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Suffering From Mitral Valve Prolapse, PSVT And Syncope, Fatigue And Enervation With Hard Performance, Taken Pendolol. Is It Safe To Work At Full Speed?
I am a performing art student with mitral valve prolapse , psvt, and syncope . For the longest time when I would perform the week or so after I would not be able to move. My body would be too tired to let me leave my bed. I would also often faint when pushing my self too hard in performance. Almost a year ago I was put on Pendolol to combat this. Now I am afraid the fatigue from the medication has proved nearly worse for me. I have had to give up performing altogether as I can now no longer perform at even half the energy I could before. I want this to be my career, but I don t know if coming off medication is really safe at this point.
Thu, 22 Aug 2013
Dear patient,
Thanks for your health concerns. I agree that if you see a big difference in terms of your fatigue after starting pendolol, it is a possibility to consider that the medication could actually be contributing to the fatigue. This is a well described side effect for B Blockers. Discontinuing a beta blocker abruptly indeed carries risks of rebound side effects, so the medication has to be weaned off gradually or substituted by another type of B blocker. My suggestion in patients with your symptoms would typically be atenolol, which does not act on the nervous system.
Truly yours,
Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN
Thanks for your health concerns. I agree that if you see a big difference in terms of your fatigue after starting pendolol, it is a possibility to consider that the medication could actually be contributing to the fatigue. This is a well described side effect for B Blockers. Discontinuing a beta blocker abruptly indeed carries risks of rebound side effects, so the medication has to be weaned off gradually or substituted by another type of B blocker. My suggestion in patients with your symptoms would typically be atenolol, which does not act on the nervous system.
Truly yours,
Dr Brenes-Salazar MD
Cardiology
Mayo Clinic MN
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