Why do I have a low heart rate after taking Metoprolol?
Patient's Query
Hi doctor,
I am 31 years old. I am on Metoprolol tartrate 50 mg twice daily for high blood pressure. I have a history of palpitations. I have noticed my resting heart rate dipping into the low 40s during the day, accompanied by lightheadedness and an uneasy feeling. I have confirmed it with my Garmin watch and by checking my pulse. These episodes usually last a few minutes and then will return to my usual 60 to 70 range. Is this cause for concern?
Thanks.
Hello,
Welcome to icliniq.com.
I understand your concern.
You are having symptomatic bradycardia, which is due to Metoprolol. The dose of Metoprolol should be reduced to 50 mg once a day, and it should be a sustained-release formulation. Another antihypertensive should be added instead of the tablet Azilsartan or Telmisartan 40 mg once a day. It would help to have a healthy lifestyle, like avoiding fatty, oily, and high-calorie diets. Have a low salt diet and monitor blood pressure regularly, and blood pressure should not be persistently more than 140/90 mm Hg. Regular exercises like brisk walking and jogging, according to your capacity, at least 30 minutes a day and five days a week. Lots of green leafy vegetables, fruits, and fish once or twice a week. Avoid meat, smoking, and alcohol. Get your lipid profile and sugars tested once.
I hope this information will help you.
Thanks.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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