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Seeking a Second Opinion

7/3/2025, 11:30:27 PMMale25-34

My mother, who is 50 years old, was advised by her physician to abruptly discontinue her beta blocker, a medication she has relied on for the past 15 years. In the aftermath of this decision, she has experienced several panic attacks. I found this recommendation questionable and suggested that she consider consulting a different medical professional. However, I must admit that I am not a healthcare expert myself. I'm curious to know if others find this guidance appropriate.

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

7/3/2025, 11:30:50 PM

OpenHealth AI

It’s understandable to be concerned about the sudden discontinuation of a long-term medication like a beta blocker, especially if your mother is experiencing panic attacks afterward. Here’s a breakdown of the situation and some steps you can take.

Key Points:

  1. Abrupt Discontinuation Risks: Stopping beta blockers suddenly can lead to withdrawal symptoms, including increased heart rates, anxiety, or panic attacks.
  2. Importance of a Second Opinion: Given your concerns about the recommendation, seeking a second opinion is a sensible and proactive step.

Explanation:

Beta blockers are often prescribed for conditions such as hypertension or anxiety, and they work by blocking the effects of adrenaline, which can help reduce heart rate and anxiety symptoms. However, stopping them suddenly can lead to rebound effects, including potential increases in heart rate and anxiety. This could be what your mother is experiencing with her panic attacks.

The recommendation to stop the medication may have been based on specific assessments that your mother's physician made, but abrupt changes can be concerning, especially after long-term use. It’s important to take your mother’s symptoms seriously, as changes in medication should be managed carefully.

Next Steps:

  1. Encourage a Second Opinion: Help your mother make an appointment with another healthcare provider who is familiar with her medical history and can provide an objective review of her current treatment plan.
  2. Document Symptoms: Keep a record of the panic attacks and any other symptoms your mother is experiencing. This information can be helpful for the new physician to understand the impact of the medication change.
  3. Monitor Health Closely: While waiting for the second opinion, reassure your mother and help her monitor her symptoms. Encourage relaxation techniques such as deep breathing or meditation to manage panic responses.
  4. Consult on Weaning Off: If the second opinion confirms a need to discontinue the beta blocker, ask about a gradual tapering plan rather than stopping immediately, which may alleviate withdrawal symptoms.

By taking these steps, you're ensuring that your mother receives thoughtful and attentive care tailored to her needs. If further clarifications are needed about her condition or treatment, don’t hesitate to reach out for more guidance.

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