Hi everyone, I have asthma plus paroxysmal a fib. My normal inhalers are Flovent , Levalbuterol and I take montelukast. Also am on metoprolol Succinate Er for high blood pressure. Recently I had an episode of high blood pressure . The dr. Changed my metoprolol to cardivilol which is a non- selective beta blocker . When I went to pharmacy they told me that it was flagged by the system because it will interfere with my asthma meds. So the dr. Decided then to Double the metoprolol to 50 instead of 25 mg. The pharmacist did mention to me that the metoprolol is a selective beta blocker and if I am having trouble with my asthma to notify dr , but since I’ve never really had a problem with it in the past that it should be ok. So this stayed in the back of my mind. . Soon after starting the metoprolol I came down with a bug and my asthma flared up. So I was prescribed prednisone , antibiotics the usual. I started with 40 and yesterday I went down to 20 but had a lot of wheezing last night. So I probably will go back up on the prednisone maybe to 25 for today to see if I can finally tomorrow maybe continue downward. So now since am having a hard time with this flare all kind of thoughts are going through my mind about the beta blocker. It’s making me crazy lol. So I wanted to get a feel with you all for thoses of you that have asthma and blood pressure issues are any of you on metoprolol and have you had any issues with it interfering with your asthma. And am going to ck with the dr on Monday to see if maybe adding another inhaler to help. I’ve tried Spiriva in the past and it has helped. Have a great weekend.
Beta Blockers with asthma : Hi everyone... - Asthma Community ...
Beta Blockers with asthma
I was on bisoporol, a selective beta blocker, as well as felodipine and ramipiril for my blood pressure.
My first asthma consultant and my GP were happy with my being on bisoporol, as they said it was a selective beta blocker.
My asthma then went out of control, lots of hospital and prednisone. I then had my asthma consultant changed.
The new asthma consultant, then challenged, why I was on bisoporol, given I was on two other blood pressure medications. The GP had no answer to the question and I was taken off bisoporol.
The asthma consultant, made a number of changes, including the bisoporol change, so I cannot say which change made the difference, but my asthma did improve.
I asked my asthma consultant, re bisoporol, his view was from an asthma perspective I should only be on a beta blocker, if there was no alternative. So my question, for your doctor is, can he sort out your blood pressure and any other issues you have, without using beta blockers.
If you are on prednisone, hopefully you are also seeing or about to see a decent asthma specialist, who can give you advice re beta blockers from an Asthma perspective, and can chat through the balance of risks with your blood pressure doctor.
My new asthma specialist also put me on spiriva, which I like, and adjusted my inhalers.
I have Asthma and COPD and USED to have Blood pressure. I am not allowed Beta Blockers because of my COPD and as far as I know beta Blockers are contra-indicated with Asthmatics.
There are other treatments for blood pressure that with help hight blood pressure, I had Calcium Channel Blockers instread.
I am not a doctor nor offereing advice. you doctor may want you on beta blockers for a reason I don't know.
This link may give you an idea, Best tell your worries to your GP (Primary Care) I believe in the US.
Hi,
After 6 months on the beta blockers, my local doctor was initially concerned that my heart consultants had prescribed the bisoprolol 1.25mg to control my AF. ( I’d had no adverse Asthma symptoms, and usually take Fostair combined inhaler and montelukast).
After some correspondence between the 2 they said to continue as mature folk (I’m 55) Seem less sensitive to the beta blockers.
That was some years ago and I’ve been on them both for 6 years or more.
Recently I ended up in A&E with a bad Afib episode. The docs did say I could double the bisoprolol in such (rare & bad) episodes, but to keep my inhaler close if I do.
Just on asthma for a moment:
I’ve changed my diet over the last 18 months, and whilst it hasn’t changed my heart symptoms, my asthma has improved. The aim was to reduce inflammation with a combination of intermittent fasting and increasing fibre.
Causation or correlation, I don’t know, but there’s definitely an asthma improvement.
When I was prescribed drugs for paroxysmal AF I was only prescribed Flecainide. I was not prescribed a beta blocker. I was also prescribed a full aspirin which was later replaced by Warfarin. Daily Flecainide reduced my AF episodes to one or two ten-minute episodes a year. After 13 years of being on Flecainide, I was found to be in persistent though asymptomatic AF about seven years ago. I was taken off Flecainide, being just on Warfarin. For asthma I've been in a variety of inhalers during the 50 years I have had asthma. Currently on DuoResp Spiromax 320/9 inhaler,
I have also taken Doxazosin for several years to relax my prostate. Its other use is to reduce blood pressure.
About six years ago I had a grumbling appendix, saw an out of hours doctor on a Saturday morning, referred to a particular ward of a local hospital, and was first "re-coagulated" with intravenous Vitamin K . At 2.30 on a Sunday morning the operation under general anaesthetic began and my appendix was removed successfully. However my heart rate rose significantly. It was 190bpm when they woke me up, 3 hours after the operation had finished. I was subsequently prescribed 2.5mg of Bisoprolol by a hospital doctor, status not known.
I was discharged when my heart rate had fallen to about 75bpm .
7 weeks after starting Bisoprolol I started with painful intermittent rashes which were diagnosed as urticaria, also known as hives. I was weaned off Bisoprolol, during which time I had a very sudden exacerbation of asthma. Fortunately I was in a pharmacy. An ambulance was called and I was admitted to hospital. I had no infection so was only in hospital three days, being given numerous nebulisers and put on prednisolone.
My medical records now have a warning not to prescribe beta blockers. The urticaria was treated with Ceterizine and the rashes disappeared totally after 4 years.
Hi Jances- just thought I’d chip in but my response may not be very relevant. I just wanted to say that my husband has afib and high blood pressure (no asthma) He takes Ramipril for his BP and was put on Edoxaban for a fib. No beta blockers.
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