have any heart problems.

 
Old 01-05-2005, 08:54 AM   #9
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Re: CCB vs Beta Blockers?

I do understand what you are saying Axe, Atenolol loweres my pulse to the low 50s and sometimes as low as the mid 40s. But without it the palps would drive me crazy.
Cass

 
Old 01-05-2005, 09:21 AM   #10
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Re: CCB vs Beta Blockers?

See Cass, you need it for the palps. I know that Toprol didn't lower my pulse as much as Atenolol did though. I just feel light-headed when my pulse gets in the low 50's. For someone like me that gets palps on rare occasions, I don't know why I am on a beta-blocker.... that is why I am going to a specialist on 2/10. GP's don't understand that 108/64 medicated with a 52 pulse for a 34 year old is not fun. I'd rather have 137/80 with a pulse of 75 even though it is a little high....

 
Old 01-05-2005, 09:58 AM   #11
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Re: CCB vs Beta Blockers?

Cassie,
Im there now. I was all excited about weaning off of the betas. I thought it was a miracle cure. I even did it under the supervision of a BP specialist. Now Im paying the price. I used to take inderal 60mg 2xday.(also Hyzaar) My BP was under 120/80 and pulse was 58-60. Now I take Inderal 40mg 1xday- on mon-wed- fri. Not cutting it, my palps in the morning had me border line passing out. My pulse was 96-130. Oh well it was worth a try.

 
Old 01-05-2005, 01:07 PM   #12
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Re: CCB vs Beta Blockers?

Quote:
Originally Posted by dback
Cassie,
Im there now. I was all excited about weaning off of the betas. I thought it was a miracle cure. I even did it under the supervision of a BP specialist. Now Im paying the price. I used to take inderal 60mg 2xday.(also Hyzaar) My BP was under 120/80 and pulse was 58-60. Now I take Inderal 40mg 1xday- on mon-wed- fri. Not cutting it, my palps in the morning had me border line passing out. My pulse was 96-130. Oh well it was worth a try.
You know dback, sometimes I wonder if it's possible to get off a beta blocker and go back to the pre-beta blocker pulse. I also weaned with a doc and had to ask to be put back on. I just couldn't handle the palps. Funny thing is, I don't remember having the palps previous to the atenolol. My pulse; however, was extremely high.
What do you think you will do now?
Cass

Last edited by CASSIEBEL; 01-05-2005 at 01:09 PM.

 
Old 01-05-2005, 01:44 PM   #13
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Re: CCB vs Beta Blockers?

Well, I had a holter today and my heart flew. Ill wait for the results of that. Im also getting a new kidney scan. Until then Im going to take the inderal as needed. I still have 60 mgs. Next week I will ask for 60 at least once a day-my next appt. Your right I dont know if you can successfully wean off of a beta blocker. Im sure some people have. I did it once without weaning and did not have a problem. That was when I was on the inderal like 5 months not 4 years.

 
Old 01-05-2005, 05:34 PM   #14
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Re: CCB vs Beta Blockers?

That was when I was on the inderal like 5 months not 4 years.
Exactly!!!

 
Old 01-06-2005, 06:47 AM   #15
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Re: CCB vs Beta Blockers?

Im also getting a new kidney scan

DBack,

I had blood tests on everything, including thyroid & kidney function in Early May 2004. Everything was perfect. Why would you need a kidney scan if the results from the blood test are perfect???? Just confused as to why the doc. didn't give me one????? Maybe, because my levels were good. Just confused if he should have done this as well. My #'s on the meds. are low on a regular basis, as well as my pulse. No kidney problems at all. I just wonder if they should have taken that extra step. I guess that the Specialist will decide.

 
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