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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Hypertension. Prescribed Metoprolol. Now Legs Feel Weak. Side Effects?

I went in the hospital Monday morning for what I thought was a heart issue - but turns out I panicking about it - I spent the night, had several tests, and was told I am fine - with the exception of having hypertension (for last 3 years) and some extra PVC s .... they told me to stop taking the losartan and started me on metoprolol (12.5 x2 a day) .... my legs feel so weak! It feels as if I have been riding a bike for hours.....do you think this is it? They also prescribed Paxil which made me feel absolutely awful - I took that for two days and today I did not take it. I really do not believe I need it. Could metoprolol be my problem? Is there an alternative?
Mon, 18 Mar 2013
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Internal Medicine Specialist,  's  Response
Hi,
Welcome to HCM,
You have Hypertension and had Atypical chest pain or symptoms it is good that you are investigated and ruled out of any significant heart disease.
Later on you can get your 2 D Echocardiography if not already done and stress test to screen for IHD although gold standard for coronary artery disease is coronary angiography you can discuss with your Cardiologist.
you have some anxiety and PVCs beta blocker as anti hypertensive good choice but if you have problem with one you can ask to change it to your cardiologist there are many good agents.
There is possibility of cold extremities due to beta blocker it is not very common.
If you do not need anti anxiety drug your doctor is best person to decide, if you feel you can always take second opinion.
Take care
Good Luck.
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Have Hypertension. Prescribed Metoprolol. Now Legs Feel Weak. Side Effects?

Hi, Welcome to HCM, You have Hypertension and had Atypical chest pain or symptoms it is good that you are investigated and ruled out of any significant heart disease. Later on you can get your 2 D Echocardiography if not already done and stress test to screen for IHD although gold standard for coronary artery disease is coronary angiography you can discuss with your Cardiologist. you have some anxiety and PVCs beta blocker as anti hypertensive good choice but if you have problem with one you can ask to change it to your cardiologist there are many good agents. There is possibility of cold extremities due to beta blocker it is not very common. If you do not need anti anxiety drug your doctor is best person to decide, if you feel you can always take second opinion. Take care Good Luck.