Gender- female age-27 I am on metoprolol succinate 50 mg for 19 days now and I have been experiencing weird symptoms ever since taking the medicine. After 5 or 6 hours and sometimes after an hour I start feeling tightness in my throat and pressure headache around eyes. I also feel unable to breathe freely. My body also feels light but head feels heavy. On checking stats on pulse oximeter saturation is between 96-99 and pulse between 65-80. Bp is 68/102. I take metoprolol succinate for tachycardia. Could this be a side effect of the medicine? I have been feeling this way almost everyday for past 19 days since I am on the medication. On telling my cardiologist he did not provide any satisfactory reply. My echocardiogram showed trivial mitral valve regurgitation which the doctor told was normal. I am also taking etizola 0.5 mg for anxiety at night. What could be causing my symptoms. These symptoms make me worry and want to rush to the hospital but I was told by the doctor not to worry. But I am skeptical about it. Also, I have been feeling irritable and restless too for a few days now. Please guide me, I need answers and my doctor refuses to provide me with them. Also I feel heaviness in the left side of my chest.

Dr. Kriti VyasPsychologist14yrs exp

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Dear Lybrate user you may visit and take a second opinion on your heart-related issues. Consulting an expert ayurvedic doctor might also help. There can be a possibility of side effects from the medicine. Whenever you have these side effects it may lead to feelings of worry, tension, and anxiety, as you are not clear about the reasons for having these difficulties. These overwhelming feelings may in turn lead to an escalation in breathlessness, worry, etc. So this is like a vicious cycle. Regarding your anxiety, you require to further identify the triggers/situations that lead to such feelings. For example; is the above-mentioned reason? Or something else? Definitely, it is important to first calm yourself down by taking deep breaths and drinking a glass of water. Writing down these anxiety-provoking thoughts may also help in identifying the reasons. You may also try following some lifestyle changes - check your physical activity - are you going for any physical activity - jogging, running, cycling, yoga, etc? Please start following an exercise regime. Secondly, check on your sleep schedule - take bath before sleeping, avoid heavy meals at night, switch off your electronic device at least half an hour before you sleep, relax and meditate, and read or listen to calming music. If things still persist then you may seek counselling.  

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