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Why Is Beta Blocker Discontnued When Suffering From Portal Hypertention?

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Posted on Mon, 5 May 2014
Question: I was on Ziac (combo of Beta-Blocker and diuretic) for HBP. I recently had a hospital stay because of some blood problems possibly caused by liver disease. They diagonosed possibly portal hypertention, but took me off of the beta blocker, but kept me on a diuretic. Shouldn't I be continuing on the beta blocker? Since I have been off the beta blocker (about a month, now) my blood pressure is normal - take it daily, usually runs around 122/65 - 80.
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Answered by Dr. Jose Ignacio Artero Munoz (1 hour later)
Brief Answer: Portal Hypertension Detailed Answer: One of the main complications in people who have Portal Hypertension is bleeding secondary to esophageal varices. To prevent bleeding secondary to esophageal varices,the most used drugs are beta blockers such as Propranolol or Nadolol. Probably your doctor thinks that is not necessary to take a beta blocker because you do not have esophageal varices, but because of the risk that exists,I think it is recommended to take a beta blocker. I Hope I have answered your query. If you have any further questions, I will be happy to help.If you do not have any clarifications, please don’t forget to evaluate my answer.I wish you good health.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Jose Ignacio Artero Munoz

General & Family Physician

Practicing since :2001

Answered : 1118 Questions

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Why Is Beta Blocker Discontnued When Suffering From Portal Hypertention?

Brief Answer: Portal Hypertension Detailed Answer: One of the main complications in people who have Portal Hypertension is bleeding secondary to esophageal varices. To prevent bleeding secondary to esophageal varices,the most used drugs are beta blockers such as Propranolol or Nadolol. Probably your doctor thinks that is not necessary to take a beta blocker because you do not have esophageal varices, but because of the risk that exists,I think it is recommended to take a beta blocker. I Hope I have answered your query. If you have any further questions, I will be happy to help.If you do not have any clarifications, please don’t forget to evaluate my answer.I wish you good health.