A 23-year-old female asked about a 24-year-old female:

Svt, endurance athlete. prescribed 50mg metoprolol. took 25mg, had symptomatic hypotension (low bp in general). prescribed diltiazem er, 120mg. safe?

1 doctor answer1 doctor weighed in
Dr. Leonard Stein
A Verified Doctoranswered
Cardiology 49 years experience
Not completely safe: The trigger for svt needs to be determined. Stress ; holter. Metoprolol comes in 3x/day ; once daily forms. Daily form at doses of 12.5-25 mgs unlikely to lower BP in a young hydrated person and may control svt. Diltiazem er has some blood pressure lowering properties but is a good choice for svt. Diltiazem sa 120mgs is anti-inotropic, but this is a low dose. Both but may reduce endurance mildly.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Jun 25, 2014


Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.