Why use beta blocker in postop patients?
462315
PERI-OPERATIVE USE OF BETA-BLOCKERS(BB):\n\n*Noncardiac Surgery - EVIDENCE:\n\nMany studies used surrogate measures such\nas ischemic changes on ECG or holter monitor\n70% reduction in ischemic events and\npotentially 80% reduction in MI\n61% of high risk patients do not get BB peri-\noperatively\n33% of patients already on BB do not have BB\nordered post-op\n\nPoldermans Study (NEJM 1999)\nMangano Study (NEJM 1996;335:1713)\n\n*CRITERIA for Use of Perioperative BB\nPersons aged over 65\nPersons with known CAD (history of MI,\nangina)\nPersons at moderate risk for CAD (diabetic,\nhistory of peripheral vascular disease, history\nof CVA, renal insufficiency, new/uncontrolled\nhypertension)\nPoor functional status\nHigh risk surgery\nWithout contra-indications\n\n\n*RECOMENDED Use of BB\nBegun a few days to weeks prior to\nsurgery\nAdjust to heart rate < 60\nUse shorter acting BB to facilitate\nadjustment\n\n*CONTA-INDICATIONS for BB\n\nAbsolute: Asthma, Sick Sinus Syndrome,Severe peripheral vascular disease,Second or third degree heart block\n\nRelative: COPD, Raynaud phenomenon, Bradycardia,\nHypoglycemia-prone diabetics in whom the early\nwarning symptoms of hypoglycemia may be masked
47939
Toprol or metoprolol(generic) is a beta blocker which lowers your heartrate and ideally keeps you from having tachycardia. The risk with surgery is in people who STOP taking the medicine. The risk is rebound hypertension, possible heart attack. Not usually seen in an otherwise healthy 25 year old female.\n\nToprol is not recommeded in pregnancy, it has been linked to intrauterine growth retardation.\n\nCongradulations on quitting smoking. Giving up caffeine will decrease the number of SVT episodes you experience.
700278
It's effects!\n\nBeta blockers block the action of endogenous catecholamines, epinephrine (adrenaline) and norepinephrine (noradrenaline) in particular, on β-adrenergic receptors, part of the sympathetic nervous system which mediates the "fight or flight" response.\n\nThere are three known types of beta receptor, designated β1, β2 and β3. β1-Adrenergic receptors are located mainly in the heart, kidney, and adipose tissue. β2-Adrenergic receptors are located mainly in the heart, lung, GI tract, liver, pancreas, and skeletal muscle. The role and location of β3-receptors is less well-defined.\n\n\n β-Receptor antagonism\nStimulation of β1 receptors by epinephrine induces a positive chronotropic and inotropic effect on the heart and increases cardiac conduction velocity and automaticity. Stimulation of β2 receptors induces smooth muscle relaxation (resulting in vasodilation and bronchodilation amongst other actions), induces tremor in skeletal muscle, increases glycogenolysis in the liver and skeletal muscle.\n\nBeta blockers inhibit these normal epinephrine-mediated sympathetic actions, but have minimal effect on resting subjects. That is, they reduce the effect of excitement/physical exertion on heart rate and force of contraction, dilation of blood vessels, opening of bronchi, reduce tremor, and breakdown of glycogen.\n\nIt is therefore somewhat unexpected that non-selective beta blockers have an antihypertensive effect, since they appear to cause vasoconstriction. The antihypertensive mechanism appears to involve: reduction in cardiac output (due to negative chronotropic and inotropic effects), reduction in renin release from the kidneys, and a central nervous system effect to reduce sympathetic activity.\n\nAntianginal effects result from negative chronotropic and inotropic effects, which decrease cardiac workload and oxygen demand.\n\nThe antiarrhythmic effects of beta blockers arise from sympathetic nervous system blockade – resulting in depression of sinus node function and atrioventricular node conduction, and prolonged atrial refractory periods. Sotalol, in particular, has additional antiarrhythmic properties and prolongs action potential duration through potassium channel blockade.\n\n\nIntrinsic sympathomimetic activity\nSome beta blockers (e.g. oxprenolol and pindolol) exhibit intrinsic sympathomimetic activity (ISA). These agents are capable of exerting low level agonist activity at the β-adrenergic receptor while simultaneously acting as a receptor site antagonist. These agents, therefore, may be useful in individuals exhibiting excessive bradycardia with sustained beta blocker therapy.\n\nAgents with ISA are not used post-myocardial infarction as they have not been demonstrated to be beneficial. They may also be less effective than other beta blockers in the management of angina and tachyarrhythmia (Rossi, 2006).\n\n\nα1-Receptor antagonism\nSome beta blockers (e.g. labetalol and carvedilol) exhibit mixed antagonism of both β- and α1-adrenergic receptors, which provides additional arteriolar vasodilating action.\n\n\n Other effects\nBeta blockers decrease nocturnal melatonin release, perhaps partly accounting for sleep disturbance caused by some agents (Stoschitzky et al., 1999).
