June 27, 2006

Talk To Your Doctor

If you take beta blockers for blood pressure, it is important that you raise this issue on your nect visit. I know I will.

Two million Britons are to be taken off blood pressure drugs after studies showed they increase the risk of strokes, heart attacks and diabetes.

From today, beta blockers will no longer routinely be prescribed for high blood pressure.

The dramatic change in guidance follows evidence that the drugs taken daily by millions of Britons are only half as effective at stopping strokes than a host of newer pills.

Beta blockers such as atenolol also raise the risk of stroke and of developing diabetes, compared with other blood pressure tablets.

I'm on one of the medications mentioned later in the article. I'm not happy about the findings about the family of drugs.

Studies have shown that beta blockers are only half as effective at stopping strokes as other blood pressure treatments.

Last year, a study of 20,000 patients showed that treatment with beta blockers cut the risk of stroke by 20 per cent, compared to no treatment at all.

In contrast, the newer treatments prevent 40 per cent of strokes and 15 per cent more heart attacks.

Patients on beta blockers are also up to 30 per cent more likely to develop diabetes.

Beta blockers such as atenolol, bisoprolol and metoprolol also have worse side effects, including fatigue, loss of libido and impotence.

Professor Bryan Williams, who helped draw up the new guidelines, said: 'For the majority of patients, we no longer recommend beta blockers as a first line option for treatment.

Now the question that I'm curious about is financial -- given the benefits of covering the newer, better medications, will insurance companies move these drugs to a lower co-pay tier so as to lower their overall costs of treating patients, saving both them and patients money in the long run.

'They are less effective at controlling blood pressure, less effective at preventing events (strokes and heart problems) and they are more likely than other treatments to increase the risk of developing diabetes.

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