Expert: Dr. Ravindra Bhaskar Ghooi - 6/9/2009

Question
am 53 years hypertensive male on Atenolol 100 Lisinorpil and Amlodepine 5 mg. Yesterday my dr changed atenolol 100 to nebivolol 5 mg stating that atenolol is no longer recommended and the drug of nebivolol is of 3rd generation. I have occassional ventricular ectopia and sever concentric LVH and dystolic dysfunction. I need your guidance whether nebivolol is superiro in terms of eeficacy I take atenolol 100 since so many years. If a suggested change is must then dose of 5 mg of nebivolol ok because i take atenolol 100 I am ex asthamatic"


Answer
Hi Jagdish,
The superiority of nebivolol has been proved in a large number of trials. Further as an ex asthmatic, I would not like to continue atenolol, nebivolol on the other hand is highly cardioselective and the change is good. I recommend it.
Ravi Ghooi