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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fatigue While On Lopressor?

Been taking 50 mg metaprololol tid. been causing fatigue and raynauds [sic] in hand and right arm. I have indications of probable pulmonary hypertension with rt heart enlargement and long standing copd, I am considering starting on Calan sp 120 in AM and 50 metaprololol tartrate at bed time. Other than exadurated lowering of BP, what else should I expect ?
posted on Thu, 10 Aug 2017
Twitter Fri, 24 Aug 2018 Answered on
Twitter Wed, 29 Aug 2018 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hi,

Beta-blocker like metoprolol should be avoided in COPD. Dihydropyridine calcium channel blocker (e.g. amlodipine ) is preferable for control of hypertension in COPD rather than non-dihydropyridine calcium channel blocker like Calan sp 120(verapamil).

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What Causes Fatigue While On Lopressor?

Hi, Beta-blocker like metoprolol should be avoided in COPD. Dihydropyridine calcium channel blocker (e.g. amlodipine ) is preferable for control of hypertension in COPD rather than non-dihydropyridine calcium channel blocker like Calan sp 120(verapamil). Hope I have answered your query. Let me know if I can assist you further.