Saturday, February 11, 2017

Medicine switch: Metoprolol

A few months ago Deborah added a second dose of amlodipine, so second dose at night. Seemed to be bringing my BP down.  Then I started to get weird tingling sensations on my tongue.  Best described as an unhealed tongue after scalding with a hot beverage.  Someone else had the same symptoms.  Further research led to amlodipine being banned in the Netherlands.  Also read that its something you don't want to be on long term.

Decided to go back to just the morning dose. Couple months pass but I still got the funky tongue intermittently.  Kept  hoping it would go away but it never really did though it wasn't as intense. 

Told Deborah this who decided to take me off amlodipine and hydrochlorothiazide and try Metoprolol instead since we hadn't tried a beta blocker yet.  This lowers both BP and heart rate.  Since my heart rate is usually high, this might be a good switch. Just need to monitor and take daily readings.  If heart rate drops below 60 or top BP goes below 100 then stop for a day and call her. 

She also told me to consider taking a medical grade fish oil called MonoPure for cholesterol support, plus it also acts as an antiflammatory support for arthritis joint aches.  30 day supply costs $33 so will try mixing it up with the fish oil I still have to make it last a little longer.

Original lab results about 4 months ago showed signs of high cholesterol and insulin resistance so re-did some labs again.  Cholesterol lower this time, roughly in the high normal. No signs of diabetes. Vit D still same but could be higher

Results of last labwork:

Cholesterol 199
HDL 52 (up from 42)
LDL 116 (down from 151, but goal is <70 for stroke patients)
A1C 5.4 (stable from 5.5)
Vit D 44 (no change from 43 last time)

So trying new med for one month. Some possible side effects were BP and heart rate dropping too low. Possible tiredness/fatigue for about 2 weeks till body adjusts. Beta blockers could increase chance of getting gout. Am on a ExtendedRelease capsule so important to take at same time daily.  Will try 9:30am.  Other side effects:  swelling in hands, ankles, feet.  Chest pain.  Diarrhea. Mild dizziness or tiredness, lightheadedness, dizziness, itching or hives, swelling of face or hands, tingling in mouth or throat, chest tightness, trouble breathing.  Cold in extremities, hands/fingers, feet.

I am kinda glad to be off the diuretic. Felt my mouth was always dry.  Peed alot at times.  I hope this new med works.

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