Does intake of Metoprolol help in treating heart palpitations?
I would explain as follows:
Welcome on HCM!
I carefully passed through your question and would explain that Metoprolol would be a helpful drug in controlling cardiac arrhythmia or ectopic heart beats.
Nevertheless, I would recommend performing some tests to investigate for possible causes of arrhythmia:
- a resting ECG and cardiac ultrasound to examine your cardiac structure and function
- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during the day
- blood lab tests: complete blood count for possible anemia, thyroid hormone levels for possible thyroid dysfunction, blood electrolytes for possible electrolytes imbalance.
Regarding Diazepam, I would not recommend taking it for a long time (more than 1 month), because of its adverse effects when used for a long time (tolerance and dependence).
Instead, Metoprolol can be taken for a long time (even lifelong) with a good prevention of cardiac arrhythmia.
Hope you will find this answer helpful!
Also what is your opinion of the long term affect of this type palpatation if left untreated?
Opinion as follows:
First of all when judging about palpitations and possible arrhythmia, it is necessary to carefully review the ambulatory (24 to 48 hours) ECG monitoring.
If only sinus tachycardia is the cause of your palpitations, then Metoprolol would be a nice choice to control it.
You shouldn’t be afraid of any great fatigue that may be imposed by Metoprolol would be much less than that caused by taking concomitantly Diltiazem and Magnesium.
So, don’t worry about that issue.
If all the recommended tests have resulted normal, and no arrhythmic events is detected, probably an increased psychological hypersensitivity may also play a role.
If no underlying health disorder is present, and no cardiac arrhythmia responsible for your palpitations, then no adverse impact (besides psychological disturbance) could arise even if left untreated.
I would like to review your Holter monitoring before giving a conclusive opinion.
Please upload here your Holter report if available.
I had another question. I have been using bupropion generic for about 20 years. I would describe my depression as mild. I have never has any severe episodes. I see only my GP and have not had any medicine change for about 15 years. My palpatations started about 2 years ago now. Is it possible that I have developed an issue with the bupropion due to aging ? I read that palpitations are a known side affect. It seems that so far medicine has not helped the palpatations. With the absence of any serious cardiac causes I wonder about this. My doctor has suggested before that I try to gradually get off the bupropion and see if I really need it anymore.
I would recommend as follows:
Regarding bupropion, I don't think that your symptoms are related to any adverse effects of this drug (as your cardiac tests have resulted normal and no conduction disorder has been encountered).
Increased anxiety could also be the cause of palpitations.
I would recommend consulting with your attending physician and discussing on the possibility of decreasing the dose of bupropion or switch to another antidepressant.
If you decide to reduce the dose of bupropion, the change in palpitation will guide your doctor through the right medical decision (if reducing the dose of bupropion leads to increased palpitations, anxiety should be taken into consideration as the cause of palpitations).
Hope you will find this answer helpful!
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