I was put on Atenolol, 50 mg. in Dec 07 for what the Dr. believed to be panic/anxity attacks (heart rate around 120-130). My heart rate has always run around 85-95 on a normal basis but during this time, I was going through a period of having severe chest pain and having to go to the ER. The pains turned out to be esophageal spasms/reflux. However, during this time I thought I was having heart problems. I was sent for a stress test in the first part of Jan 08. The results came back fine with absolutely no detection of heart diease. I also have only slightly elevated HBP controlled by Cardizem 240. (I am 42 yrs old, obese, female with two children 7 and 12). I started to have severe burning/tingling pain in both legs after about 3 weeks on the atenolol but the Dr. attributed it to a back injury I experienced. I remained on the atenolol until May. During May I found out that this leg pain could be a side effect of atenolol. Talked to the family Dr. and tapered off the atenolol and the leg pain went away. Stayed off the Atenolol for approximately 6 days and woke during the night with heart rate of 110, by the time I got the the Dr.'s office later that moring my heart rate was 120. The Dr. then put me on Bystolic, 5 mg, 1 x daily. I have been on the Bystolic for 3 weeks and the leg pain is back. Have appt with family Dr. tomorrow morning to talk with him again. I believe that it is the beta blocker that causes the pain and am now wondering if all beta blockers would cause it. Has anyone else had leg pain on the atenolol or bystolic? Also, can anyone else tell me of any other type of medicine that helped to lower heart rate other that a beta blocker?