beta blockers a T levels

billythebaxter

New Member
I was just curious to know (if in fact anyone knows) how long it takes for T levels in young men to return to normal after cessation of the Beta Blocker Propranolol. I was on this for a year for anxiety and my T levels got owned by this drug. I've been off the Propranolol for about 2 weeks and a further test showed today showed my T levels have recovered very minimally.

My GP seems to know about as much as a school child about Testosterone, and unfortunately I can't get an Endocrinology appointment for 3 months. I'm not after any specifics, just a ballpark figure of how long it's going to be until my T levels recover from the damage that the beta blockers did.

Thanks all
 
billythebaxter said:
I was just curious to know (if in fact anyone knows) how long it takes for T levels in young men to return to normal after cessation of the Beta Blocker Propranolol. I was on this for a year for anxiety and my T levels got owned by this drug. I've been off the Propranolol for about 2 weeks and a further test showed today showed my T levels have recovered very minimally.

My GP seems to know about as much as a school child about Testosterone, and unfortunately I can't get an Endocrinology appointment for 3 months. I'm not after any specifics, just a ballpark figure of how long it's going to be until my T levels recover from the damage that the beta blockers did.

Thanks all

There is no direct evidence linking beta blockers with low testosterone. Where did you read this? Beta blockers are definitely linked to ED, but not because of their effect on T levels. It has to do more with "mechanical" reasons. Since beta blockers control heart rate and rhythm, it becomes more difficult, at higher doses, for the heart to pump enough blood into the penis for satisfactory erections. It is probably just coincidence that your T levels were low while being on the Inderol. After two weeks, there would be no Inderol left in your body to affect T levels...and there is absolutely no evidence that beta blockers either temporarily or permanently damage the body's ability to produce testosterone. Your high anxiety levels alone, however, could DEFINITELY affect your body's production of testosterone. in addition, there are other things you can use to control anxiety more efficiently which won't affect your sex life.
 
MacDonnell said:
There is no direct evidence linking beta blockers with low testosterone.

There are a very few references in MEDLINE devoted to this topic. According to this, there is an association. This reference is pretty old--almost 20 years. There are also some rat studies that indicate an association between beta blocker use and serum testosterone level.
 
MacDonnell said:
There is no direct evidence linking beta blockers with low testosterone. Where did you read this? Beta blockers are definitely linked to ED, but not because of their effect on T levels. It has to do more with "mechanical" reasons. Since beta blockers control heart rate and rhythm, it becomes more difficult, at higher doses, for the heart to pump enough blood into the penis for satisfactory erections. It is probably just coincidence that your T levels were low while being on the Inderol. After two weeks, there would be no Inderol left in your body to affect T levels...and there is absolutely no evidence that beta blockers either temporarily or permanently damage the body's ability to produce testosterone. Your high anxiety levels alone, however, could DEFINITELY affect your body's production of testosterone. in addition, there are other things you can use to control anxiety more efficiently which won't affect your sex life.

Among the antihypertensives currently in use, the sympatholytic drugs (e.g., central alpha-agonists, beta-blockers) and diuretics are most commonly associated with sexual side effects. Previous reports of sexual dysfunction associated with these drugs have been based entirely on retrospective and self-report data. This is the first study to date to investigate beta-blocker effects on sexual function by means of physiological (NPT), subjective, and hormonal measures. Four beta-blockers with different ancillary properties (atenolol, metoprolol, pindolol, propranolol) were evaluated in a placebo-controlled, double-blind, Latin-square design. Thirty healthy male volunteers received, in counterbalanced order, each of the four drugs and 1 week of placebo testing. Significant drug effects on both total and free testosterone were found during treatment with all four beta-blockers, although it appeared that the nonselective drugs (pindolol, propranolol) were associated with the greatest reduction in testosterone. No significant effects were found on measures of cortisol or cholesterol. Analysis of NPT and self-report data yielded inconclusive results, perhaps due to the confounding effects of sleep disruption and the brief duration of treatment in this study. Inspection of individual records, however, suggested that some subjects may be especially vulnerable to sexual dysfunction in association with propranolol.

i think u r greatly mistaken...nearly every article i found regarding which drugs directly effect testosterone levels mentions beta blockers. they also nearly always mention antidepressants.

also, some doctors use beta blockers to reduce the testosterone levels of men with elevated level.
 
