Metoprolol Tartrate 25mg Concerns

I was just prescribed this 1x/day to treat palpitations that I frequently get after a meal. Not necessarily the increased heart rate type of palps, but more so the being able to feel every beat in my chest type of palps. What concerns me is that my sleeping heart rate is normally 48-51 and my normal blood pressure often dips to 90s/50s and on the rare occasion can fall to the high 80s/40s. I have never fainted due to low bp, but have often gotten lightheaded upon standing. With starting numbers as low as these, would it be unsafe to start taking this drug?

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Hello, Joe! How are you doing? Have you started taking it, yet? If so, what has occurred?

It is odd that this would be prescribed for palpitations that only occur after a meal, since that can be a normal thing for some people due to the pressure eating places on the Vagus nerve. Generally, palpitations are not a concern, unless they last for a long period of time, the patient has heart disease, high blood pressure, lung disease, sleep apnea, or they are accompanied by chest pain, according to NIH reports.

Given that you've experienced being lightheaded upon standing, you may be experiencing orthostatic hypotension, which is a sudden drop in blood pressure due to dehydration, circulatory problems, some other health issues, and some medications.

Thus, I guess my first question is what type of doctor prescribed this medication? Was it your PCP or a cardiologist?

And my second question is, was any other testing done, before it was prescribed, to check for other possible causes?

Have you ever been diagnosed with an ulcer, acid reflux, or gastritis?

Low blood pressure and low heart rate can cause palpitations, too, they can also be caused by dehydration. How much fluid do you take in each day?

I am not a doctor, so I cannot tell you whether you should or should not take this medication, I am just throwing other options out there that you should be sure have been checked out.

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