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Regarding medicine
Which betablocker is safe to use propanol 20 mg or concor 1.25 if someone use more than 6 months which do not cause first degree or second degree heart block
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Hello,
I am Dr. Romain Rajan, General Physician, and your case has been allotted to me.
Short, clear answer:
Between Propranolol 20 mg and Concor (Bisoprolol) 1.25 mg, Concor 1.25 mg is safer for long-term use and has a lower risk of causing first- or second-degree heart block, when used at low dose and with monitoring.
Why Concor is safer
⢠Bisoprolol (Concor) is β1-selective â acts mainly on the heart
⢠Less effect on AV node conduction at low doses (1.25 mg)
⢠Preferred for chronic use in BP, palpitations, anxiety-related tachycardia, and heart protection
Why Propranolol is less preferred long term
⢠Non-selective beta-blocker (β1 + β2)
⢠More effect on heart rate and AV node
⢠Higher chance of bradycardia and conduction slowing with prolonged use
Important clarification
⢠Any beta-blocker, if overdosed or used in predisposed patients, can cause heart block
⢠Risk is higher with:
⢠Existing conduction defects
⢠Very low resting heart rate
⢠Electrolyte imbalance
⢠Combination with other rate-slowing drugs
Practical advice
⢠For use >6 months, Concor 1.25 mg is generally safer
⢠Get a baseline ECG and periodic monitoring
⢠Do not stop beta-blockers suddenly
Consult immediately if dizziness, fainting, extreme fatigue, or pulse
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Required some other history of patient so you can contact me directly on PRACTO
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Beta blockers have the adverse effect of causing bradycardia. It should be taken with proper indication. The underlying condition implies the better beta blocker of choice
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Concor is more preferred drug usually. But, final decision requires complete knowledge about the reason for taking this medicine, other associated symptoms, etc.
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Concor is the preferred cardio protective.Neither of them cause heart block,but are contraindicated in bradycardia, 2nd or 3rd degree heart block
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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 discussion
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If choosing between the two, Concor (bisoprolol) 1.25 mg is generally safer than propranolol 20 mg, but regular ECG monitoring is essential.
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All meds are safe as per their indication. Wat is urs? Kindly consult with me on 94 two six eight six 78 nine six for proper guidance.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. B R S Kumar
General Physician
25 yrs exp
Hyderabad
Most don’t get heart blocks with beta blockers.
So the choice of medication depends on indication for it.
All the best.
J G S R clinic
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Please consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online
Need proper history and evaluation for further management
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Concor is cardio protective
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Concor
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
6 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Marini Vanitha
General Physician
12 yrs exp
Kakinada
Why are you using beta blockers ?
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Concor
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