Which medications are safe for controlling hypertension?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 39 years old and weigh 154 pounds. My blood pressure is 130/80 mmHg, and I take Metoprolol succinate 50 mg once daily. Can I use a non-selective beta blocker instead of a selective beta blocker? Please advise if Amlodipine is a good option.

Answered by Dr. Rohit Jain

Hi,

Welcome to icliniq.com.

Your question is hypothetical. The reason is that every drug has both advantages and disadvantages. Metoprolol is an excellent medication for slowing down the heart rate without causing side effects in other organs, as it is a cardio-selective beta blocker. That said, if you do not have any associated features or specific causes, you should ask your doctor to follow the protocol of the JNC 8 (the Eighth Joint National Committee), which provides international guidelines for hypertension. I suggest taking Losartan once daily, as it is considered one of the safest options. However, the transition from beta blockers should be gradual, as sudden discontinuation could lead to withdrawal symptoms. Additionally, Amlodipine may not be a suitable choice for you. Please consult your specialist, discuss your options with them, and take any medication with their consent.

I hope this helps.

Thank you.

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Answered by Dr. Rohit Jain

Medically reviewed by Dr. K. Shobana

September 20, 2016

September 26, 2024

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Companion

Hypertension Medication Options & Questions Companion

How it works

High blood pressure, or hypertension, is a common condition. Understanding your medication options and how they work is key to managing it effectively. Here's a breakdown of common treatments and considerations.

Hypertension
Detail

Beta
Blockers

JNC
Guidelines

ARB
Blockers

Calcium
Blockers

Safe
Transition

Important Medication Information

Medications should be taken after consulting a physician. The dosages will be prescribed by the physician. Do not alter, start, or stop medications without consulting a healthcare professional.

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Dr. Rohit Jain

Internal Medicine

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