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Dear Doc, I Have Had A Rough Week. Last Wednesday
Question: Dear Doc,
I have had a rough week. Last Wednesday I went to the ER congested with slight shortness of breath (heavy chest feeling) and was diagnosed (only by the Doctor listening to my lungs) with Bronchitis (again). I had Bronchitis 6-weeks also which was diagnosed by a chest X-ray and was given a Medrol dose pack and Augmentin at that time. I am also detoxing from Alcohol as well. Today is day 3. I am a male, 45-years old, and 385lbs. Here are my daily meds:
...............
Losartan - 100mg (Daily - 11am)
Metoprolol- 50mg (Twice Daily - 11am and 11pm)
..............
These are the new medications started last Wednesday:
...............
Medrol Dose Pack (Til Finished)
Z-Pack (Til Finished)
Ativan (As NEEDED for Alcohol Detox)
...............
I am feeling “slightly” better today. Normally my BP is 145-150 over 85 (which is why my cardiologist put me on meds) and my resting heart rate is 65. I take the Losartan and Metoprolol together at 11am daily and the other dose of Metoprolol around 11pm before bed. When I woke up this morning around 6am PST my heart rate was roughly 50-51-52 and after an hour was roughly 55. Right now after 8-hours of being awake my BP (without today's meds) is 145/85 and my resting heart rate is still 54-55. I am afraid to take the Metoprolol because it lowers your heart rate.
Can the Medrol or Z-pack be lowering the heart rate as well? With my weight usually my resting heart rate is a little higher.
What are your thoughts?
—Anthony
I have had a rough week. Last Wednesday I went to the ER congested with slight shortness of breath (heavy chest feeling) and was diagnosed (only by the Doctor listening to my lungs) with Bronchitis (again). I had Bronchitis 6-weeks also which was diagnosed by a chest X-ray and was given a Medrol dose pack and Augmentin at that time. I am also detoxing from Alcohol as well. Today is day 3. I am a male, 45-years old, and 385lbs. Here are my daily meds:
...............
Losartan - 100mg (Daily - 11am)
Metoprolol- 50mg (Twice Daily - 11am and 11pm)
..............
These are the new medications started last Wednesday:
...............
Medrol Dose Pack (Til Finished)
Z-Pack (Til Finished)
Ativan (As NEEDED for Alcohol Detox)
...............
I am feeling “slightly” better today. Normally my BP is 145-150 over 85 (which is why my cardiologist put me on meds) and my resting heart rate is 65. I take the Losartan and Metoprolol together at 11am daily and the other dose of Metoprolol around 11pm before bed. When I woke up this morning around 6am PST my heart rate was roughly 50-51-52 and after an hour was roughly 55. Right now after 8-hours of being awake my BP (without today's meds) is 145/85 and my resting heart rate is still 54-55. I am afraid to take the Metoprolol because it lowers your heart rate.
Can the Medrol or Z-pack be lowering the heart rate as well? With my weight usually my resting heart rate is a little higher.
What are your thoughts?
—Anthony
Brief Answer:
Low heart rate is a side effect of metoprolol.
Detailed Answer:
Hello,
Thanks for the query.
Metoprolol is a beta blocker group of drugs and it can lower the heart rate.
In your case I couldn’t understand the indication for metoprolol.
Do you have any other cardiac problems like arrhythmias or fibrillation?
If you are taking metoprolol for hypertension, you can switch to other group of drugs after discussing with your physician.
Zpack does not interact with metoprolol.
If the heart rate goes below 50, immediate medial attention is required.
Wishing all the best
Low heart rate is a side effect of metoprolol.
Detailed Answer:
Hello,
Thanks for the query.
Metoprolol is a beta blocker group of drugs and it can lower the heart rate.
In your case I couldn’t understand the indication for metoprolol.
Do you have any other cardiac problems like arrhythmias or fibrillation?
If you are taking metoprolol for hypertension, you can switch to other group of drugs after discussing with your physician.
Zpack does not interact with metoprolol.
If the heart rate goes below 50, immediate medial attention is required.
Wishing all the best
Above answer was peer-reviewed by :
Dr. Kampana
Dear Doc,
My PCP has me on 50mg of Metoprolol morning and night. Right now it’s been 36-hours without Metoprolol, only Losartan.
Can Metoprolol still have this affect that far down the road?
My PCP has me on 50mg of Metoprolol morning and night. Right now it’s been 36-hours without Metoprolol, only Losartan.
Can Metoprolol still have this affect that far down the road?
Brief Answer:
Given
Detailed Answer:
Hi,
Once the metoprolol has stopped, it won’t affect your pulse rate after 48 hours.
If the pulse rate is still on the lower side, an ECG is required to rule out cardiac arrhythmia.
Consult a cardiologist and get evaluated.
You can switch to other anti hypertensives like amlodipine.
Wishing all the best
Given
Detailed Answer:
Hi,
Once the metoprolol has stopped, it won’t affect your pulse rate after 48 hours.
If the pulse rate is still on the lower side, an ECG is required to rule out cardiac arrhythmia.
Consult a cardiologist and get evaluated.
You can switch to other anti hypertensives like amlodipine.
Wishing all the best
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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