Dr. MJ Bazos MD,
Patient Handout
Beta Blockers for
Heart Problems
What is a beta blocker?
A beta blocker is a medicine used to treat high
blood pressure and heart problems. Some beta blockers are atenolol (brand name:
Tenormin), metoprolol (brand names: Lopressor, Toprol XL) and propranolol (brand
name: Inderal). A beta blocker blocks the harmful effects of stress hormones on
your heart. This medicine also slows your heart rate. Beta blockers can also be
used to prevent migraine headaches in people who get them frequently.
What kinds of heart problems are
treated with a beta blocker?
A beta blocker is often used to treat high blood
pressure or an irregular heart beat. This medicine can also be used to treat
congestive heart failure, but people with severe heart failure may not be able
to take a beta blocker. A beta blocker reduces the risk of another heart attack
for people who have already had one.
What are some of the possible side
effects of beta blockers?
Most people who take beta blockers do well and
have no side effects. But because beta blockers slow your heart, they may make
you feel tired. You also may notice that you can't exercise as hard as you used
to. For example, you may get out of breath when you take a walk or climb stairs.
Some men can have trouble with erections when they take beta blockers. Talk to
your doctor if you have these problems after you start taking a beta blocker.
The beta blocker may make you feel a little
dizzy or lightheaded. Because this might happen to you, you shouldn't drive a
car or operate dangerous machines until you know if your beta blocker is going
to make you feel dizzy. The dizziness usually goes away after you have been
taking the medicine for a few days. If you keep feeling dizzy or lightheaded
after a few days, tell your doctor.
Call your doctor right away if you have trouble
breathing when you're taking a beta blocker. You should also call your doctor if
you gain weight for an unknown reason. Tell your doctor if you have fluid
retention (if your hands, feet or legs start swelling). Call your doctor right
away if you have chest pain or a very slow heartbeat (less than 50 heartbeats
per minute).
Can I take a beta blocker if I have
diabetes?
Yes, you can take a beta blocker if you have
diabetes. But a beta blocker may hide some of the warning signs of low blood
sugar. For example, when you take a beta blocker, your heart rate may not
increase in response to a low blood sugar level. You will need to check your
blood sugar levels carefully after you start taking a beta blocker. If you have
low blood sugar often, your doctor may want to change the dosages of your
diabetes medicine.
Can I take a beta blocker if I have
asthma or chronic lung disease?
Beta blockers are generally not used in people
with asthma. A beta blocker can cause asthma attacks.
Sometimes people with a chronic lung disease
such as emphysema or bronchitis can take beta blockers. If you have lung disease
and are taking a beta blocker, call your doctor right away if you start having
breathing problems.
What about other
medicines?
Taking other medicines -- even medicines that
don't require a prescription -- while you're taking a beta blocker can cause
serious problems. Tell your doctor about any other medicines that you take, and
check with him or her before starting any new medications.
What is the best way to take beta
blockers?
You should take your beta blocker exactly as
your doctor tells you. Beta blockers are usually taken once or twice a day. Try
to take the medicine at the same time every day. Do not stop taking your beta
blocker without talking to your doctor first.
If you forget to take a dose and it has been a
few hours or less since you missed the dose, take your beta blocker as soon as
you remember. But if it has been 4 to 6 hours or longer since you missed the
dose, don't take the dose you missed. Instead, wait and take the next regular
dose. Never take a double dose to catch up.