- With Mayo Clinic emeritus hypertension specialist
Sheldon G. Sheps, M.D.
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Sheldon G. Sheps, M.D.
Sheldon G. Sheps, M.D.
Dr. Sheldon Sheps, emeritus professor of medicine and former chair of the Hypertension Division in the Department of Medicine at Mayo Clinic, has been with Mayo Clinic since 1960.
Dr. Sheps, a Winnipeg, Manitoba, native, is board certified in internal medicine and specializes in hypertension and peripheral vascular diseases. He developed a multidisciplinary approach with specially trained nurses, dietitians, technicians and educators to help form a team approach to the treatment of patients with abnormal blood pressure.
"I have always believed in involving the patient and family in their health care," he says. "I have asked for their understanding of the illness and issues and for participation in decisions. The Web is a natural extension of that, and now many more people can be informed."
Dr. Sheps chaired the sixth working group, and participated in the fourth, fifth and seventh groups, that developed the then-latest guidelines for hypertension under the auspices of the National Heart, Lung and Blood Institute (NHLBI). He helped write the latest American Heart Association (AHA) report on blood pressure measurement. He chaired an AHA group that produced an online accreditation for blood pressure measurement for health professionals. He has co-authored books, newsletters, CD-ROMs and other Mayo Clinic health information material and joined Mayo Clinic's Web team in 1998. He was medical editor-in-chief of both editions of the "Mayo Clinic on High Blood Pressure" book; the last edition was published in 2003. He was also medical editor-in-chief of "Mayo Clinic 5 Steps to Controlling High Blood Pressure,'' published in 2008.
He was section editor for each of the first three editions of "Hypertension Primer" for the American Heart Association.
Dr. Sheps was also chairman of the Science Base Subcommittee, National High Blood Pressure Education Program, and was a consultant to the Hypertension Initiative of the World Health Organization. In 1997, he was honored with the Individual Achievement Award on the 25th anniversary of the National High Blood Pressure Education Program of NHLBI. In 2009, he was honored as a Distinguished Mayo Alumnus.
Definition (3)
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Risk factors (2)
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Symptoms (1)
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Causes (5)
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Complications (1)
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Treatments and drugs (5)
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- see all in Treatments and drugs
Lifestyle and home remedies (9)
- Resperate: Can it help reduce blood pressure?
- Blood pressure medication: Still necessary if I lose weight?
- High blood pressure and cold remedies: Which are safe?
- see all in Lifestyle and home remedies
Alternative medicine (1)
- L-arginine: Does it lower blood pressure?
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Question
Beta blockers: Do they cause weight gain?
Can beta blockers, such as atenolol, cause weight gain?
Answer
from Sheldon G. Sheps, M.D.
Yes. Weight gain can occur as a side effect of some beta blockers, especially the older ones, such as atenolol (Tenormin) and metoprolol (Lopressor, Toprol-XL). The average weight gain is between 2 and 4 pounds (0.9 and 1.8 kilograms). Newer beta blockers, such as carvedilol (Coreg) and nebivolol (Bystolic), are not associated with weight gain.
Beta blockers are used to treat a variety of conditions, including high blood pressure and migraines. The exact cause of weight gain associated with some beta blockers isn't clearly understood. But it may be due to a lower metabolic rate and reduced physical activity. In addition, if you switch from a diuretic to a beta blocker, you may gain a few pounds of weight that the diuretic kept off.
It is important to note that weight gain may also be due to fluid retention, which may indicate worsening heart failure. Talk to your doctor if you experience unexplained weight gain soon after starting a beta blocker — especially if you gain more than 3 to 4 pounds (1.3 to 1.8 kilograms). If you have sudden weight gain — a weight gain of 3 to 4 pounds in 24 to 48 hours — consult your doctor promptly.
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