My doctor prescribed duloxetine Dr. 20 mg and ciplar la 20 mg while taking bp medicines metoprolol succinate xr25 mg+amlodipine 2.5 mg.the medicines ciplar la and metoprolol succinate are beta blockers. Is there any difference between them. If not what will happen if two beta blockers are used.

Dr. Chhanda Basu MullickFamily Practitioner35yrs exp

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Ciplar la is non selective beta blocker having effect on heart, lungs, blood vessels etc. And so should not be used in asthmatic patients while metoprolol succinate is a cardioselective beta blocker that can be used in patients having asthma or peripheral vascular disease. Both can be used in chest pain or angina or irregular or increased heart beats but if used together they may cause side effects (esp if in excess dose) like nausea, vomiting, abdominal cramps or heart block. Metoprolol is used in hypertension while propanolol can be used in anxiety, tremor etc. 

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