Part 1Part 2Part 3

In Part 3 of our series about hypertension medication, we are going to review a family of drugs commonly known as beta-blockers. These medications work by interfering with our nervous system and, although they may bring blood pressure down, they can cause serious side effects.

Our body reacts under stress

Stress may be useful at times, but chronic stress should be avoided at all costs because it has serious health consequences, among them, high blood pressure. Hypertension or high blood pressure is something to take very seriously because, especially if you have diabetes, because it further contributes to artery damage which leads to plaque and finally to a heart attack or a stroke.

When we find ourselves in a stressful situation where the response will be “fight or flight”, our body goes through a series of functions. First, our sympathetic nervous system causes the heart to pump out more blood, which increases the heart’s rate of beating and the strength of its contractions. In addition, our nervous system tightens the blood vessels going to the stomach, intestines, skin, and other parts of our body. Both the increased pumping of blood by the heart and the tightening of peripheral blood vessels leads to increase blood pressure.

Alpha and Beta receptors

Alpha and Beta receptors are found on muscle cells in the arterioles, small, almost microscopic arteries that deliver blood to the capillaries of the heart, intestines, and skeletal muscles. Beta receptors are activated by a hormone called adrenaline which the adrenal glands release when we go through a stressful situation. Once the hormone is released, it circulates in the blood and activates the beta receptors.

Alpha and Beta-blocker drugs are antagonist substances that bind and block beta receptors, thereby preventing natural hormone-like adrenaline from carrying out its functions. The result is that the heart doesn’t beat so fast.

Beta-blockers also inhibit the release of the enzyme renin by the kidneys when we go through a period of stress or when we exercise. Renin causes a chain of reactions in our body that leads to the narrowing of the diameter of arterioles in particular. This narrowing of the diameter of the arterioles drives up blood pressure.

Side effects of beta-blockers

If you have asthma, severe heart failure, a very slow heart rate or heart block -disruption of the electrical impulses that control heart rate- talk to your doctor about taking this type of drug.

Also, if you have kidney or liver disease talk to your doctor; your ability to eliminate these drugs from your body may be impaired.

Beta-blockers, by limiting the ability of the heart to beat faster, reduce your ability to exercise. Adequate exercise helps bring down blood pressure.

Some beta-blockers, such as propranolol can cause an increase in blood triglycerides as well as a decrease in HDL cholesterol, the “good” one.

Other side effects are nausea, vomiting, dizziness, diarrhea, lowered libido, cold hands and feet, depression, fatigue, and sleep disturbances.

Most common alpha and beta-blockers used as hypertension treatment:

Generic name                  Trade name
Phenoxybenzamine       Dibenzyline
Phentolamine                 Regitine
Metropolis                       Lopressor
Nadolol                            Corgard
Propanol                         Inderal, Inderide


If you are currently taking a drug for high blood pressure, do not suddenly stop taking it on your own, as this could trigger a heart attack, a stroke, or sudden death. Any change in your current medication should be done only in consultation with your doctor.


I am Andy Carpenter and I would start by saying that I have a Bachelor Degree in Nutrition Science conferred by California State University, Los Angeles and that I am certified as a Registered Dietitian.

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