Benzodiazepines vs Beta Blockers for White Coat Hypertension

Lillian

Active member
Beta blockers probably because, in a sense, they more directly target the physical aspects of anxiety.
 

Hannah

Member
The big question is, which one would cause less impairment. Each one carries side effects that can alter tests/exams.
 

Lillian

Active member
I think beta blockers would mostly reverse the impairment caused by anxiety whereas benzodiazepines would also have muscle relaxant and cognitive-impairing effects.
 

Hannah

Member
Would we rather have less cognitive or less physical side effects?

I think it would be based off appointment, and what you'll do at the appointment.
 

Hannah

Member
Yes, I was thinking possibly buspirone, but, buspirone commonly causes miosis and sometimes worsens hypertension.
 

Lillian

Active member
Buspirone could be useful for patients who need to be in a medical setting very often. Otherwise, it might be too much of a burden to take it every day despite only needing it occasionally.
 

Hannah

Member
Very possible.

The thing is, when someone charts vitals an such. We usually go off a long-term basis. So if you're on the pharmaceutical long enough, it shouldn't really matter.

So, long-term buspirone could definitely be a possibility.
 
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