Posted by KaraS on July 25, 2005, at 16:46:53
In reply to Re: Dexedrine questions » KaraS, posted by ed_uk on July 25, 2005, at 14:55:48
> Hi Kara,
>
> >My doctor said that atenolol and the other cardio specific beta blockers aren't a problem if you have asthma. Is that true?
>
> Atenolol sometimes worsens asthma. Although it's somewhat cardioselective, it's not cardiospecific. You'd need to monitor your asthma very carefully...... and have a bronchodilator at hand. Atenolol is only suitable for people who's asthma is mild and under excellent control.
>
> Bisoprolol, another beta-blocker, is believed to be more cardioselective than atenolol. Although bisoprolol is probably safer for asthmatics than atenolol, it still has the potential to aggravate asthma. Unfortunately, bisoprolol does penetrate the blood brain barrier to a greater extent than atenolol.
>
> On a more positive note........
> From a Cochrane review.....
>
> Cardioselective beta1-blockers, given to patients with mild-moderate reversible airway disease, do not produce clinically significant adverse respiratory effects in the short term. It is not possible to comment on their effects in patient with more severe or less reversible disease, or on their effect on the frequency or severity of acute exacerbations.
>
> Celiprolol (Celectol) is an unusual beta-blocker which appears to be safe in most patients with asthma. AFAIK, it's not available in the US.
>
> Ed xx
Thanks, Ed. I'm bookmarking this post!K
xxx
poster:KaraS
thread:530246
URL: http://www.dr-bob.org/babble/20050723/msgs/533339.html