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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Metoprolol Intake Increase The Symptoms Of Prinzmetal S Angina

My friend has multiple symptoms of prinzmetal s angina. His family doc told him everything was normal, yet he continues to experience symptoms. As a last resort someone gave him some nitro pills and the chest pain subsided. His doctor has him on metoprolol and we have read that drug can increase the severity and frequency of the chest pain. Tonight he has mild chest pain and a headache that he claims is nearly debilitating and coming in waves across the left side of his head. He also claims his vision in the left eye is intermittently blurred with the headache. Please advise
Wed, 25 May 2016
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
No, metoprolol is not causing worsening of symptoms or chest pain in printzmetal angina. In fact, metoprolol is one of the treatment option for angina.
Honestly speaking, I think your friend is having uncontrolled stress and anxiety related symptoms.
Since his heart work up is normal, no need to worry for angina or other heart related symptoms.
In my opinion, he should consult psychiatrist and get done counselling sessions.
Try to identify stressor in his life and start working on it's solution.
He may need anxiolytic drugs too.
Don't worry, with counselling and anxiolytic drugs, he will be alright.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend.
Thanks.
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Can Metoprolol Intake Increase The Symptoms Of Prinzmetal S Angina

Thanks for your question on Healthcare Magic. I can understand your concern. No, metoprolol is not causing worsening of symptoms or chest pain in printzmetal angina. In fact, metoprolol is one of the treatment option for angina. Honestly speaking, I think your friend is having uncontrolled stress and anxiety related symptoms. Since his heart work up is normal, no need to worry for angina or other heart related symptoms. In my opinion, he should consult psychiatrist and get done counselling sessions. Try to identify stressor in his life and start working on it s solution. He may need anxiolytic drugs too. Don t worry, with counselling and anxiolytic drugs, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks.