Saturday, October 25, 2014
Sunday, February 07, 2010 DEJ, Community Member, asks

Q: Does Exforge help lower pulse rate? Does it cause anxiety?

I was taking 50 mg. Atenolol 1X per day.  A few years ago doctor added 5 to 10 mg. Norvasc and if necessary take another 50 mg. Atenolol at night.  Now he recommends Atenolol in AM and Exforge 5/160 at night, which I have not started yet.  Will Exforge help lower the pulse rate also?  I like the Atenolol for that purpose but am concerned about some of the side effects of Exforge that I've read.  I started having anxiety attacks, which the doctor does not attribute to the meds or to my b/p. I am trying some natural remedies for that right now. 

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Answers (2)
Lisa Nelson, Health Pro
2/ 8/10 4:39pm



Exforge is a calcium-channel blocker that works to lower blood pressure by relaxing the muscles of your heart and blood vessels.  Atenolol is a beta-blocker used to lower blood pressure.  I recommend quizzing your physician so you understand the reason they recommended the switch from atenolol to exforge.


Potential side effects of exforge include anxiety and sleep problems.  A more serious side effect is a fast/pounding heart beat.  If you experience this contact your physician.


All the best,

Lisa Nelson RD

7 Natural Ways to Lower Blood Pressure

DEJ, Community Member
2/ 8/10 6:05pm

Thank you.  He is not switching from Atenolol to Exforge, he is adding it.  I'm to take 50 mg. Atenolol in AM and Exforge 5/160 in PM.  I'm not sure now if I want to take the Exforge if a side effect is anxiety. 

Sue, Community Member
5/ 8/10 3:17pm


I'm on the same meds you are and the same dosage. Exforge did increase my heart rate, so I take it in the morning and the Atenolol at night. If I take the Exforge in the morning I don't notice the increase in my heart rate. After taking it for 5 months my heart rate isn't at fast as it was in the beginning. Atenolol slows my heart rate, which is good it's easier to fall asleep.

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By DEJ, Community Member— Last Modified: 04/08/14, First Published: 02/07/10