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What Causes Difficulty In Sleeping While On Metoprolol And NicodermCQ?

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Posted on Tue, 21 Jul 2015
Question: Two weeks ago, I was diagnosed with hypertenion. I was prescribe metaprolol (50mg to be taken twice daily). I also decided to quit smoking. I am using NicodermCQ 21mg nicotine patches. (Formerly smoked 2 packs a day) So far, so good on the quitting smoking. Had a few puffs of one cigarette in last two weeks. I am having difficulties though. Never happened prior to metaprolol or nic patch. I have difficulty sleeping. I sweat profusely almost all the time, even when it is not hot. And I am constantly fatigued. Both mentally and physically. I want to sleep, but can't. By first break at work (about 2 hours into the day) my body feels like lead. Like I just finished an over-energetic excercise regime. Is there anything I can do to relieve these problems?
doctor
Answered by Dr. Lilit Baghdasaryan (1 hour later)
Brief Answer:
Side effects of medications taken

Detailed Answer:
Dear Sir,

It seems you have side effects from Metoprolol and NicodermCQ.
I would advise you to wear NicodermCQ not more than 16 hours, you can remove it before going to bed.
If after that you have no improvement, and your symptoms are intolerable, I would advise you to take half dose of Metoprolol, until you see your doctor.
You should discuss with your doctor the possibility of changing Metoprolol with another medication, such as ACE inhibitor, or Ca channel blocker, which don't cause such side effects, also I think you should try to reduce NicodermCQ dosage.

Hope I could help you

Wishing you good health

In case of further questions don't hesitate to ask

Regards,

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Lilit Baghdasaryan

Cardiologist

Practicing since :2007

Answered : 1536 Questions

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What Causes Difficulty In Sleeping While On Metoprolol And NicodermCQ?

Brief Answer: Side effects of medications taken Detailed Answer: Dear Sir, It seems you have side effects from Metoprolol and NicodermCQ. I would advise you to wear NicodermCQ not more than 16 hours, you can remove it before going to bed. If after that you have no improvement, and your symptoms are intolerable, I would advise you to take half dose of Metoprolol, until you see your doctor. You should discuss with your doctor the possibility of changing Metoprolol with another medication, such as ACE inhibitor, or Ca channel blocker, which don't cause such side effects, also I think you should try to reduce NicodermCQ dosage. Hope I could help you Wishing you good health In case of further questions don't hesitate to ask Regards,