Do you have any labs if not then go to this link and read TRT: A Recipe for Success and in this are tests you need and why get them and post them here. All you can do is let time take if's corse. If this does not work then you need to go on TRT it may have messed you up for life.

http://www.allthingsmale.com/Publications.html
billythebaxter said:
Among the antihypertensives currently in use, the sympatholytic drugs (e.g., central alpha-agonists, beta-blockers) and diuretics are most commonly associated with sexual side effects. Previous reports of sexual dysfunction associated with these drugs have been based entirely on retrospective and self-report data. This is the first study to date to investigate beta-blocker effects on sexual function by means of physiological (NPT), subjective, and hormonal measures. Four beta-blockers with different ancillary properties (atenolol, metoprolol, pindolol, propranolol) were evaluated in a placebo-controlled, double-blind, Latin-square design. Thirty healthy male volunteers received, in counterbalanced order, each of the four drugs and 1 week of placebo testing. Significant drug effects on both total and free testosterone were found during treatment with all four beta-blockers, although it appeared that the nonselective drugs (pindolol, propranolol) were associated with the greatest reduction in testosterone. No significant effects were found on measures of cortisol or cholesterol. Analysis of NPT and self-report data yielded inconclusive results, perhaps due to the confounding effects of sleep disruption and the brief duration of treatment in this study. Inspection of individual records, however, suggested that some subjects may be especially vulnerable to sexual dysfunction in association with propranolol.

i think u r greatly mistaken...nearly every article i found regarding which drugs directly effect testosterone levels mentions beta blockers. they also nearly always mention antidepressants.

also, some doctors use beta blockers to reduce the testosterone levels of men with elevated level.
 
billythebaxter said:
Among the antihypertensives currently in use, the sympatholytic drugs (e.g., central alpha-agonists, beta-blockers) and diuretics are most commonly associated with sexual side effects. Previous reports of sexual dysfunction associated with these drugs have been based entirely on retrospective and self-report data. This is the first study to date to investigate beta-blocker effects on sexual function by means of physiological (NPT), subjective, and hormonal measures. Four beta-blockers with different ancillary properties (atenolol, metoprolol, pindolol, propranolol) were evaluated in a placebo-controlled, double-blind, Latin-square design. Thirty healthy male volunteers received, in counterbalanced order, each of the four drugs and 1 week of placebo testing. Significant drug effects on both total and free testosterone were found during treatment with all four beta-blockers, although it appeared that the nonselective drugs (pindolol, propranolol) were associated with the greatest reduction in testosterone. No significant effects were found on measures of cortisol or cholesterol. Analysis of NPT and self-report data yielded inconclusive results, perhaps due to the confounding effects of sleep disruption and the brief duration of treatment in this study. Inspection of individual records, however, suggested that some subjects may be especially vulnerable to sexual dysfunction in association with propranolol.

i think u r greatly mistaken...nearly every article i found regarding which drugs directly effect testosterone levels mentions beta blockers. they also nearly always mention antidepressants.

also, some doctors use beta blockers to reduce the testosterone levels of men with elevated level.

I see no citation. Where is this studdy published? I have found little data to support beta blockers lower T, and some studies suggest they may increase T:

Horm Metab Res. 2000 Jul;32(7):259-64. Links
Propranolol stimulates histone phosphorylation by a putative PK-C in partially purified homogenate of rat testicular interstitial cells. A possible mechanism for increased testosterone secretion by propranolol.

* Wanderley MI,
* Udrisar DP,
* Martins MC,
* Antunes-Rodrigues J.

