Not for all

Ooh I love it!! That’s a good one :D

@@ConanLiuMD In addition, I differentiate the 2 CCBs by, "Di- dihydropyridine" that DIlates the blood vessels; that's why these medications (like amlodipine) will cause peripheral/ankle edema. Vs. NOn-dihydropyridine --> the "NO" helps me to remember that it works on the "Nodes" or the heart like Verapamil and Diltiazem.

So amlodipine is no good ?that’s what I take and losartan

I got to stop taking atenolol on Monday. My vo2 max is now above average. While on atenolol my vo2 max was below average and it was very frustrating because I was working out regularly.

Yes, a bit better

Nebivolol also less likely to raise your Blood sugar

Hi! I also have POTS and was prescribed Atenolol. I want to keep this thread going because I'd like to come off Atenolol. I'm hoping this doctor will answer us here.

btw, Princess Mari, were you also prescribed Lexapro (SSRI) in addition to Atenolol? I have found this helped b/c let me tell you - the atenolol will bring your mood down.

@@MathewRyan111 he did not. Only Atenelol. I started taking it for a few days, but I stopped because I got a little freaked out. To tell you the truth, I have felt better off of it. It was lowering my bp more. Instead, I did a little research and am trying probiotics that specifically activate the parasympathetic system, among a few other supplements. Why do you want to get off of it? What are you experiencing?

@@princessmari5063 Atenolol (and I'm guessing all beta blockers) tend to rob you of your energy, which makes sense because they lower your heart rate. They also tend to lower my mood/cause some depression, and I'm pretty sure they are responsible for at least some of my weight gain. That said, they do keep my heart rate in a lower, safer range. I'd just like to find the healthiest plan for me and maybe one day come off of them.

@@MathewRyan111 I am so sorry you are going through all this. From what I have researched, you can get off Atenelol but if has to be VERY gradual. If anyone tells you to do it cold turkey, DONT. I started controlling my crazy heart rate increases with exercise, calming probiotics, garlic, potassium & magnesium supplements. I am not going to say I am cured, but I feel that it has definitely helped a lot. When I tried the Antenelol I was lightheaded and my bp was getting lower and lower. Would you consider alternative medicine that encourages nutrition changes and supplements? I feel for me, I am choosing that. But everyone is different and the severity of POTS different. This condition sucks, but we can get through it one day at a time.

That's a great point and explanation of the physiology - I guess in this case, it mainly is talking about AKI in general leading to poor clearance of beta blockers (especially atenolol). Beta blockers can increase serum potassium through inhibition of Na/K ATPase - so having the AKI just predisposes you to beta blockers being too high, leading to hyperkalemia and bradycardia/AV block, leading to worsening perfusion and worsening AKI which worsens the ability to clear beta blockers even further.

It would be an off label use, this class of meds can be used for anxiety but usually the one of choice is propranolol which is taken before anxiety inducing situations

Thanks for the video. If you have asthma, would atenolol be the best choice for anxiety? @@ConanLiuMD

@@ConanLiuMDI have been on 25 mg of Atenolol for 26 yrs. I am now 67 yrs old. I was put on them after having period of Afib, palpitations and anxiety for the first ten years. I haven’t had any afib episodes or rarely any palpitations in last ten years. I’ve spoken to my family doctor who put me on it 26 years ago who is still my family doctor about weaning off Atenolol or switching to something else. He don’t want to in his words, “ fix something that isn’t broke.” Any ideas? I do still have GAD but haven’t had a full blown panic attacks in maybe 10 years. I do take 5mg of Valium for that as I don’t tolerate SSRI’s well or like their side effects.

@@ConanLiuMDwhat is a good replacement for 25 mg of Atenolol? Been on it for 28 years for bouts of Afib/ anxiety. I haven’t had either for last 5 years but I take Atenolol 25mg once a day. Never missed but if I take it late or forget it my heart rate will go up quicker when doing any activity. I have been down to 12.5 mg a few times for months with no problems I notice. If I need it to lower heart rate is there a better alternative?

@@ConanLiuMDbeen on 25 mg of Atenolol since I was 45. Symptoms some bouts of Afib, tachycardia and anxiety. I am now 67 yrs old and haven’t had any of those symptoms in at least 8 years. If I miss one my heart rate definitely increases from the normal 72 on it to 80-85 and with activity it goes up pretty quick. Would like to at least change. What is a better alternative then 25 mg of Atenolol for these symptoms?

Talk to your own physician/cardiologist about it, but our first line medications for high blood pressure are usually ACE inhibitors, calcium channel blockers, or thiazide diuretics and not beta blockers. Lisinoprol or amlodipine are often the first go to meds. There may be a reason your cardiologist wants you on a beta blocker though for the bicuspid aortic valve so please ask them. In general atenolol is a pretty old school medication though and there are better beta blockers out there such as metoprolol and carvedilol

Absolutely! I was just wanting some recommendations as to what research says is the best/safest option for beta-blockers, longterm (I hope to have the need to be on these for the next 40 years). It is difficult for me, a simple English teacher, to read medical studies on long-term effects of such prescriptions.

I'm 33 and I was prescribed Atenolol for tachycardia by a GP (25mg). Then shortly after, I consulted with an internist who increased my dosage to 50mg. Since then, I've done a bit of research on Atenolol and discovered it can have some undesirable effects, and now I really want to get off the meds, so I'm just wondering what might be a good alternative to it.

​@@Chilinda_GAundesirable effects like what?

@@Chilinda_GAyou find out anything. I have been on 25 mg for Afib and palpitations for 26 years. I haven’t noticed any side effects but I am 67 yrs old. I would like to wean off or switch to something else.

Been on 25mg of Atenolol for 27 years. What is a better option? I do think it causes fatigue, pre- diabetes, may take toll on kidneys for that long of period. I would like a change after 27 years.

@@LastTrump7 i been on it for a couple months and i came here tonight looking for some sort of advice or help because it feels like it's killing me. I started getting chest pains and pressure in the chest. :'(

@@syciuplyte8494 I hate to hear that. In 27 years I never had any symptoms like that. My worst has been just fatigue and insomnia. If you think they are causing chest pain and pressure you need to return to your doctor and find out why. You don’t need advice from KZfaq or me, you need to see your doctor…tomorrow. If Atenolol is the cause of those symptoms you need to switch to another medication or it’s possible there is something else going on that the Atenolol is making worse . Prayers and hope you find out what is going on soon.

@@LastTrump7 Yeah true man youre right. i was at the hospital yesterday and even the doctors were telling me that it could be dangerous to some people. So right now im off it three days now and the withdrawal symptoms are horrible, even to the point where the withdrawal makes me feel lime im having a heart attack. Thanks for the prayers man, it means a whole lot.