Metoprolol

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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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 »


Dr. Sagar Ramesh Makode

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 »

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 »


Dr. Sagar Ramesh Makode

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 %. Surviv...  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 »


Dr. Anshul Varshney

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 »

How can I reduce my prolonged blood pressure apart from medicines?

Query: Hello doctor, I have been under medications for hypertension for the past five years. I am currently taking Zilance 40 and Ciplar 10. The random blood pressure reading is 140/100 and goes to around 160/100 at times. The current symptoms include excessive sweating, palpitations, anxiety, headaches, f...  Read Full »


Dr. Ganeshkumar Suresh Satpute

Answer: Hello, Welcome to icliniq.com. Urinary VMA (vanillylmandelic acid) and Metanephrine tests are done to detect Pheochromocytoma, a kind of tumor, that causes hypertension in young persons, as well as facial flushing, headaches, and palpitations. Though it is rare, it is better to rule out pheochromo...  Read Full »

What do a mildly dilated LA, normal LV, and mild MR in echo report mean?

Query: Hello doctor, My father had an echo test. The report says 'Mildly dilated LA. Normal LV size, with moderately reduced function. Mild MR. LVDD II'. What does it mean?  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Did he have any chest pain or heart attack in the past, or is he diabetic? To summarize the report, it says there is a decreased functioning of the heart, which most commonly occurs due to coronary artery disease or sometimes due to the weakening of the heart muscle...  Read Full »

Can PVC cause an increase in heartbeats?

Query: Hi doctor, I have a history of benign PVC. Lately, I am getting these pauses between heartbeats that are felt in my stomach that range from 2 to 12 a minute. I have gas and burping. How many pauses per minute are dangerous and is this a cardiac issue? I put my fingers on my pulse when it happens, an...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. These pauses are nothing but the PVCs (premature ventricular contractions). Immediately after PVC, which is an extra beat, there is a temporary pause till next normal beat resumes. Most of the times, these are benign and not dangerous. However, considering your age, it...  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 »


Dr. Sagar Ramesh Makode

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...  Read Full »

My anion gap remains around 20 mmol/L. Is this bad?

Query: Hello doctor, I am a 32 year old female, and I went to the ER four days back for SVT. Apparently, my anion gap was 20 mmol/L. Is this bad? The BUN was less than 3, ionized calcium was 1.11 and low creatinine. I am freaking out as no one went over the results with me. I have had four cases of SVT ...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Firstly, low BUN (blood urea nitrogen) and creatinine levels are not a matter of worry. Normal BUN range is from 2.5 to 7.1 mmol/L. Also, ionized calcium is a bit lower but still normal. Anion gap is high, but it has got significance if you have acidosis as well l...  Read Full »

Is Metoprolol sufficient to treat heart palpitations in mitral valve prolapse?

Query: Hi doctor, I am a 33-year-old female of height 5'2" and weight 61 kg. I was diagnosed with mitral valve prolapse three and a half years ago. My last check-up was two and a half years ago. My current medication is Metoprolol 50 mg half tablet twice daily. My symptoms are palpitation that usually hap...  Read Full »


Dr. Vivek Pillai

Answer: Hi, Welcome to icliniq.com. You are already taking Metoprolol 50 mg half tablet twice daily. There is the option to increase it to a full tablet once and later twice daily or switch to Propranolol 10 mg, which I feel is more effective in treating palpitations due to mitral valve prolapse. If even ...  Read Full »

Can my heart problem cause gastrointestinal issues?

Query: Hello doctor, I have had premature ventricular contraction for six years, and I take tablet Metoprolol 50 mg once daily. My ventricular contractions are stacked and create a non-sustained ventricular tachycardia. I am constantly having an upset stomach, constipation, and bloating. Now my question i...  Read Full »


Dr. Vivek Pillai

Answer: Hi, Welcome to icliniq.com. Thanks for the query and detailed symptom description. Many arrhythmias are accompanied by gastrointestinal symptoms. I have noticed this in my experience but the reason is unknown. Most probably it might be a trigger for PVC (premature ventricular contractions), wh...  Read Full »

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