735615
I was prescribed propranolol during both of my pregnancies to combat tachycardia (fancy word for rapid pulse).  I took a pretty high dosage of it for 6 out of 9 months of pregnancy for each kid (two kids), and I can't honestly say it made me forget a darned thing.
510014
None of the antacids such as the H2 blockers (Pepcid, Zantac, Tagamet), proton pump inhibitors (Prilosec, Prevacid, Nexium, Aciphex, Protonix), or buffers (TUMS, Rolaids, milk of magnesia, Maalox) should exacerbate any heart conditions or interfere with atenolol. You are safe.\n\nEDIT: To address sunnyblonde4u's comment... the buffers may be listed as having a drug interaction, but that is because they theoretically reduce the bioavailability of the atenolol. However, this is negligible and is exceedingly unlikely to be of any clinical significance.
935064
"I have been on Toprol XL (metaprolol succinate), a beta blocker, for almost three years. Like many others I was having trouble maintaining erections, when finally last year I got up the nerve to mention it to one of my Drs. He acted like he had been expecting me to bring it up at some point, and gave me samples of Viagra to take. My only regret is that I did not mention it to him sooner. I feel like I'm thirty again.\nI am very happy now with the results I receive from both of these drugs. Talk to your Dr about it. I'm positive he is aware of problems caused by beta blockers, and should work with you to eliminate those problems.", Mat from NY.\n\nRead about Viagra, Cialis, Levitra - treatment for Erectile Dysfunction Treatment http://www.edpills.net/article_viagra_cialis_levitra.php\n\nA wide variety of options exist for treating erectile dysfunction. They include everything from medications and simple mechanical devices to surgery and psychological counseling. The cause and severity of your condition are important factors in determining the best treatment or combination of treatments for you. You and your doctor may also want to consider how much money you're willing to spend and the personal preferences of you and your partner. If erectile dysfunction is the result of a medical condition, the cost of treatment may be covered by insurance.\n\nOral medications\nThree oral medications are available to treat ED. These include:\n\n* Sildenafil (Viagra)\n* Tadalafil (Cialis)\n* Vardenafil (Levitra)\n\nThe Food and Drug Administration (FDA) approved Viagra in 1998, and it became the first oral medication for erectile dysfunction on the market. Since then, doctors have written millions of prescriptions for the blue, diamond-shaped tablets. But Viagra is no longer the only pill that treats this condition. Levitra and Cialis are two other options.\n\nViagra, Levitra and Cialis work in much the same way. Chemically known as phosphodiesterase inhibitors, these drugs enhance the effects of nitric oxide, a chemical messenger that relaxes smooth muscles in the penis. This increases the amount of blood and allows a natural sequence to occur — an erection in response to sexual stimulation. These medications don't automatically produce an erection. Instead they allow an erection to occur after physical and psychological stimulation. Many men experience improvement in erectile function after taking these medications regardless of the cause of their impotence.\n\nThese medications share many similarities, but they have differences as well. They vary in dosage, duration of effectiveness and possible side effects. Other distinctions — for example, which drug is best for certain types of men — aren't yet known. No study has directly compared these three medications.\n\nAlthough these medications can help many people, not all men can or should take them to treat erectile dysfunction. If you've had a heart attack, stroke or life-threatening heart rhythm during the last six months, don't take these medications. If you've been told that sexual activity could trigger a cardiac event, discuss other options with your doctor. In addition, don't take Viagra, Levitra or Cialis with nitrate medications, such as the heart drug nitroglycerin. The combination of these medications, which work to widen (dilate) blood vessels, can cause dizziness, low blood pressure, and circulation and heart problems.\n\nDon't expect these medications to fix your impotence immediately, because that's not always the case. Dosages may need adjusting. Or you may need to alter when you take the medication. Before taking any medication, make sure to discuss with your doctor its potential benefits and side effects.\n\n\nNon-surgical ED Treatment Treatment Sex Therapy\n...
