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About Dr Alan Galbraith
Expertise
I can answer most questions on drugs, both medical and "recreational". Answers can be given in either technical or layperson terminology. My main areas of interest are psychiatric, gastrointestinal and cardiovascular drugs.

Experience
I have been a university lecturer/head of department for almost thirty years, but am now retired. My research interests were alcohol, smoking and cardiovascular disease.

Organizations
Institute of Biology, London.


Publications
Principal author of "Fundamentals of Pharmacology" 4th Edition published in November 2003 by Pearson Education, Australia.

Education/Credentials
BSc(Hons);MSc;PhD;MIBiol; Cert Biol; HECert

 
   

You are here:  Experts > Health/Fitness > Pharmacology > Pharmacy > Atenolol or metoprolol

Topic: Pharmacy



Expert: Dr Alan Galbraith
Date: 3/11/2008
Subject: Atenolol or metoprolol

Question
Respected Sir,

I shall never forget the timely response and guidance your goodself has provided to me whenever I was confused. Sir, I am male-50 years Indian Gujarati hypertensive with tachycardia am on Tenormin-100 Losartan 100 HCTZ 25 Amlodipine 10 mg. I have been on the medications since 1989. My family history is positive for HBP but negative gor IHD.

Of late I have been observing, my internist who started my medications for bp is now asking me very time to switch to Metorpolol 100 in place of Tenormin 100 other medications as it is. My bp is very ideal but is it necessary to switch over from tenormin 100 to metoprolol 100. He insists for it. The aid internist has been my family doctor. I need your guidance.

Answer
Dear Harsvadan

I can see no reason from what you tell me why you should switch betablockers if your BP is under control. However, metoprolol may under certain circumstances be better than atenolol in controlling the tachycardia. I would think your internist would have a sound reason for the switch which is not obvious from your history. I would confront him politely and ask why he wants to change the betablocker. You can then get back to me if you want further advice.

I will be on holiday as from 16th march for two weeks.

Regards

Alan Galbraith

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