{"id":1007,"date":"2020-08-03T15:33:13","date_gmt":"2020-08-03T19:33:13","guid":{"rendered":"https:\/\/www.allergy-associates.com\/?p=1007"},"modified":"2020-08-03T15:33:13","modified_gmt":"2020-08-03T19:33:13","slug":"dear-dr-k-when-i-recently-started-taking-coreg-for-newly-diagnosed-hypertension-my-previously-well-controlled-asthma-got-worse-are-they-related","status":"publish","type":"post","link":"https:\/\/www.allergy-associates.com\/?p=1007","title":{"rendered":"Dear Dr. K;    When I recently started taking Coreg for newly diagnosed hypertension my previously well controlled asthma got worse.  Are they related?"},"content":{"rendered":"\n<p>The short answer is yes, the long answer requires explanation.&nbsp; First of all, asthma and hypertension are both very common conditions with 9% of American adults having asthma and up to 25% having hypertension.&nbsp; Certain factors can contribute to both conditions:&nbsp; stress, obesity, sedentary life style, excess salt intake, and sleep-disturbed sleep.&nbsp; Correcting these factors can help both conditions.<\/p>\n\n\n\n<p>In terms of medications, many of the medicines used to treat asthma and hypertension can act on opposing sides of the autonomic nervous system.&nbsp; The autonomic nervous system controls the smooth muscles found in both our bronchial tubes and our blood vessels and heart.&nbsp; Unfortunately, medicines that can relax heart and blood vessel smooth muscle (thereby lowering BP) can sometimes constrict bronchial smooth muscle (narrowing airways and causing asthma).&nbsp;<\/p>\n\n\n\n<p>Coreg contains a beta-blocker meaning it blocks the beta input into blood vessels and the heart and thereby relaxes them and lowers BP.&nbsp; Unfortunately, it also blocks beta input into bronchial tubes which causes them to tighten, thereby causing asthma.&nbsp; Many of the medications used to treat asthma work through the beta system as stimulants (agonists).&nbsp; Many inhalers contain short acting or long acting beta agonists: albuterol, Advair, Symbicort, Breo, Dulera.&nbsp; Blocking the beta system reduces their benefit.&nbsp;<\/p>\n\n\n\n<p>Luckily scientists have come to understand this dichotomy. This has led to the development of \u201ccardio-selective\u201d beta blockers.&nbsp; These drugs are much less likely to have negative effect on asthma as they are formatted to work mostly on the heart and blood vessels.&nbsp; Perhaps your doctor could switch you from Coreg (a non-cardio selective) to a cardio-selective beta blocker.&nbsp;<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The short answer is yes, the long answer requires explanation.&nbsp; First of all, asthma and hypertension are both very common conditions with 9% of American adults having asthma and up to 25% having hypertension.&nbsp; Certain factors can contribute to both conditions:&nbsp; stress, obesity, sedentary life style, excess salt intake, and sleep-disturbed sleep.&nbsp; Correcting these factors can help both conditions. In terms of medications, many of the medicines used to treat asthma and hypertension can act on opposing sides of the&#8230;<\/p>\n<p class=\"read-more\"><a class=\"btn btn-default\" href=\"https:\/\/www.allergy-associates.com\/?p=1007\"> Read More<span class=\"screen-reader-text\">  Read More<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[405],"class_list":["post-1007","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-coreg"],"_links":{"self":[{"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/posts\/1007","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1007"}],"version-history":[{"count":1,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/posts\/1007\/revisions"}],"predecessor-version":[{"id":1008,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=\/wp\/v2\/posts\/1007\/revisions\/1008"}],"wp:attachment":[{"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1007"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1007"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.allergy-associates.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1007"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}