High bp plus high irritability

2026-02-13 07:38:50
After using propranolol 40mg/ atenolol 25 for high bp, bp is under control but person has become even more irritable and angry than before. Please suggest.
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Consult as soon as possible. High BP is a silent killer.

Answered2026-02-22 05:43:39

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Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Answered2026-02-16 08:14:34

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Kindly consult with me on 94 two six eight six 78 nine six for proper guidance and treatment of blood pressure. Irritating behaviour will change automatically.

Answered2026-02-15 10:16:27

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Treatment of blood pressure which you're telling is irrational requires to see why are you taking like this and change in medication

Answered2026-02-15 07:47:57

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Using propranolol + atenelol which both of them belong to betablockers may cause lowering of blood pressure and low heart rate .and due to the low bp the person might become more irritable.please provide proper history why u are prescribed both propranolol and atenelol are prescribed at 36 years of age itself.using the propranolol+ atenelol same category lead to more lowering of bp .kindly change to other antihtn like ace inhibitor or arb drugs along with one betablockers.
Next Steps
betablockers are used only in resistant htn

Answered2026-02-14 10:30:51

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Do not stop beta-blocker abruptly (risk of rebound hypertension/tachycardia). Review indication for beta-blocker (young female, essential HTN? anxiety component?) Consider switching to a non-beta-blocker antihypertensive: ACE inhibitor / ARB Calcium channel blocker (e.g., cilindipine amlodipine) Screen for: Anxiety disorder / stress / sleep issues Thyroid dysfunction (esp. in young females)
Next Steps
change in antihtn with tapering beta blockers

Answered2026-02-14 07:00:44

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Beta blockers  Mey cause mood swings. Consult your  treating doctor.  Not to stop medicine  abruptly.

Answered2026-02-14 06:07:51

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Atenolol and Propranolol, both belong to the same group. Please consult a General Physician for a physical examination and rationalization of the treatment so that you don't have side effects of the medicine.

Answered2026-02-14 04:32:49

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Both Propranolol 40 mg and Atenolol 25 mg are beta-blockers. While they control BP and heart rate, they can sometimes cause: • Irritability • Mood changes • Fatigue • Low energy • Sleep disturbance • Mild depressive symptoms Propranolol (being more lipophilic) crosses the blood–brain barrier more than atenolol and is more likely to cause central mood effects. If irritability increased after starting these medicines, it may be: ✔ Drug-related mood side effect ✔ Fatigue-induced frustration ✔ Underlying anxiety being masked but emotional tolerance reduced This is not dangerous, but it affects quality of life and should be addressed.
Next Steps
Step 1: Do NOT stop suddenly Abrupt withdrawal can cause: • Rebound hypertension • Tachycardia Step 2: Discuss medication adjustment with doctor Options usually include: ✔ Switch to ARB (e.g., telmisartan) ✔ Switch to ACE inhibitor ✔ Use calcium channel blocker (e.g., amlodipine) ✔ Lower dose if possible Beta blockers are not first-line for simple hypertension unless there is: • Angina • Previous heart attack • Arrhythmia If BP control is needed without cardiac indication, another class may be better tolerated.
Health Tips
• Monitor BP for 5–7 days before change • Check pulse (if

Answered2026-02-13 18:41:25

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Medication is not proper which is why you are having trouble. Contact for further consultation

Answered2026-02-13 14:01:05

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Ur medication needs to be changed kindly consult

Answered2026-02-13 13:06:00

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Propranolol and atenolol are from the same class,not be used together as they could cause a number of side effects.Follow with the doctor who has prescribed the medicines ask for the reason

Answered2026-02-13 11:37:53

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Why is he using 2 tablets with similar action together? Please share details of his symptoms,  get thyroid profile, ecg, echo, done  and share results. Then I can help him.

Answered2026-02-13 11:31:21

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Do not use both the medications together They may result to severe bradycardia which is decrease in HR
Next Steps
Meet a cardiologist, get ECG and echo done

Answered2026-02-13 11:25:33

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Hello. Thank you for sharing detailed information. Based on the history you have mentioned, irritability, increased anger, and sensitivity to sound or smell can sometimes be seen in patients with chronic migraine. These symptoms may also get influenced by certain medications, stress levels, sleep disturbance, or anxiety-related factors. Propranolol is commonly used for blood pressure control and migraine prevention, but in some individuals it may cause mood changes, fatigue, or irritability. Similarly, medicines used for migraine can sometimes affect mood or behaviour depending on individual response and dosage. Since your blood pressure is currently controlled, it would be important to review: • Whether symptoms started after introduction or dose change of any medication • Sleep quality and stress levels • Frequency and severity of migraine episodes • Any associated anxiety or mood-related symptoms If irritability, mood swings, or behavioural changes are significantly affecting daily activities, medication adjustment or alternative preventive options may be required after proper evaluation. Hope this helps. Take care and stay healthy.
Next Steps
It would be helpful to review your complete medication list, BP readings, migraine history, and current symptoms in detail before suggesting changes. You may consider booking a consultation so a personalised and safe treatment plan can be discussed.
Health Tips
I would generally suggest: ✔ Do not stop or change medications suddenly ✔ Maintain regular sleep schedule and hydration ✔ Avoid known migraine triggers such as strong smells, loud noise, irregular meals, and stress

Answered2026-02-13 11:22:35

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Try to find it cause of irritability. Is there any stress factor....? Get your routine blood test done including serum electrolyte. Sometimes sodium imbalance may be cause of irritability.

Answered2026-02-13 10:57:06

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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion

Answered2026-02-13 09:24:34

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Sometimes BP medicines can affect mood in some people. Since BP is controlled but irritability has increased, the medicine may need adjustment.
Next Steps
Do not stop it suddenly. Please consult me for proper evaluation and change of treatment if needed.

Answered2026-02-13 09:05:29

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Very strange prescription (propranolol and atenolol are not used together as they are same group of medications). Just take Atenolol but 50mg. Get KFT blood test. All the best. J G S R clinic

Answered2026-02-13 09:03:28

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Dear Patient, Beta-blockers like propranolol and atenolol are effective for controlling high blood pressure, but in some individuals, they can cause mood changes, irritability, or fatigue as side effects. What you should do - Do not stop the medication abruptly; this can raise blood pressure - Track mood changes and timing in relation to medication   - Dose adjustment   - Switching to a different blood pressure medication if mood changes are significant - Maintain adequate sleep, stress management, and regular physical activity Consult me urgently - Severe mood swings or depression - Dizziness, fainting, or shortness of breath - Any other unusual symptoms For further guidance and personalized treatment you may consult me on Practo anytime.

Answered2026-02-19 15:11:17

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Consult online Need proper history and evaluation for further suggestions

Answered2026-02-14 15:28:12

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Need a few more details please consult for further evaluation and treatment

Answered2026-02-14 12:25:36

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Consult for physical examination

Answered2026-02-14 09:55:53

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2026-02-13 14:17:57

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Consult cardiologist

Answered2026-02-13 13:42:37

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Who prescription these medications...they can't used together add other drugs like ccbs... Consult for better and further treatment

Answered2026-02-13 09:24:59

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Both the beta blockers for HYpertesion needed some more history consult

Answered2026-02-13 09:20:50

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Please consult

Answered2026-02-13 09:10:53

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Need some more details kindly consult

Answered2026-02-13 08:55:50

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Change to telma

Answered2026-02-13 08:46:13

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