[PattiJT]

I, too have been prescribed Atenolol, since 1996. For blood pressure. I had no noticeable mental effects from it for approximately 6 months. When my doctor added Benicar HCT to the mix, I then began feeling more relaxed and at ease. So much so, in fact, that I rechecked my bp a few consecutive nights at work, and found it quite low. I felt like "top of the world, ma!!". That was the result of bp of 80/55. Revisit to the doctor resulted in a lowering of Benicar HCT dosage. That was years ago, and all normal until after 1&1/2 tears of Premarin use, I went off it and went to PM. Using PM has mainly had the effect on me of lowering my desire to crossdress , though not stopping it. It has also revived the sense of calmness that left with the Benicar dose change, and was never relit when I took Premarin.
What I'm getting at, is, that Atenolol had no noticeable effect by itself. It was only after another item was added to the mix, that things changed. My suggestion, therefore, would be to lose the PM before the Atenolol, since it seems to be rather innocuous in and of itself. That would be a safer approach in my mind. Also, many docs here are now getting up to speed on the fact that herbals can have effects on prescription meds, and are including them when they ask us for a list of meds we are taking. That is probably something you should make your NP aware of. Only my experience, but that's the way it worked out. Good luck! Patti