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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Fatigue And Elevated Blood Pressure Levels?

In July I had a mitral valve replaced as well as an aortic valve, I am 85 yrs old and a few days into intensive care required a tracheotomy because my lungs failed though I was intubated but then put on a ventilator, or maybe I already not sure. I am told I m very fortunate to be alive, now if only i could get my meds adjusted. I am on 10mg liinopril daily, 2-25 mg. Metroprolol daily, 1 sertaline 50 mg and 1 81 mg. Enteric aspirin. Recently I have become so terribly fatigued, off balance, nauseated, very forgetful. I know I m 85, but believe me I never, ever forgot things as I do now. I feel instead of getting stronger I m weaker btw I am on oxygeon 24-7 s. I believe Metroprlol is my enemy. My Dr. Is out of the country, his nurse told me to take a half metroprol in the am and a whole in the evening until the Dr. Returns. MY BP is also elevated into 160 s-170. What would the alternative med be for me to get next?
Tue, 4 Sep 2018
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General & Family Physician 's  Response
Hi,

I'm sorry to hear you've been having some health problems, but I'm glad you've made it through your surgeries and ICU stay. As for your symptoms, Metoprolol does frequently cause fatigue. Sertraline can also cause some of the symptoms you mentioned, but you may be right that Metoprolol is the main culprit. Have you been taking both of those medications for a long time, or just since you left the hospital in July?

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Severe Fatigue And Elevated Blood Pressure Levels?

Hi, I m sorry to hear you ve been having some health problems, but I m glad you ve made it through your surgeries and ICU stay. As for your symptoms, Metoprolol does frequently cause fatigue. Sertraline can also cause some of the symptoms you mentioned, but you may be right that Metoprolol is the main culprit. Have you been taking both of those medications for a long time, or just since you left the hospital in July? Hope I have answered your query. Let me know if I can assist you further.