Departamento de Fisiologia e Farmacologia, Universidade Federal de Pernambuco, Recife, Brasil. miw@npd.ufpe.br

The beta-adrenoceptor blocker propranolol stimulated testosterone secretion by rat testicular interstitial cells (Leydig cell-enriched preparation) in vitro at concentrations ranging from 10(-5) M to 10(-4) M. Treatment of these cells with H7 (20 microM), an inhibitor of protein kinase C, reduced the stimulatory effect of L-propranolol on testosterone secretion by about 5-fold. At concentrations ranging from 31.25 microM to 1000 microM, L-propranolol reduced [3H]phorbol 12,13-dibutyrate binding (IC50 = 75 microM) to rat testicular interstitial cells. At similar concentrations, L-propranolol displaced the binding of [3H]phorbol 12,13-dibutyrate to the homogenate of these cells by only 5%. These findings suggest that the effect of L-propranolol on [3H]phorbol 12,13-dibutyrate binding could be indirect, possibly by increasing the concentration of a chemical mediator interacting with the regulatory domain of protein kinase C. At even lower concentrations (10(-9) M to 10(-7) M), propranolol added directly to the reaction mixture with protein kinase C partially purified from rat testicular interstitial cells increases the phosphorylation of histone. This phosphorylation was comparable to that obtained with (25 microg/ml) phosphatidylserine. The D- and L-stereoisomers of propranolol were equally active. A complete reversal of this propranolol effect on histone phosphorylation was achieved with (20 microM) H-7. In the absence of Ca2+, propranolol was not able to phosphorylate the histone. Taken together, these results suggest that protein kinase C could be the putative kinase involved in this reaction and that its activation by propranolol may be due to interaction of the drug with the regulatory domain of the enzyme at a site differing from the site of interaction with phorbol 12,13-dibutyrate. The ability of propranolol to activate the putative protein kinase C could be related to its stimulatory effect on testosterone secretion by Leydig cells.

and

1: Braz J Med Biol Res. 1996 Nov;29(11):1567-71. Links
Propranolol stimulates testicular interstitial fluid formation and testosterone secretion in rats.

* Martins MC,
* Udrisar DP,
* Wanderley MI.

Departamento de Fisiologia, Universidade Federal do Piaui Teresina, Brasil.

We investigated the effect of intratesticularly injected propranolol on testicular interstitial fluid (TIF) formation and on testosterone levels in the TIF of intact adult male Wistar rats (4-9 rats per group). dl-propranolol at doses of 0.6, 1.2, or 6.0 mg/kg was injected into the left (L) testis whereas the right (R) testis (control testis) received vehicle. dl-propranolol (6.0 mg/kg) caused a significant increase in both TIF volume (329%) and TIF levels of testosterone (257%) in the L testis but not in the R (control) testis 3 h post-injection. In rats treated simultaneously with human chorionic gonadotropin (hCG, 5 IU/rat, sc) the same dose or propranolol (6.0 mg/kg) significantly increased the stimulatory effect of hCG on testosterone secretion by 1.8-fold, but hCG did not modify the stimulatory effect of propranolol on TIF volume. These results demonstrate a direct stimulatory effect of propranolol on TIF volume and testosterone secretion, both under basal and hCG-stimulated conditions.

and

Andrologia. 1997 Mar-Apr;29(2):109-14. Links
Propranolol treatment affects ventral prostate blood vessels and serum testosterone concentrations in adult rats.

* Plecas B,
* Glavaski A,
* Solarovic T.

Department of Physiology, Faculty of Pharmacy, Belgrade, Yugoslavia.

The influence of prolonged beta-adrenergic receptor blockade on stereologic parameters of the ventral prostate and serum testosterone concentrations was examined in adult rats injected with propranolol (0.1 or 0.4 mg kg-1/day) for 15 or 30 consecutive days. Both doses of propranolol reduced the relative and absolute volume of the ventral prostate blood vessels. This effect was prevented by simultaneous administration of urapidil, an alpha 1-adrenergic receptor antagonist, indicating that a compensatory vasoconstriction took place as a consequence of propranolol treatment. Serum testosterone concentration was significantly increased following the 30-day application of the lower dose of the drug. These results show that prolonged administration of propranolol, although not affecting the epithelial component of the gland, may indirectly influence prostatic function by reducing the blood flow to the gland.

Bottom line is that it's unclear if beta blockers lower T at this time and studies are lacking and or conflicting.
 
WillBrink said:
I see no citation. Where is this studdy published? I have found little data to support beta blockers lower T, and some studies suggest they may increase T:

Horm Metab Res. 2000 Jul;32(7):259-64. Links
Propranolol stimulates histone phosphorylation by a putative PK-C in partially purified homogenate of rat testicular interstitial cells. A possible mechanism for increased testosterone secretion by propranolol.

* Wanderley MI,
* Udrisar DP,
* Martins MC,
* Antunes-Rodrigues J.

Departamento de Fisiologia e Farmacologia, Universidade Federal de Pernambuco, Recife, Brasil. miw@npd.ufpe.br

The beta-adrenoceptor blocker propranolol stimulated testosterone secretion by rat testicular interstitial cells (Leydig cell-enriched preparation) in vitro at concentrations ranging from 10(-5) M to 10(-4) M. Treatment of these cells with H7 (20 microM), an inhibitor of protein kinase C, reduced the stimulatory effect of L-propranolol on testosterone secretion by about 5-fold. At concentrations ranging from 31.25 microM to 1000 microM, L-propranolol reduced [3H]phorbol 12,13-dibutyrate binding (IC50 = 75 microM) to rat testicular interstitial cells. At similar concentrations, L-propranolol displaced the binding of [3H]phorbol 12,13-dibutyrate to the homogenate of these cells by only 5%. These findings suggest that the effect of L-propranolol on [3H]phorbol 12,13-dibutyrate binding could be indirect, possibly by increasing the concentration of a chemical mediator interacting with the regulatory domain of protein kinase C. At even lower concentrations (10(-9) M to 10(-7) M), propranolol added directly to the reaction mixture with protein kinase C partially purified from rat testicular interstitial cells increases the phosphorylation of histone. This phosphorylation was comparable to that obtained with (25 microg/ml) phosphatidylserine. The D- and L-stereoisomers of propranolol were equally active. A complete reversal of this propranolol effect on histone phosphorylation was achieved with (20 microM) H-7. In the absence of Ca2+, propranolol was not able to phosphorylate the histone. Taken together, these results suggest that protein kinase C could be the putative kinase involved in this reaction and that its activation by propranolol may be due to interaction of the drug with the regulatory domain of the enzyme at a site differing from the site of interaction with phorbol 12,13-dibutyrate. The ability of propranolol to activate the putative protein kinase C could be related to its stimulatory effect on testosterone secretion by Leydig cells.

and

1: Braz J Med Biol Res. 1996 Nov;29(11):1567-71. Links
Propranolol stimulates testicular interstitial fluid formation and testosterone secretion in rats.

* Martins MC,
* Udrisar DP,
* Wanderley MI.

Departamento de Fisiologia, Universidade Federal do Piaui Teresina, Brasil.

We investigated the effect of intratesticularly injected propranolol on testicular interstitial fluid (TIF) formation and on testosterone levels in the TIF of intact adult male Wistar rats (4-9 rats per group). dl-propranolol at doses of 0.6, 1.2, or 6.0 mg/kg was injected into the left (L) testis whereas the right (R) testis (control testis) received vehicle. dl-propranolol (6.0 mg/kg) caused a significant increase in both TIF volume (329%) and TIF levels of testosterone (257%) in the L testis but not in the R (control) testis 3 h post-injection. In rats treated simultaneously with human chorionic gonadotropin (hCG, 5 IU/rat, sc) the same dose or propranolol (6.0 mg/kg) significantly increased the stimulatory effect of hCG on testosterone secretion by 1.8-fold, but hCG did not modify the stimulatory effect of propranolol on TIF volume. These results demonstrate a direct stimulatory effect of propranolol on TIF volume and testosterone secretion, both under basal and hCG-stimulated conditions.

and

Andrologia. 1997 Mar-Apr;29(2):109-14. Links
Propranolol treatment affects ventral prostate blood vessels and serum testosterone concentrations in adult rats.

* Plecas B,
* Glavaski A,
* Solarovic T.

Department of Physiology, Faculty of Pharmacy, Belgrade, Yugoslavia.

The influence of prolonged beta-adrenergic receptor blockade on stereologic parameters of the ventral prostate and serum testosterone concentrations was examined in adult rats injected with propranolol (0.1 or 0.4 mg kg-1/day) for 15 or 30 consecutive days. Both doses of propranolol reduced the relative and absolute volume of the ventral prostate blood vessels. This effect was prevented by simultaneous administration of urapidil, an alpha 1-adrenergic receptor antagonist, indicating that a compensatory vasoconstriction took place as a consequence of propranolol treatment. Serum testosterone concentration was significantly increased following the 30-day application of the lower dose of the drug. These results show that prolonged administration of propranolol, although not affecting the epithelial component of the gland, may indirectly influence prostatic function by reducing the blood flow to the gland.

Bottom line is that it's unclear if beta blockers lower T at this time and studies are lacking and or conflicting.

Hey, thanks for doing your homework!!! I was thinking maybe it was time to quit my bb and switch to something else (I am on the lowest dose of atenolol.) In light of these conflicting studies, however, I'm definitely going to give it more thought.
 
I would wonder about the betas effect on epi and nor epi levels and thus the relationship to dopamine. From that the relationship of DP to T would follow. Just thinking outloud. Depending on the person that could up or down regulate...right?
 
here is the citation:

Arch Sex Behav. 1988 Jun;17(3):241-55.

Beta-blocker effects on sexual function in normal males.Rosen RC, Kostis JB, Jekelis AW.

Department of Psychiatry, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, Piscataway 08854.

Among the antihypertensives currently in use, the sympatholytic drugs (e.g., central alpha-agonists, beta-blockers) and diuretics are most commonly associated with sexual side effects. Previous reports of sexual dysfunction associated with these drugs have been based entirely on retrospective and self-report data. This is the first study to date to investigate beta-blocker effects on sexual function by means of physiological (NPT), subjective, and hormonal measures. Four beta-blockers with different ancillary properties (atenolol, metoprolol, pindolol, propranolol) were evaluated in a placebo-controlled, double-blind, Latin-square design. Thirty healthy male volunteers received, in counterbalanced order, each of the four drugs and 1 week of placebo testing. Significant drug effects on both total and free testosterone were found during treatment with all four beta-blockers, although it appeared that the nonselective drugs (pindolol, propranolol) were associated with the greatest reduction in testosterone. No significant effects were found on measures of cortisol or cholesterol. Analysis of NPT and self-report data yielded inconclusive results, perhaps due to the confounding effects of sleep disruption and the brief duration of treatment in this study. Inspection of individual records, however, suggested that some subjects may be especially vulnerable to sexual dysfunction in association with propranolol.
 
jboldman said:
here is the citation:

Arch Sex Behav. 1988 Jun;17(3):241-55.

Beta-blocker effects on sexual function in normal males.Rosen RC, Kostis JB, Jekelis AW.

Department of Psychiatry, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, Piscataway 08854.

Among the antihypertensives currently in use, the sympatholytic drugs (e.g., central alpha-agonists, beta-blockers) and diuretics are most commonly associated with sexual side effects. Previous reports of sexual dysfunction associated with these drugs have been based entirely on retrospective and self-report data. This is the first study to date to investigate beta-blocker effects on sexual function by means of physiological (NPT), subjective, and hormonal measures. Four beta-blockers with different ancillary properties (atenolol, metoprolol, pindolol, propranolol) were evaluated in a placebo-controlled, double-blind, Latin-square design. Thirty healthy male volunteers received, in counterbalanced order, each of the four drugs and 1 week of placebo testing. Significant drug effects on both total and free testosterone were found during treatment with all four beta-blockers, although it appeared that the nonselective drugs (pindolol, propranolol) were associated with the greatest reduction in testosterone. No significant effects were found on measures of cortisol or cholesterol. Analysis of NPT and self-report data yielded inconclusive results, perhaps due to the confounding effects of sleep disruption and the brief duration of treatment in this study. Inspection of individual records, however, suggested that some subjects may be especially vulnerable to sexual dysfunction in association with propranolol.

As they dont give any numbers, doses, n numbers, etc, etc, it's impossible to conclude much from this 20 year old study, but it's good to see in the overall picture.
 
I read a study which said that Propranolol blocks a 5-ht2 auto receptor in leydig cells.
Another study found that Ketanserin, a 5-ht2a antagonist, diminishes testosterone levels.

Both Propranolol and Pindolol are known to affect 5-ht receptors, so I suspect this is the real reason why they cause the 'greatest reductions in testosterone'.
 
I was just curious to know (if in fact anyone knows) how long it takes for T levels in young men to return to normal after cessation of the Beta Blocker Propranolol. I was on this for a year for anxiety and my T levels got owned by this drug. I've been off the Propranolol for about 2 weeks and a further test showed today showed my T levels have recovered very minimally.

My GP seems to know about as much as a school child about Testosterone, and unfortunately I can't get an Endocrinology appointment for 3 months. I'm not after any specifics, just a ballpark figure of how long it's going to be until my T levels recover from the damage that the beta blockers did.

Thanks all

Whether Beta Blockers effect TT directly or indirectly is a moot point, (and if there is an "association" it's NOT clinically relevant) bc they most certainly can effect the vascular smooth muscle responsible for tumescence.

In fact the effect of these drugs on vascular smooth muscle IS a primary reason Beta Blockers are best avoided in males with HTN.
 
Last edited:
i think u r greatly mistaken...nearly every article i found regarding which drugs directly effect testosterone levels mentions beta blockers. they also nearly always mention antidepressants.

also, some doctors use beta blockers to reduce the testosterone levels of men with elevated level.



UTTER NONSENSE but is exactly how many manipulate the literature as a means to an ends; PROVING THEIR THEOREM by extrapolating and selectively including/excluding data to support their BELIEFS!

One needs to learn to separate the chicken from the egg, bc although MANY factors from stress to exercise to the use of darn near any drug may be noted to "influence" hormonal levels, but establishing a cause and effect relationship is an entirely different matter. The latter becomes even more difficult when the complaint being investigated is SD or ED which itself has a plethora of "associations" to psychosocial issues!

I mean so what drug X "caused" a statistically significant decline in TT levels from say 770ng/dl to 700ng/dl, a 10% decline! However such a change is would NOT be clinically relevant UNLESS that patient had legitimately "low TT" level before the onset of therapy!
 
Last edited:
As they dont give any numbers, doses, n numbers, etc, etc, it's impossible to conclude much from this 20 year old study, but it's good to see in the overall picture.

NO don't back down! Ask for the details bc the citing nonspecific "changes in TT levels" wo knowing the details will reveal little more than what the OP BELIEVES!

The TT changes are critical to confirming or refuting whether TT or OTHER independent variables were responsible for the SD/ED of those being treated with Beta blockers.

Suffice it to say, I conducted a Med Line search a year or two ago and I doubt much has changed since Beta blockers are some of the oldest anti-HTN drugs on the market today

Jim
 
I read a study which said that Propranolol blocks a 5-ht2 auto receptor in leydig cells.
Another study found that Ketanserin, a 5-ht2a antagonist, diminishes testosterone levels.

Both Propranolol and Pindolol are known to affect 5-ht receptors, so I suspect this is the real reason why they cause the 'greatest reductions in testosterone'.

Yea and in QUANTITATIVE terms what was that "reduction", and is it CLINICALLY relevant ?
 
Back
Top