Change in antihypertensive medicaiton


Q: Hello,

I'm a 42-year-old male, hypertensive for the last 6-7 years. I used to get irritated and have severe headaches often, and when visited a doctor was diagnosed with high blood pressure. I was put on Atenolol with Amlodepine after trying various other medications (Metoprolol in combination with HCTZ, ACE inhibitor, ARBs, etc.) since I also had a high heart rate. This worked wonderfully for about 4 years until I asked my doctor to change Atenolol to another drug as I was worried about the risk of diabetes with Atenolol. The doctor changed it to Bisoprolol with Amlodepine (5 mg and 5 mg, respectively) that I took for another 3 years. Even that is working excellent as I don't get any headaches now and don't 'feel' my heart rate (that I used to before starting on any medication). Recently I changed my doctor and this physician says that beta-blockers can cause impotence in later life and so changed me to Telmisartan (single drug) 40 mg once a day. Now the blood pressure fluctuates up and down depending on what work I do (after a slight exertion, it increases) and the heart rate is the problem when it's increased. I can feel it almost all the time, and when I exercise it's all the more troubling (this wasn't the case with Bisoprolol). When I complained to my physician about this, he told me to undergo an ECG when I can feel the increased heart rate so that he can get to the root of the problem. My sugar levels and lipids (except LDL which is at 131 and HDL at 46) are under control and I'm not a diabetic. Did I make a mistake of changing the medication when it was working excellent for me? Is Bisoprolol so harmful? Please suggest.


A:   This question is currently in queue and will be answered shortly by one of our doctors. In the meantime you may browse our library of answered questions by clicking here.

Related Q&A

Q: Hi...I amm 37 male...was detected with Vitamin D Deficiency Level is only 8.....Doc gave me DV 60k once a week for tw...

Q: I need my MRI results to be looked at, do i have MS is it possible?

Q: My wife is 52 and generally healthy. She recently became confused at a Walmart and could not figure out how to get to...

Q: Hyperextended my knee two days ago and have been in pain. Knee locked up on me last night when trying to stand up fro...

Q: I have idiopathic cranial hypertension and I have a trip planned for Cusco and Machu Picchu. Is it dangerous to go to...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon