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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Visual Disturbances. Done With CT Scan For Tumour. Taking Lopressor . Getting Hallucination. Side Effect?

My sister has been having visual disturbances x3 years and has been examined by many specialists. She recently had a head CT
to R/O any tumors, etc.. with normal findings. I checked her meds and found out a s/e for Lopressor which causes hallucination, both auditory & visual. How you every had a patient on Lopressor that has experienced this type of problem?
Mon, 28 Oct 2013
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Addiction Medicine Specialist,  's  Response
Hi,

While none of my patients have reported hallucinations with metoprolol (Lopressor), hallucinations with metoprolol are well known and have been described in literature. You can read the case series by Goldner (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3295654/pdf/1752-1947-6-65.pdf) published last year in a reputed journal for more information. If, on reading this, you feel that your sister's symptoms are also similar, please request her doctor to consider changing metoprolol to another agent and see if her visual disturbance improves. If it does, then it proves that metoprolol was the culprit.

I hope this is of help to you. Best wishes.
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Having Visual Disturbances. Done With CT Scan For Tumour. Taking Lopressor . Getting Hallucination. Side Effect?

Hi, While none of my patients have reported hallucinations with metoprolol (Lopressor), hallucinations with metoprolol are well known and have been described in literature. You can read the case series by Goldner (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3295654/pdf/1752-1947-6-65.pdf) published last year in a reputed journal for more information. If, on reading this, you feel that your sister s symptoms are also similar, please request her doctor to consider changing metoprolol to another agent and see if her visual disturbance improves. If it does, then it proves that metoprolol was the culprit. I hope this is of help to you. Best wishes.