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Dr. Andrew Rynne

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Got Lump In Throat, Cannot Swallow, Getting Treated For Hypertension. Taking Metropolol. Could That Be Causing The Problem?

I am a 62 year old female, I have been treated for hypertension for 16 yrs. i take karvezide 300 12.5 minipress 1mg and , metoprolol 100mg a day... metroprolol was increased to this doage from 50 7 months ago..... I appear to have developed a wheeze and sometimes cough for no reason at all but especially in very cold environments. I get a lump in my throat cannot swallow, this seems to have gotton worse when the metropolol was increased, could that be causing the problem...
Mon, 29 Apr 2013
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Internal Medicine Specialist,  's  Response
Dear friend, welcome to Healthcaremagic!
I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here.

Metoprolol is a beta receptor blocker (in the heart) and is known to precipitate/ aggrevate bronchospasm (wheeze) by blocking beta receptors in the bronchii (lung airways).
This gives rise to wheezes and breathlessness.
Less commonly, respiratory symptoms could be due to heart failure and lung congestion.

So, yes. Metorpolol could be (causing) the problem.

I would advise to see your prescribing doctor and discuss taking metoprolol off and substituting. Also rule out cardiac failure. Lump in the throat can not be guessed. It may just be the feel and no actual lump.

Get evaluated and do not neglect.

I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Take care and please keep me informed of your progress at http://bit.ly/Dr-Prasad-Akole
Good Luck!

It helps us to improve continuously if you could please write a rating review before you ‘accept’ and ‘close’ the query.
Thank you!!
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Allergist and Immunologist,  Dr. Suman Kumar's  Response
YES MANY ANTIHYPERTENSIVES CAUSES THESE PROBLEMS
SO YOU ARE NOT TOLERATING THE HIGH DOSE OF THIS SALT
YOU CAN CONSUKT YOUR CARDIOLOGIST TO CHANGE THE SALT OF ANTIHYPERSIVE DRUG WHICH WILL BRING BACK THE THINGS TO NORMAL
IHAVE SEEN ALLERGIC EFFECTS IN MANY PATINTS AFTER TAKING CARDIAC MEDICINES
TILL YOU CHANGE TAKE SINGULAR 10 MG BD FOR SOME TIME TO COUNTER WHEEZING EFFECT
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Got Lump In Throat, Cannot Swallow, Getting Treated For Hypertension. Taking Metropolol. Could That Be Causing The Problem?

Dear friend, welcome to Healthcaremagic! I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here. Metoprolol is a beta receptor blocker (in the heart) and is known to precipitate/ aggrevate bronchospasm (wheeze) by blocking beta receptors in the bronchii (lung airways). This gives rise to wheezes and breathlessness. Less commonly, respiratory symptoms could be due to heart failure and lung congestion. So, yes. Metorpolol could be (causing) the problem. I would advise to see your prescribing doctor and discuss taking metoprolol off and substituting. Also rule out cardiac failure. Lump in the throat can not be guessed. It may just be the feel and no actual lump. Get evaluated and do not neglect. I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Take care and please keep me informed of your progress at http://bit.ly/Dr-Prasad-Akole Good Luck! It helps us to improve continuously if you could please write a rating review before you ‘accept’ and ‘close’ the query. Thank you!!