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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Metoprolol Be The Cause Of Sudden Dizziness?

My Sister in Law has been accidentally taking metoprolol (50 mg/kg/say, twice daily).
She only discovered it when she was feeling dizzy and I asked her to tell me what she was taking,.
She probably will metabolize this in 8 hours, but I am concerned about sudden cessation... she had only taken the medication for 4 days.
Question: What should I tell her...??
Fri, 28 Feb 2014
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Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query.

She is indeed taking extremely high (toxic) dose of Metoprolol, which causes marked fall in blood pressure, as well as, low pulse rate- both of which are causing dizziness.

Ask her to reduce the dose to 25mg/kg/day for two days, then 12.5mg/kg/day for 2 days; then, 5mg/kg/day for two days and thereafter, take the prescribed dose.

In case of any severe problems of severe dizziness, palpitations, chest pain- consult her doctor immediately.

If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries.

Take care

Dr. Rakesh Karanwal
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Could Metoprolol Be The Cause Of Sudden Dizziness?

Hi there, Thanks for your query. She is indeed taking extremely high (toxic) dose of Metoprolol, which causes marked fall in blood pressure, as well as, low pulse rate- both of which are causing dizziness. Ask her to reduce the dose to 25mg/kg/day for two days, then 12.5mg/kg/day for 2 days; then, 5mg/kg/day for two days and thereafter, take the prescribed dose. In case of any severe problems of severe dizziness, palpitations, chest pain- consult her doctor immediately. If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries. Take care Dr. Rakesh Karanwal