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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated Blood Pressure And Chest Pain?

I have been taking atenlol 50 mg for the last 4 years. I have slightly high blood pressure but taking it for chest pain that is unexplained. heart cath showed no blockage. Chest pain occurs during sudden exertion like going up my driveway. Atenlol has been helping but recently I am experiencing dizziness when standing up. Are there other drugs that might not have this side effect?
Sat, 26 May 2018
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Cardiologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I agree with you on the fact that dizziness is an adverse effect of Atenolol.

The dizziness when standing up is related to orthostatic hypotension, which is a common adverse effect of Atenolol.

Coming to this point, I would recommend reducing the dose of Atenolol, in order to help improve the dizziness.

I would also recommend taking plenty of fluids and closely monitor your blood pressure values.

Hope you will find this answer helpful!

Wishing good health!
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What Causes Elevated Blood Pressure And Chest Pain?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I agree with you on the fact that dizziness is an adverse effect of Atenolol. The dizziness when standing up is related to orthostatic hypotension, which is a common adverse effect of Atenolol. Coming to this point, I would recommend reducing the dose of Atenolol, in order to help improve the dizziness. I would also recommend taking plenty of fluids and closely monitor your blood pressure values. Hope you will find this answer helpful! Wishing good health!