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Can Metoprolol And Hydrochlorothiazide Cause Tiredness?

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Posted on Thu, 6 Oct 2016
Question: Mom is 92. Five feet tall ...112 lbs....In the past she has been diagnosed with atrial fibriliation and cong heart failure, and high blood pressure. These 3 are generally controlled with meds. All are quite controlled now. Her blood pressure this afternoon was 138/49... pulse 57... this is a common blood pressure number ...She takes the following meds--multaq 400 twice a day; valsartan 30 mg twice a day; metoprolol 50 mg once a day; diovan 160 mg twice a day ; hctz 25 mg once a day;
And the following ---vit D , cranberry 500 ( for mild uti) , co q 10 ( heart), probiotic, B 12 shot every month----occasional Immodium liquid for diarrhea. She has been sleeping more recently and gets sleepy after these meds are taken. She wants me to ask if there could be a medicine- related cause for the low energy and excessive sleep she's having!!!
doctor
Answered by Dr. Noble Zachariah (28 minutes later)
Brief Answer:
Please see the discussion

Detailed Answer:
Hello,
Welcome and thanks for your query.
Greetings to your mother and wish her good health.
Metoprolol and Hctz can produce tiredness, low energy and sleepiness from the same.
Try reducing the dose of these to half, one at a time, monitoring her blood pressure.
Also please have her hemogram, thyroid and kidney functions tested.
Best wishes
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (20 minutes later)
May i sa...... her hgb is 10.8.... BUN is 58.... creatinine is 1.8. ( she has one kidney)... ferritin is 35....
doctor
Answered by Dr. Noble Zachariah (41 minutes later)
Brief Answer:
Anemia contributory

Detailed Answer:
She has reduced kidney functions and anemia resulting from the same. This also contributes to her low energy and tiredness. It may be worth checking her Thyroid functions and if low, correction is simple and would give her more energy.
Note: Get a consultation booked to know more about aging related medical issues. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2319 Questions

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Can Metoprolol And Hydrochlorothiazide Cause Tiredness?

Brief Answer: Please see the discussion Detailed Answer: Hello, Welcome and thanks for your query. Greetings to your mother and wish her good health. Metoprolol and Hctz can produce tiredness, low energy and sleepiness from the same. Try reducing the dose of these to half, one at a time, monitoring her blood pressure. Also please have her hemogram, thyroid and kidney functions tested. Best wishes