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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Confusion In Mind Along With Stiff Eyes While On Metoprolol?

I undergone cctga-vsd-ps repair surgery in 2010. I had some afib episodes in last 1.5 yr. I was taking metroprolol 0.25 mg and amiodarone 100mg daily. Sometimes i feel sudden weakness in body and stiff eyes and confusions. My tsh is now raised to 5.9. What should I do?
Mon, 25 May 2015
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General & Family Physician 's  Response
Hi
Thanks for posting your query on HCM.
I appreciate your concern for the side effects of the medications you have been taking.

Amiodarone-induced hypothyroidism due to its high Iodine content.

The features described in your query are suggestive of Hypothyroidism apparently caused by Amiodarone which is used to prevent the life threatening cardiac arrhythmias following CCTGA VSD PS Repair.

You must consult your treating physician/cardiologist for this side effect and its treatment which may involve

1. Use of Levothyroxine to normalize the TSH level and hence relieve the symptoms of hypothyroidism
2. Use of Dronedarone - a recently approved safer antiarrhythmic drug which is very similar to Amiodarone (without Iodine content) but least likely to cause hypothyroidism
3. Stopping Amiodarone and use of another alternate antiarrhythmic drug;
Hypothyroidism often subsides within 3–4 months in patients.

Hope the suggestions given above could be of great help in getting the treatment for your present symptoms of hypothyroidism.

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What Causes Confusion In Mind Along With Stiff Eyes While On Metoprolol?

Hi Thanks for posting your query on HCM. I appreciate your concern for the side effects of the medications you have been taking. Amiodarone-induced hypothyroidism due to its high Iodine content. The features described in your query are suggestive of Hypothyroidism apparently caused by Amiodarone which is used to prevent the life threatening cardiac arrhythmias following CCTGA VSD PS Repair. You must consult your treating physician/cardiologist for this side effect and its treatment which may involve 1. Use of Levothyroxine to normalize the TSH level and hence relieve the symptoms of hypothyroidism 2. Use of Dronedarone - a recently approved safer antiarrhythmic drug which is very similar to Amiodarone (without Iodine content) but least likely to cause hypothyroidism 3. Stopping Amiodarone and use of another alternate antiarrhythmic drug; Hypothyroidism often subsides within 3–4 months in patients. Hope the suggestions given above could be of great help in getting the treatment for your present symptoms of hypothyroidism. Rate this answer, if you are convinced.