A member asked:

Heart rate fluctuating between 130 to 145. taking metoprolol 25mg 2wice daily. taking diuretic 5mg. bp is 85/60. feeling tired. pl advice?

A doctor has provided 1 answer

?add another agent: Sounds suspicious for atrial fibrillation, a rapid rhythm emanating from the upper poles of the heart frequently seen in older patients and in patients with previous heart disease. Should preferably confer with your pcp to confirm. Might be able to take Diltiazem in low doses in addition to other meds and have minimal effect on bp, but this would have to be approved/monitored by a local doctor.

Answered 6/25/2014

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