atenolol vs toprol

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hensylee

Well-known member
Joined
Jun 10, 2001
Messages
11,656
Location
snowy - Sharpsburg, Ga USA
I went to dr today and my bp was something over 80. I began telling him of the past 3 months w/bro. He said 'let me take your bp again'. After he took it I told him I knew it went up while talking about my bro. It had shot up 10 pts. He took me off atenolol (2xday) and put me on toprol (1xday). What's the difference, besides cost?
 
Atenolol

Atenolol

For whatever it's worth, my Cardio once told me Topral is much more stable and more reliable than Atenolol. I understand there's been some debate recently about the effectiveness of Atenolol on some valve patients. I haven't seen anything in print tho. Hopefully, someone has more information on this.
 
Blood-brain barrier? Can you explain?

I have been watching the beta blocker posts carefully and agree that fatigue is one side effect of atenolol but figured it's maybe the same with all of them. Is toprol not a beta blocker? My pharmacist said it is but has long acting properties.

My dr said he went to a seminar at Mayo in early May and there was a study discussed that was negative about atenolol.
 
Metoprolol

Metoprolol

Hensylee Metoprolol is available as a conventional 2xday dosing; this is cheap as it is available as a generic. The once a day extended release is expensive as the extended release process is patented even though the active ingredient is the same. :) I have taken both in the past fortunately I have been able to stop them. :)
 
Ann,
I'm no expert on this but are you on a beta-blocker just for your BP, or is there another reason as well.
The reason I'm asking is my wife has been on Antenolol for several years.
There is strong evidence it may be the cause of her psoriasis, or at the least it could be making it worse.
During these years she has also been taking Altace to control her BP.
At this time she has been weaned off the Antenolol and they doubled the dosage of her Altace. So far it is working quite well.
Our research led us to believe Antenolol was the beta-blocker with the least side effects. On the other hand her cardiologist first suggested Toprol, but after reading about that one, the long list of side effects really turned her off.
So if your condition is not from heart damage or rythm problems maybe Altace could be an option for you. Unlike the beta-blocker it doesn't tire her out.
Rich
 
My wife also suddenly came down with severe, unexplained, highly atypical psoriasis when the first short-sunlight days came after she began taking Atenolol. I have since learned (with some help from Rich) that several beta blockers have been associated with this, although you won't find warnings about it in most drug references.

However, it's not isolated to Atenolol. And it certainly doesn't happen to everyone (I take Atenolol without this issue - so do many here). Other beta blockers can cause this, as well as some ace inhibitors. Also other drugs, including lithium, Chloroquine. Indocin, or even NSAIDs or progesterone, can lead to similar problems. Alcohol consumption can be a psoriasis enabler for some of these chemicals.

The blood-brain barrier is an actual membrane that limits which chemicals can pass through the small blood vessels into the central nervous system, particularly the brain. Atenolol is blocked. Toprol (metoprolol) can pass through the membrane, so it does get to the central nervous system.

Atenolol is usually thought to have fewer side effects (including fatigue) than the other beta blockers because it doesn't reach the CNS. However, each person has his or her own chemistry, and his or her own reactions to medicines. In your own use, you might find Toprol causes the same or less fatigue than Atenolol. It's worth a try, if Atenolol isn't doing the job for you. Or you could pass Rich's Altace suggestion on to your doctor.

Best wishes,
 
I am on it for bp - plus I had a heart attack before quad bypass surgery in 2000. My cardio put me on it so I guess it 's for heart, too. I don't know if I have the tired syndrome or not because I am usually tired anyhow but I do have the driest skin around and perhaps it is from the Atenolol. I didn't know Atenolol would affect skin. I began the Toprol yesterday and will watch my skin. I told my dr I wanted to get back with him in a month just to check things out.

Thanks for all the info. I will report as time passes and let y'all know how it goes.

VR is a great wealth of information.
 
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