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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Shortness Of Breath While On Metoprolol?

I ve been taking 12.5MG or Metoprolol, Tart twice a day for about 6 months to control an abnormal heart rhythm. I ve had a Proair HFA Albuterol Sulfate I nhaler for several years but haven t taken it in a long time. I spent some time in the horse / goat barn today and found it hard to catch my breath. I immediately remembered my Inhaler and took two quick succession administrations. My breathing became a little bit easier but then found out that these two drugs are not to be use together. Should I be headed to the hospital or, for what should I be watching concerning bad symptoms?
Fri, 23 Mar 2018
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General & Family Physician 's  Response
Hello,

Shortness of breath appears to be caused by Metoprolol. Metoprolol is a beta blocker which is commonly prescribed to treat high blood pressure, angina (chest pain), arrhythmia (abnormal heart rhythm) and other conditions. Its most common side effects include decreased heartbeats, hypotension, cold or clammy skin, fatigue, erectile dysfunction, weakness, nightmares, etcetera.

In patients suffering from bronchial asthma or COPD, it may cause shortness of breath (even with mild exertion) and wheeze. So, it contraindicated in patients with bronchial asthma, or with a history of bronchial asthma, or severe chronic obstructive pulmonary disease.

Beta blockers may adversely affect pulmonary function by counteracting the bronchodilation produced by beta-2 receptor agonists like Albuterol sulfate and thus trigger asthma symptoms.

So, in view of the above, I advise you to consult your doctor to prescribe an alternate effective, but a safer medication to control your abnormal heart rhythm instead of Metoprolol.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Mohammed Taher Ali
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What Causes Shortness Of Breath While On Metoprolol?

Hello, Shortness of breath appears to be caused by Metoprolol. Metoprolol is a beta blocker which is commonly prescribed to treat high blood pressure, angina (chest pain), arrhythmia (abnormal heart rhythm) and other conditions. Its most common side effects include decreased heartbeats, hypotension, cold or clammy skin, fatigue, erectile dysfunction, weakness, nightmares, etcetera. In patients suffering from bronchial asthma or COPD, it may cause shortness of breath (even with mild exertion) and wheeze. So, it contraindicated in patients with bronchial asthma, or with a history of bronchial asthma, or severe chronic obstructive pulmonary disease. Beta blockers may adversely affect pulmonary function by counteracting the bronchodilation produced by beta-2 receptor agonists like Albuterol sulfate and thus trigger asthma symptoms. So, in view of the above, I advise you to consult your doctor to prescribe an alternate effective, but a safer medication to control your abnormal heart rhythm instead of Metoprolol. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali