A member asked:

Taking atenolol 25mg cut to 12.5mg & methimazole10mg for hyperthyroidism... is it normal for my heart rate to drop at night while i'm awak? beating between 48-56 bpm while on this medication? thanks?

2 doctors weighed in across 2 answers

Beta blockers like atenolol do slow the heart rate so your rates in the 50's at rest & even lower when asleep aren't unusual. Does your heart rate increase appropriately when you're physically active? I wouldn't recommend heart rates below 50 when up and about as symptoms of fatigue, lightheadedness, low blood pressure & shortness of breath with exertion can occur.

Answered 12/11/2021

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A heart rate of 48-56 bpm suggests that your hyperthyoidism is probably adequately controlled on methimazole alone. You should discuss this further with your doctor regarding reassessment of thyroid function while you are on this regimen and also to help determine whether you can be managed with one OR the other medication alone and also reassess the diagnosis. Good luck.

Answered 12/21/2021

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