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Blood pressure question

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General fitness, health and nutrition
Published
19 September 2003
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19 September 2003
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  1. I weaned myself off of 50mg of atenolol down to approximately 12.5 mgs/day
    because of side effects (slow resting pulse, poor sports performance,
    chills, I suspect slowed metabolism/weight gain, etc). I have been
    monitoring my BP several times per day. my range is generally 110-135 over
    75-85, but I have definately noticed an up trend, particularly with
    stressful days at work. can anyone recommend a contingency plan for when I
    need to consider moving my dosage back to 25mg/day? I definately do not
    want to go back to 50mgs. Thanks in advance.

    also, I dropped 8 lbs in 3 weeks after I decreased my atenolol w/ no
    exercise b/c of injury making me more suspicious of atenolol playing a role
    in weight gain and difficulty with weight loss.

  2. Quoted message said:

    I weaned myself off of 50mg of atenolol down to approximately 12.5 mgs/day
    because of side effects (slow resting pulse, poor sports performance,
    chills, I suspect slowed metabolism/weight gain, etc).

    The weight gain would be attributed more to increased appetite than to slowed
    metabolism with regards to the atenolol.

    Quoted message said:

    I have been
    monitoring my BP several times per day. my range is generally 110-135 over
    75-85, but I have definately noticed an up trend, particularly with
    stressful days at work. can anyone recommend a contingency plan for when I
    need to consider moving my dosage back to 25mg/day?

    Your doctor would be the best person to advise you on that. S/he should be
    working on "exchanging" out the atenolol with another antihypertensive
    medication.

    Quoted message said:

    I definately do not
    want to go back to 50mgs. Thanks in advance.

    You are welcome.

    Quoted message said:


    also, I dropped 8 lbs in 3 weeks after I decreased my atenolol w/ no
    exercise b/c of injury making me more suspicious of atenolol playing a role
    in weight gain and difficulty with weight loss.

    It definitely increases appetite.

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  3. Dr. Chung,
    Thanks for your reply! My goal is to get off medication if possible. If a
    hypothetical patient where to ask you at what BP range should one consider
    taking medication, what would you tell them? I am hoping with continued
    exercise (I try to get 1 hours 4-5 days per week--usually running) and diet
    (my diet is close to being vegetarain--about 1500-2000 calories/day) I can
    shed my excess weight (230--good weight for me is about 200-210). I hope to
    control my BP through exercise, weight control and diet. I realize that I
    am in a high normal/borderline range (my bp today was 122/80). Thanks again!

  4. MD/PhD said:
    Quoted message said:

    also, I dropped 8 lbs in 3 weeks after I decreased my atenolol w/ no
    exercise b/c of injury making me more suspicious of atenolol playing a role
    in weight gain and difficulty with weight loss.

    It definitely increases appetite.

    How so?

  5. Quoted message said:

    Dr. Chung,
    Thanks for your reply! My goal is to get off medication if possible. If a
    hypothetical patient where to ask you at what BP range should one consider
    taking medication, what would you tell them? I am hoping with continued
    exercise (I try to get 1 hours 4-5 days per week--usually running) and diet
    (my diet is close to being vegetarain--about 1500-2000 calories/day) I can
    shed my excess weight (230--good weight for me is about 200-210). I hope to
    control my BP through exercise, weight control and diet. I realize that I
    am in a high normal/borderline range (my bp today was 122/80). Thanks again!

    You're welcome.

    As for what blood pressure to start treating with medications, it would depend
    on all the concerns.

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  6. Crescent Mu_n said:
    MD/PhD said:
    Quoted message said:

    also, I dropped 8 lbs in 3 weeks after I decreased my atenolol w/ no
    exercise b/c of injury making me more suspicious of atenolol playing a role
    in weight gain and difficulty with weight loss.

    It definitely increases appetite.

    How so?

    Antagonizes adrenergic receptors which normally work to suppress appetite.

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  7. "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote...
    Re: Blood pressure question
    On Fri, 19 Sep 2003 13:00:40 -0400
    MessageID <[email hidden]>

    Quoted message said:
    Crescent Mu_n said:
    MD/PhD said:

    > also, I dropped 8 lbs in 3 weeks after I decreased my atenolol w/ no
    > exercise b/c of injury making me more suspicious of atenolol playing a role
    > in weight gain and difficulty with weight loss.

    It definitely increases appetite.

    How so?

    Antagonizes adrenergic receptors which normally work to suppress appetite.

    Does Toprol-XL also increase appetite?

  8. Jedi Master CK said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote...
    Re: Blood pressure question
    On Fri, 19 Sep 2003 13:00:40 -0400
    MessageID <[email hidden]>

    Quoted message said:
    Crescent Mu_n said:

    On Fri, 19 Sep 2003 09:33:13 -0400, "Dr. Andrew B. Chung, MD/PhD"
    <[email hidden]> wrote:

    >> also, I dropped 8 lbs in 3 weeks after I decreased my atenolol w/ no
    >> exercise b/c of injury making me more suspicious of atenolol playing a role
    >> in weight gain and difficulty with weight loss.
    >
    >It definitely increases appetite.

    How so?

    Antagonizes adrenergic receptors which normally work to suppress appetite.

    Does Toprol-XL also increase appetite?

    Yes.

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  9. "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote...
    Re: Blood pressure question
    On Fri, 19 Sep 2003 16:22:37 -0400
    MessageID <[email hidden]>

    Quoted message said:
    Jedi Master CK said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote...
    Re: Blood pressure question
    On Fri, 19 Sep 2003 13:00:40 -0400
    MessageID <[email hidden]>

    Quoted message said:

    Crescent Mu_n wrote:

    > On Fri, 19 Sep 2003 09:33:13 -0400, "Dr. Andrew B. Chung, MD/PhD"
    > <[email hidden]> wrote:
    >
    > >> also, I dropped 8 lbs in 3 weeks after I decreased my atenolol w/ no
    > >> exercise b/c of injury making me more suspicious of atenolol playing a role
    > >> in weight gain and difficulty with weight loss.
    > >
    > >It definitely increases appetite.
    >
    > How so?

    Antagonizes adrenergic receptors which normally work to suppress appetite.

    Does Toprol-XL also increase appetite?

    Yes.

    Thanks!

  10. Jedi Master CK said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote...
    Re: Blood pressure question
    On Fri, 19 Sep 2003 16:22:37 -0400
    MessageID <[email hidden]>

    Quoted message said:
    Jedi Master CK said:

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote...
    Re: Blood pressure question
    On Fri, 19 Sep 2003 13:00:40 -0400
    MessageID <[email hidden]>

    >Crescent Mu_n wrote:
    >
    >> On Fri, 19 Sep 2003 09:33:13 -0400, "Dr. Andrew B. Chung, MD/PhD"
    >> <[email hidden]> wrote:
    >>
    >> >> also, I dropped 8 lbs in 3 weeks after I decreased my atenolol w/ no
    >> >> exercise b/c of injury making me more suspicious of atenolol playing a role
    >> >> in weight gain and difficulty with weight loss.
    >> >
    >> >It definitely increases appetite.
    >>
    >> How so?
    >
    >Antagonizes adrenergic receptors which normally work to suppress appetite.

    Does Toprol-XL also increase appetite?

    Yes.

    Thanks!

    You're most welcome :-)

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

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