Expert: Dr Alan Galbraith - 11/2/2009

Question
Sir, I am a PCP on atenolol 100 and dr friend  says since I am ex asthamatic, I need to stop atenolol 100 and start nebovolol 10 mg since nebivolol is highly selective beta blockers and it is thrid generation and also have properties to release ntric oxide releasing propertis which cause vasodilation and less fatigue than other traditional betablcokers. Basically, I have been taking atenolol 100 for tachycardia, occasional ventricular ectopia and BP alongwith cozaar 100 and Norvasc 10 I am 55 years male obeses 110 kg weight with no dyslipidemia or any other problem.

Answer
Dear Dr Harisidh

In my opinion since atenolol is causing no exacerbation of your previous asthma and are happy with it plus it is controlling these cardiovascular symptom you mention., I think it unnecessary to change to a different drug ie nebivolol which even though more selective still has other problems associated with it.

I am a firm believer in never interfering with treatment that is successful.

Regards

Dr Alan Galbraith