Amlodipine 2.5 / 5 mg + Atenolol 25/ 50 mg tablet is physiologically ideal for heart. Calcium channel blockers reduce peripheral vascular resistance, thus afterload and preload. Beta blockers reduce myocardial workload by reducing heart rate. Both of them are good anti-arryhthmics. Thus, for anaesthesia or general purposes physiologically this combination is the best. Cardiologists prescribe newer antihypertensives, learned from pharmaceutical company-sponsored conferences.
But it is necessary to check whether they are working, upto the targets. We often see patients with 3 antihypertensives, yet no control of blood pressure. We cannot say this directly to cardiologists, we don't have contact. Patients on 3 anti-hypertensive drugs like Cilnidipine, Olmesartan, Diltiazem, Ivabradine, etc and yet no control, are easily controlled with the above combination. Considering rare side…
