Metoprolol belongs to the beta blockers group of drugs. It is used to treat high blood pressure, heart failure, and angina. They are commercially available under the brand name Lopressor and Toprol XL.
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My stress test showed abnormality. Is there any health issue?
Query: Hi doctor, Shortness of breath and rapidly reaching maximum heart rate has been my concern for many years. I turned 50 this year. It is impacting my ability yo exercise, so thought it was time to investigate. I just had a cardiac catheterization test. No blockages were discovered. However, they were... Read Full »
Answer: Hi, Welcome to icliniq.com. First, you need to be started on medicines called as diuretics like Torsemide 10 mg once a day in the morning and also Amlodipine should be replaced with Beta blockers like Metoprolol XR 25 mg once a day. Both drugs will help you in relief of symptoms and also other benef... Read Full »
What is Ecosprin AV 75 used for?
Query: Hi doctor, Sometimes, my father used to get chest pain. Angiography showed that he has a LAD bridging and vessels are normal and clear. His echo is normal. His BP, blood sugar and cholesterol are normal. After the chest pain, he was given the following medicines for one year. They are Stator, Is... Read Full »
Answer: Hi, Welcome to icliniq.com. I have noted all details of your father. A myocardial bridge means that a group of muscle fibers are present on the top of coronary artery instead of on the bottom. In almost 40% cases, it is asymptomatic. However, in some patient the bunch of muscles pushes the c... Read Full »
Kindly evaluate the cardiac drugs of my father for heart attack.
Query: Hello doctor, My father recently had a heart attack and a stroke. Then had two heart valves repaired and they want to put a stent in. His list of medications does not seem to make sense and although he loves his cardiologist. I do not think he is paying enough attention. I am in the medical field a... Read Full »
Answer: Hi, Welcome to icliniq.com. Let us evaluate all medications your father is receiving. Diagnosis: Valvotomy, CAD with MI (coronary artery disease with myocardial infarction) and CVA (cerebrovascular accident) (recovered). Tablet Metoprolol is essential in patients with heart attacks as it slows the h... Read Full »
Is there any issue with my echo report?
Query: Hi doctor,I had anterior myocardial infarction five years back, and I was on medications until angiogram and angioplasty were done last year. My last month echo report states, mid anterior septum, anterior wall, and anterolateral wall thinned and hypokinetic. Apical septum, LV apex thinned, and akin... Read Full »
Answer: Hello, Welcome to icliniq.com. These are changes due to AWMI (anterior wall myocardial infarction). You are having dysfunction of the heart, which is of moderate intensity. It is a significant dysfunction, but manageable. Normal functioning of the heart is more than 55 %, and yours is 40 %. Survival... Read Full »
Why does my father feel dizzy immediately after getting up from bed?
Query: Helllo doctor, My father is 79-years-old and has been diabetic for the past 30 years. He has had a bypass in the past and also a stroke. He feels a little dizzy after getting up from bed for the past week, or even sometimes when the changes position while sleeping. His BP is usually in the 145/60 mm... Read Full »
Answer: Hi, Welcome to icliniq.com. This is usually not a problematic issue and is due to a decrease in blood supply to the brain on getting up due to the effect of gravity. This is due to the combined effect of falls in blood pressure (BP) with standing and unable to increase heart rate due to Metoprolol... Read Full »
Do I need a pacemaker for inappropriate sinus tachycardia?
Query: Hi doctor, I had been diagnosed with inappropriate sinus tachycardia nearly two years back. I have dizziness, chest pain, shortness of breath, not able to exercise, and anxiety. I am currently managing my symptoms with Ivabradine 5 mg, once a day, but the quality of life is very poor due to which ... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, do not get depressed, this is not a life-threatening condition, and may resolve with time. The symptoms may be troublesome for some time. How much are your resting and maximum heart rate? You should get yourself evaluated by a psychiatrist for anxiety and d... Read Full »
Can MVP be detected through ECG and TMT?
Query: Hi doctor, For two years, I have been suffering from MVP (mitral valve prolapse). Then, I have undergone ECG and TMT, but no MVP detected. But, I was advised to take the tablets given for MVP, which includes Metolac-ER 50 and Dothimax 25. Will these tablets cause any side effects? Read Full »
Answer: Hello, Welcome to icliniq.com. Mitral valve prolapse cannot be detected on ECG - electrocardiogram or a TMT - treadmill test unless has very advanced and causing severe problems. It can be picked up by an echocardiogram, which is a heart ultrasound. Now coming back to your medications, Dothimax (... Read Full »
My blood pressure is erratic. Can you help ?
Query: Hello doctor, I am a 30 year old. Recently, I started having high blood pressure. It goes up and down a lot. At some times, it is 170/90, and at others, it is 130/80. Recently I have done a blood test, where my Hb was 10.52, cholesterol was 152, triglyceride was 165, HDL 28 and LDL was 91. The other... Read Full »
Answer: Hello, Welcome to icliniq.com. Your pulse rate is high. Please do a free T4, T3, and TSH (thyroid stimulating hormone) test. For your BP (blood pressure), you can take Met XL (Metoprolol) 50 one tablet, once daily at around 8 AM and tablet Stamlo (Amlodipine) 5 one tablet at around 5 PM. Your Hb... Read Full »
Can Metoprolol be used for anxiety?
Query: Dear doctor, I am on longtime BP medicines, Metoprolol 50 mg and Losartan 80 mg once a day for two years. My BP went up to 145/100 often in the last month. I got a new medication from my doctor, Irbesartan 150 mg and Metoprolol 50 mg once a day. Now the BP is excellent, over the day 125/85. Pulse ar... Read Full »
Answer: Hi, Welcome to icliniq.com. Let me tell you very clearly that, Metoprolol is the drug of choice, not just for hypertension but it has shown to have mortality benefits to cardiac patients. It helps for that purpose by : Reducing cardiac remodeling. Controlling heart rate. So, I would suggest ... Read Full »
Will taking Toprol 25 for tachycardia cause any side effect?
Query: Hello doctor, I went to a cardiologist and he found me with tachycardia. But he never says where he found that. Reality is I have tachycardia every day mostly 11 to 4 PM. He gave a medication Toprol 25. But I fear the side effect and that I am having asthma. I have my studies done if you want to ch... Read Full »
Answer: Hi, Welcome to icliniq.com. Please send me your ECG and other test reports so that I may guide you better. If you are asthmatic and have tachycardia, Nebivolol is better than Metoprolol, yet I want to check your reports to devise a proper plan for your treatment. Read Full »