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Beta Blockers vs. Calcium Channel Blockers - Which causes weight gain?

mcpacs profile image
15 Replies

I have been on the beta blocker Carvedilol for several years now because of high blood pressure and to help control my ectopic heartbeats (Premature Atrial Contractions), and it seems I have a difficult time keeping my weight down. I'm not sure if it could be related to the Carvedilol. I'm considering switching to a the calcium channel blocker, Diltiazem, to see if weight loss is better with that drug.

Any advice on what I should do would be greatly appreciated.

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15 Replies
mav7 profile image
mav7

Glad you made this post. Looking forward to others comments and experiences.

Metoprolol definitely causes weight gain for me, confirmed by doctor.

Not sure about Diltiazem but read it can cause water retention and oedema. Seems like weight gain may be lesser of two effects.

mcpacs profile image
mcpacs in reply tomav7

I have read that compared to other beta blockers, Carvedilol is supposed to have the least capability to cause weight gain. Not sure if that's true for everyone.

Thank you mav7.

Heilung18-Gesund profile image
Heilung18-Gesund

Depending on the type, CCB do effectively lower blood pressure and/or heart rate. Beta-blockers do the same but have the advantage of being cardioprotective and prolonging survival. If tolerated, I would recommend beta-blockade.

mcpacs profile image
mcpacs in reply toHeilung18-Gesund

The Carvedilol does seem to calm me down. This is important as I am very sensitive to stress and prone to anxiety. Not sure Diltiazem would be as effective in stress relief.

Thank you.

MarkS profile image
MarkS

Beta blockers stopped me exercising effectively. Moving to diltiazem I found I had an extra gear and was able to continue playing hockey. So for me, diltiazem without doubt. Others may be different.

mcpacs profile image
mcpacs in reply toMarkS

Thank you MarkS.

mcpacs profile image
mcpacs

Very important information to know. Thanks so much AnneFrom Oz.

Brenda-j profile image
Brenda-j

I have been on verapamil ( Chanel blocker) for 12 years and have had no weight gain or problems

Cyndic profile image
Cyndic in reply toBrenda-j

What dosage of verapamil are you on?

Brenda-j profile image
Brenda-j in reply toCyndic

I was on 240 mg verapamil, and up to 300 Flecainide for about 8 years until I had an ablation 5 years ago which was successful although I did have a slight flutter so they put me on 50 flecainide twice a day and 120 mg verapamil. I have felt fine ever since. Hope that helps.

Fastbeat1 profile image
Fastbeat1

I changed from Bis to Dilzm ' and my life changed for the better !!

mav7 profile image
mav7

Beta blockers control adrenaline release to keep the heart beating at a steady pace, and more slowly. Your metabolism is slowed, your blood pressure reduces and adrenaline release is much less. This all equates to weight gain

Great answer, Anne. My doctor's words almost verbatim.

valwin profile image
valwin

Hi I have been on diltiazem for 2 years and had no issues with weight gain

1Golf profile image
1Golf

I experience the same problem with both drugs.

Teresa156 profile image
Teresa156

I’ve been in Bisoprolol ( beta blocker) now for 18 months, albeit a low dose of 1.25mg. No weight gain at all since being on it.

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