1046980
i dont really know i take atenalol which is a beta blocker but havent had to change yet
740789
Per the Phycian's Desk Reference Pocket Guide, copyright 2002 (I got this at a local drugstore 1-4-02. I'm NOT a doctor). This is what the book says, regarding your question: ""Inderal" is the brand name for "propranolol". Overdosage: No specific information on Inderal overdosage is available;however, overdose symptoms with other beta blockers (what this drug is--a beta blocker helps block certain chemicals in the brain to keep them from over-producing and causing pain. I have a history of migraines, and take a prevenative that's a beta blocker. I researched beta blockers down...that's how I got my info. about them.)include: Extremely slow heartbeat, irregular heartbeat, low blood pressure, severe congestive heart failure,seizures, wheezing." As for affects later in life...check with her doc. FYI: My dad took this for a short time after a car wreck. Under a doc's guidance, if the patient is ever taken off of this medication, it must be done slowly. If you wish to know more about this issue, talk to her doc...they can tell you more.
1126900
I actually take 4 different blood pressure medicines. Toprol XL50 mg is one of them. \nLike you I still get chest pains with light headedness. I have been taking Toprol XL for about 2 years. I have had 3 heart caths with 4 stent implants.\nBut I have never heard of Toprol giving you chest pains.\n\nYou really need insurance. It has been my experience that since 1992 this high blood pressure just gets worse.
1100728
It has been noted in several ongoing studies that certain of the new cholesterol controlling drugs may play a part in reducing existing blockages (occlusions) in coronary arteries however these studies are not complete yet.  \n\nIt has been noted that peripheral arteries do not respond to treatment as coronary arteries do.  While the cause is unknown it is suspected there are certain tissue makeup differences.  \n\nDuke University, among others,  is conducting studies on growing new arteries for patients using various cell growth methods.  Currently it is felt that this approach may well eventually enable complete and total repair of diseased arteries.\n\nAs my doctors say, once an artery is damaged there really is no "making it perfect again".  All they can do is attempt repairs.
325194
Seems Blueberry can avoid high blood pressure
247027
I came across the site below.  It has some good articles about defibrillators.  They have information and advice on the use of blood pressure monitors that you may find helpful.
910723
atenolol  blood pressure medicine
786878
My suggestion would be to NOT TAKE any of the current ED drugs before speaking to your physician. For one, they could interact with your blood pressure medicine, causing undesired results, including death. Also, you may have an underlying (although asymptomatic) heart condition related to your hypertension (high blood pressure) which could lead to serious complications. Inform your physician about your current medications and health problems, and he/she will be able to guide your treatment in the best way.
1183199
The minute a patient has a heart attack, I start ordering five drugs:  aspirin, plavix, an acei inhibitor, a beta blocker, and a statin.  Pretty standard stuff.  Pretty expensive, unfortunately.
935421
Not all BP meds are created equal. 25mg is a very low dose and I am sure your doctor has you scheduled to reevaluate this. Anxiety can affect blood pressure and heart rate but you should have also discussed this situation at your visit. Toprol is a commonly used drug and should work well for you. Be sure to follow up with your checkups.
1051904
Some people have great results with Phentermine which is available by presciption. It is not good to take if you have high blood pressure or heart problems. See your doctor for a prescription. The doctor may also add Vitamin B shots as well to help with progress. The over the counter pills are open to massive speculation as to wether they are safe and if they really work. I would be leery of buying any over the counter.