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I Am Taking Nifedipine ER 90mg (1 Daily) And Metoprolol Is It Okie?
Posted on
Thu, 23 Aug 2018
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 23 Aug 2018
Answered on
Sun, 26 Mar 2023
Last reviewed on
Question : I am taking nifedipine ER 90mg (1 daily) and metoprolol tartrate 50mg 2x daily). I was put on these medications after suffering from a night terror caused by an anti-depressant. ( I am no longer taking the anti-depressant.) I was taken to the hospital and admitted. Several tests were done (all normal) and I was sent home with the blood pressure medication I listed above. The side effects I am having include fluid retention, head pain, a feeling of, fullness, flushing, unusual rapid weight gain, cold feeling in fingertips and toes, weakness, sweating, constipation, nervousness, and only getting about 2 hours of sleep a night. Normal weight is 135-150. I currently weigh 180 and I am feeling miserable.. I feel fat and swollen all over. I have never felt like this before. It has stopped me from going out, from grocery shopping, from doing laundry, and soforth. I can't do much of anything. Currently suffering from fibromyalgia and 2 herniated discs. All blood tests were normal. Blood pressure was fine at Dr. office last week.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello,
I passed carefully through your concern and would like to explain that the majority of your complaints may be related to possible adverse effects of the current anti-hypertensive drugs.
Fluid retention, headache, flushing, constipation, nervousness could be related to Nifedipine use, while weakness, sweating, cold extremities may be adverse effects of the beta-blocker (Metoprolol) use.
Coming to this point, considering the fact all your blood tests resulted normal, you should discuss with your prescribing doctor on the possibility of switching to other drugs with potentially a more safe profile.
What is debatable is the issue of increased body weight. First, it is necessary to differentiate between a true weight gain and fluid retention within the body.
A careful physical examination would be helpful in this regard.
Weight gain may be due to a sedentary life profile (especially when physical constraints are present such as herniated discs, etc.), but may also occur as an adverse effects of certain drugs such as anti-depressants, etc.).
In this regard, I encourage you to modify your daily calories intake by reducing food amounts during your meals and avoiding those high energy components. A discussion with a dietitian would be beneficial.
Hope to have been helpful!
In case of any further questions, feel free to ask me again!
Kind regards,
Thanks.
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello,
I passed carefully through your concern and would like to explain that the majority of your complaints may be related to possible adverse effects of the current anti-hypertensive drugs.
Fluid retention, headache, flushing, constipation, nervousness could be related to Nifedipine use, while weakness, sweating, cold extremities may be adverse effects of the beta-blocker (Metoprolol) use.
Coming to this point, considering the fact all your blood tests resulted normal, you should discuss with your prescribing doctor on the possibility of switching to other drugs with potentially a more safe profile.
What is debatable is the issue of increased body weight. First, it is necessary to differentiate between a true weight gain and fluid retention within the body.
A careful physical examination would be helpful in this regard.
Weight gain may be due to a sedentary life profile (especially when physical constraints are present such as herniated discs, etc.), but may also occur as an adverse effects of certain drugs such as anti-depressants, etc.).
In this regard, I encourage you to modify your daily calories intake by reducing food amounts during your meals and avoiding those high energy components. A discussion with a dietitian would be beneficial.
Hope to have been helpful!
In case of any further questions, feel free to ask me again!
Kind regards,
Thanks.
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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