Are There Any Good Blood Pressure Drugs Or Less Bad Ones?

[5a-DHP]

I've had good success with nebivolol in the past to combat excessive sympathetic tone when the underlying cause was unavoidable / going to be around for an extended period. Its selectivity for B1/2 over B3 makes it the best overall BB.

 

[ecstatichamster]

If you still interested, after trying all beta's, and some others, I'm now on 1/4 of 20 mg (lowest dose) of Olmesartan, it works easy for me.

thank you. ARBs seem most benin.

 

[golder]

What are Rays thoughts on ARB's?

 

[Chad_Catholic]

I use beta blockers for anxiety at times, very useful. I think that Atenolol is preferable to Propranolol. Propranolol can lower T3 when taken chronically, has uncertain effects long term due to it's antagonism at 5-HT1 (negative feedback receptor--it could raise serotonin in the long run possibly, or just sensitize that receptor which would be less bad?), and has a greater propensity towards impacting sleep (insomnia/vivid dreams). Atenolol has virtually no 5-HT affinity, has less impact on sleep, and significantly less impact on thyroid functioning. It also works just as well for my anxiety. There are some concerns about type 2 diabetes with atenolol but I am not super familiar with that.

That's interesting. My doctor just prescribed me atenolol, and I was a little annoyed because I thought that propranolol would have been preferred.