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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Normal That I Feel Tired By Mid- Afternoon And Ready To Sleep?

Hi I have been taken bisoprolol 2.5 mg for four months now to regulate an ectopic heart beat, I work in construction which is quite physically demanding. Is it normal that by 2 pm I m feel shattered and ready to sleep?, I now find myself going to bed a nine most evenings.
Wed, 15 Apr 2015
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General & Family Physician,  's  Response
Hi,

Welcome to Health Care Magic, Thanks for writing to us,

I am Dr.Ahmad Bilal, I have read your question, I understand your concern and will try to help you in the best possible way.

There are many causes of getting new onset fatigue I will mention them in my answer.

First I would like to address your concern about Bisoprolol,

If you are concerned that your heart rate control medicine is causing this fatigue , then I would like to mention here that fatigue is definitely a side effect of bisoprolol ,

But to see if it is actually caused by your medicine, we will have to consider, when you did start your medicine and when did the symptoms start to appear.

If symptoms started after starting this med (usually happens after 2 weeks of med) then you can contact your doctor and change to some other heart rate controlling drug either in beta blocker or any other category.

In my clinic i would suggest such patients to get Sustained release Calcium channel blockers like diltiazem , these do not have such side effects,

Other than meds ,

Hypothyroidism,

Excess work without much rest can cause such symptoms.

Mental stress can cause it.

Insufficient energy intake can cause this.

I would suggest you to discuss all the possibilities with your doctor and hopefully things will end up great for you.



....

I Hope this answers your question, if your have more queries feel free to ask,I will be pleased to alleviate your concerns.Wish you the best of health.



Regards,

Dr.Ahmad Bilal.
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Is It Normal That I Feel Tired By Mid- Afternoon And Ready To Sleep?

Hi, Welcome to Health Care Magic, Thanks for writing to us, I am Dr.Ahmad Bilal, I have read your question, I understand your concern and will try to help you in the best possible way. There are many causes of getting new onset fatigue I will mention them in my answer. First I would like to address your concern about Bisoprolol, If you are concerned that your heart rate control medicine is causing this fatigue , then I would like to mention here that fatigue is definitely a side effect of bisoprolol , But to see if it is actually caused by your medicine, we will have to consider, when you did start your medicine and when did the symptoms start to appear. If symptoms started after starting this med (usually happens after 2 weeks of med) then you can contact your doctor and change to some other heart rate controlling drug either in beta blocker or any other category. In my clinic i would suggest such patients to get Sustained release Calcium channel blockers like diltiazem , these do not have such side effects, Other than meds , Hypothyroidism, Excess work without much rest can cause such symptoms. Mental stress can cause it. Insufficient energy intake can cause this. I would suggest you to discuss all the possibilities with your doctor and hopefully things will end up great for you. .... I Hope this answers your question, if your have more queries feel free to ask,I will be pleased to alleviate your concerns.Wish you the best of health. Regards, Dr.Ahmad Bilal.