
I Have Been Taking Atenolol 50mg For Over 27 Years

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I would recommend as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I passed carefully through your question and would explain that your extra heart beats could be related to the blood donation and the inability of your body to cope with it.
So, if this is the case, your situation will improve spontaneously in a couple of weeks (the time needed by your body to produce the amount of blood).
I would also like to know if you have measured your blood pressure values? Low blood pressure can trigger extra heart beats too.
Anyway, I think that the situation is not an emergency and it can wait until consulting with your cardiologist.
In the meantime, I would recommend increasing the dose of Atenolol up to 50mg twice daily (100mg), gradually as you are doing, in order to help reduce the extra heart beats.
Hope you will find this answer helpful!
I remain at your disposal for any further questions whenever you need!
Wishing good health,
Dr. Ilir Sharka, Cardiologist

I would recommend as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I passed carefully through your question and would explain that your extra heart beats could be related to the blood donation and the inability of your body to cope with it.
So, if this is the case, your situation will improve spontaneously in a couple of weeks (the time needed by your body to produce the amount of blood).
I would also like to know if you have measured your blood pressure values? Low blood pressure can trigger extra heart beats too.
Anyway, I think that the situation is not an emergency and it can wait until consulting with your cardiologist.
In the meantime, I would recommend increasing the dose of Atenolol up to 50mg twice daily (100mg), gradually as you are doing, in order to help reduce the extra heart beats.
Hope you will find this answer helpful!
I remain at your disposal for any further questions whenever you need!
Wishing good health,
Dr. Ilir Sharka, Cardiologist



I would recommend as follows:
Detailed Answer:
Hello again!
Regarding your concern, it is true that blood donation when Hemoglobin levels are high is really safe.
From the other hand this procedure is therapeutic in cases of very high Hemoglobin levels, in order to help prevent blood clotting.
Coming to this point, as it is two weeks since your blood donation, I don't think that this is the cause underlying your complaints.
Increased anxiety can be the cause of these extra heart beats. You should know that this happens in every healthy persons, but is more prominent in more sensitive persons.
Coming to this point, I find it reasonable to increase atenolol dose as tolerated.
You can start by taking 50mg in the morning and 25 mg in the evening, in a 12 hours space between the doses.
If skipped heart beats persist, you can try to increase the dose further to 50mg twice daily. If your blood pressure and heart rate drop with such increase in the dose, you can reduce the dose again and continue with 50mg in the morning and 25mg in the evening.
Hope you will find this information helpful!
Wishing all the best,
Dr. Iliri

I would recommend as follows:
Detailed Answer:
Hello again!
Regarding your concern, it is true that blood donation when Hemoglobin levels are high is really safe.
From the other hand this procedure is therapeutic in cases of very high Hemoglobin levels, in order to help prevent blood clotting.
Coming to this point, as it is two weeks since your blood donation, I don't think that this is the cause underlying your complaints.
Increased anxiety can be the cause of these extra heart beats. You should know that this happens in every healthy persons, but is more prominent in more sensitive persons.
Coming to this point, I find it reasonable to increase atenolol dose as tolerated.
You can start by taking 50mg in the morning and 25 mg in the evening, in a 12 hours space between the doses.
If skipped heart beats persist, you can try to increase the dose further to 50mg twice daily. If your blood pressure and heart rate drop with such increase in the dose, you can reduce the dose again and continue with 50mg in the morning and 25mg in the evening.
Hope you will find this information helpful!
Wishing all the best,
Dr. Iliri



I would explain as follows:
Detailed Answer:
Hello again!
This feeling could be related to anxiety or to cardiac arrhythmia.
Anyway, it doesn't seem to be anything serious as long as you don't have shortness of breath or lightheadedness.
For this reason, I would just recommend increasing the dose of atenolol, as I recommended in our previous thread.
Try not to think about it !
Wishing all the best,
Dr.Iliri

I would explain as follows:
Detailed Answer:
Hello again!
This feeling could be related to anxiety or to cardiac arrhythmia.
Anyway, it doesn't seem to be anything serious as long as you don't have shortness of breath or lightheadedness.
For this reason, I would just recommend increasing the dose of atenolol, as I recommended in our previous thread.
Try not to think about it !
Wishing all the best,
Dr.Iliri



I would explain as follows:
Detailed Answer:
Hello again!
Regarding your concern, I would explain that this does not seem to be anything serious ( any serious cardiac arrhythmia).
The feeling of vibration or shakening of the heart, can be related to extra heart beats. Anxiety can trigger this situation too.
I think that with the increase in the dose of atenolol, your situation is going to improve visibly.
The lightheadedness could be explained with low blood pressure, especially when standing up from sitting position or bending. Dehydration can trigger this situation too.
For this reason, I recommend taking plenty of water to stay well hydrated.
I hope you will find this answer helpful!
Please let me know in case of any other uncertainties!
p.s.: I am sorry for the delay in answering but has been on a night shift and still working at the hospital.
Please try to stay safe!
Regards,
Dr. Iliri

I would explain as follows:
Detailed Answer:
Hello again!
Regarding your concern, I would explain that this does not seem to be anything serious ( any serious cardiac arrhythmia).
The feeling of vibration or shakening of the heart, can be related to extra heart beats. Anxiety can trigger this situation too.
I think that with the increase in the dose of atenolol, your situation is going to improve visibly.
The lightheadedness could be explained with low blood pressure, especially when standing up from sitting position or bending. Dehydration can trigger this situation too.
For this reason, I recommend taking plenty of water to stay well hydrated.
I hope you will find this answer helpful!
Please let me know in case of any other uncertainties!
p.s.: I am sorry for the delay in answering but has been on a night shift and still working at the hospital.
Please try to stay safe!
Regards,
Dr. Iliri



I would explain as follows:
Detailed Answer:
Hello again!
This may be explained with acid reflux, which is triggering by bending over.
You should know that acid reflux can also trigger extra heartbeats.
Hope you will find this information helpful!
I remain at your disposal for any further questions whenever you need it!
Wishing all the best,
Dr.Iliri

I would explain as follows:
Detailed Answer:
Hello again!
This may be explained with acid reflux, which is triggering by bending over.
You should know that acid reflux can also trigger extra heartbeats.
Hope you will find this information helpful!
I remain at your disposal for any further questions whenever you need it!
Wishing all the best,
Dr.Iliri

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