Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

189 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Does Diltiazem and Metoprolol Tartrate have the same medical properties?

Answered by
Dr.
Dr. Salah Saad Shoman

Internal Medicine Specialist

Practicing since :2004

Answered : 2063 Questions

default
Posted on Fri, 13 Apr 2018 in General Health
Question: My cardio doctor passed away and he had me taking Diltiazem 23HR ER & Metoprol TAR 25 2 x/day due to atrial fib. New doctor switched me to Atenolol 50 MG 1x/day and kept me on the Metoprol. Is one better than other or possible reason for change.
Follow up for clarity. Also taking Pradaxa 75MG 2x/day
doctor
Answered by Dr. Salah Saad Shoman 37 minutes later
Brief Answer:
I agree with your doctor

Detailed Answer:
Dear sir , I have gone through your question and I understand your concerns but I agree with your doctor in replacing Diltiazem with Atenolol while using Pradaxa, as Diltiazem and Pradaxa have a moderate interaction together. Combining these medications may increase the risk of anemia and bleeding complications. while using them togetehr you experience paleness, fatigue, dizziness, fainting, unusual bleeding or bruising, swelling, vomiting, blood in your urine or stools, headache, or weakness. I hope I answered your question
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Salah Saad Shoman 3 hours later
Thank you for your clarification. Follow up question....my new Cardiologist suggested I switch from Pradaxa to Eliquis. However, Eliquis is EXTREMELY expensive and the Dr. seemed to vacillate between the two. Do want to imsure best possible effect. Pros / Cons....your recommendation.
Thanks.
doctor
Answered by Dr. Salah Saad Shoman 16 hours later
Brief Answer:
Eliquis is safer

Detailed Answer:
Dear sir, hello again.. Eliquis has proven to have the same efficacy as Pradaxa. However, Eliquis has also proven to carry less risk of bleeding while using it.. I hope you find this helpful..
Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication ,  

Recent questions on  Atenolol

doctor1 MD

My husband found out his blood pressure was 193/136 when he needed stiches. We went to the dr the next day and his dr took blood and urine and sent him for an ultrasound on his one kidney. Dr states has low potassium and protein in urine. His bp has been that high for almost 2 weeks and all they have done is given him atenolol now 100mg and amlodipine besylate 2.5mg to lower it. I am concerned for his kidney. At 5pm tonight he took his bp again and it was 160/120. Do you think we should go to the hospital?

doctor1 MD

I was dispensed the wrong medication by Boots. I had been taking 100mg atenolol daily instead of 100mg of allopurinol for gout. I ended up in hospital bradycardic and, apparently, very close to an M.I. I only have one remaining kidney with mild hydronephrosis.I only took 2 doses and the last one I took was last Wednesday evening. I keeping getting a very lethargic, dizzy and going quite pale, whenever I get up to do something. Is it still normal to feel unwell after 5 days without taking the drug. I realise the half-life of atenolol is only 6 hours, so I am rather worried as to why I am still feeling similarly to how I was last week.

doctor1 MD

pain for over 24 hours, just left of center of chest...just at base of left breast..sometimes radiates down to upper left of abdomen. Off and on for days, now more constant for 24 hrs...blood pressure is normal ..I take 25 mg atenolol for high blood pressure.. 45 yr old female...overweight..not obese.

doctor1 MD

I am 40 yrs old, 6 2 and 195lbs. I am on atenolol 25 mg once daily. I have been waking up with full feeling in my left ear. used q tip gently in ear and wax looked like it contained some dry blood. today after rinsing ear with peroxide there was fresh blood on side of q tip, not on the tip.

doctor1 MD

I recently changed from Atenolol 100mg taken daily to Metoprolol Succ Er 100mg daily. I am experiencing difficulty making decisions, mood swings and depression . By depression I mean I am not finding XXXXXXX in the usual things I enjoy doing, such...

doctor1 MD

Hallo, mother (74 yo) woke up today disoriented and couldn't operate her right hand. she was unable to form words, and wold break down crying. when I went over herr her voice sounded as if mouth was filled w/water... or like she'd gotten numbing...

doctor1 MD

I am 75 yrs old and have had bypass surgery and 1 stent put in .I had my bypass surgery at 49 yrs old and my stents at 59 yrs old. I still work 1 day a week and very active. I take the following medications: Pravastatin40 mg, AmLoDIpine Besylate...