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Should I Continue 'supermet XL' If BP Is Well Controlled?
My physician has found my BP 140/90 on many occasion and has advised me Supermet XL 50mg one tab a day. But whenever I check my BP at home or with some other doctor, the BP reading is at the lower side ie less than 110 & 70. I sometimes feel headache and gushing of blood in the temple/head when I am sleeping and anxiety. Heart rate is sometimes around 90. I have also been diagnosed as having hypothyroid (TSH around 9). Should I continue to BP medicine?
Mon, 4 Aug 2014
You have been prescribed Metoprolol, a beta blocker both for hypertension and the palpitation that you experience.
As you have said you are hypothyroid so might have been prescribed L-Thyroxin (although at the TSH level of 9 one may wait for starting medication. If on Thyroxin have you checked your TSH level recently? It is quite possible that your hypothyroid status is over-corrected leading to higher pulse rate. Otherwise, normally there should be a slower or normal resting pulse rate in Hypothyroidism.
If your TSH level is too low, you need to reduce the thyroxin doses. Ig that is within normal limits, then you may split your Metoprolol doses in 12 hrly regimen as SupermetXL 25 mg twice daily and see how your heart rate and BP behaves.
All the best.
As you have said you are hypothyroid so might have been prescribed L-Thyroxin (although at the TSH level of 9 one may wait for starting medication. If on Thyroxin have you checked your TSH level recently? It is quite possible that your hypothyroid status is over-corrected leading to higher pulse rate. Otherwise, normally there should be a slower or normal resting pulse rate in Hypothyroidism.
If your TSH level is too low, you need to reduce the thyroxin doses. Ig that is within normal limits, then you may split your Metoprolol doses in 12 hrly regimen as SupermetXL 25 mg twice daily and see how your heart rate and BP behaves.
All the best.
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