What Causes Fatigue, Shortness Of Breath And Chest Pain While On Synthroid, Wellbrutin, Propranolol And Flomax?

Posted on Tue, 20 Feb 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 20 Feb 2018 Answered on

Sat, 13 Oct 2018 Last reviewed on

Question : I am a fit 51 year old. I work out 3 times a week. I am 6 ft 1 -!: about 215 lbs. I take synthroid, Wellbutrin, propranolol of migraines, flomax and cialis once in a while. I also take a medicine daily for gout. Lately, when skiing I am fatigued, have shortness of breath and I have a chest ache when I push with my poles. She I do cardio work I do not have any ache or pain in my chest.

I am going to set a check up today but wanted your opinion. YYYY@YYYY

Answered by Dr. Ilir Sharka (25 minutes later)

Brief Answer:
I would recommnend performing some tests:

Detailed Answer:
Hello!

I passed carefully through your question and would that a cardiac cause can not be excluded considering your symptoms.

Other possible causes to consider would be : a lung disorder, musculo-skeletal pain, Propranolol adverse effects (it is known to cause shortness of breath and low physical performance), etc.

Coming to this point, I would recommend consulting with your attending physician for a physical exam and some tests:

- A resting ECG and cardiac enzymes
- A cardiac ultrasound
- A chest X ray study and pulmonary function tests
- Complete blood count, for anemia
- PCR, ESR for inflammation
- Blood electrolytes

An exercise cardiac stress test would help investigate for coronary artery disease.

You should discuss with your doctor on the above tests.

Hope you will find this answer helpful!

Kind regards,
Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar