Ace,
I think you mentioned staying on Bystolic. Will you keep taking both Niacin and
Pravachol and hope for best? What if they are not strong enough to counteract the effects of your beta blocker? Are you prepared to either try another medication or increase the dose of Niacin and
Pravachol? It seems that adjustments to our drug regimens are necessary on an on-going basis, because nothing stays the same for long.
Besides the beta blockers, Hctz also affects the cholesterol levels negatively. I take both of these meds. I'd be very surprised to see any improvement in my cholesterol levels since last tested.
I read that the beta blockers with ISA (intrinsic sympathomimetic activity) such as Sotalol, Acebutolol and Pindolol, do not seem to have adverse effects on the blood lipids. Maybe the low level of agonist activity they exert, in addition to acting as receptor site antagonists, somehow keeps them from interacting with the metabolism of fats. Losing those extra pounds might help a little.

Sugar, NOT fats, is the number one bad guy and causes the most damage to our bodies.
flowergirl