AboutDomenic Sica Expertise All aspects of hypertension as well as any consideration in drug therapy for the management
of hypertension.
Experience Heavily published in the area of drug therapy in hypertension and renal disease. Primary management physician for a large multi-state referral practice for diagnosis and management of complex hypertension
Organizations Multiple including the American Society of Hypertension, International Society of Hypertension, American Society of Nephrology, American Heart Association, American College of Clinical Pharmacology amongst others.
Publications Over 250 publications (see PubMed)
Education/Credentials Board certified in internal medicine, nephrology, clinical pharmacology, and hypertension
Awards and Honors Multiple awards as clinical and/or teacher of the year.
Question Hello,
I just recently was put on and perscribed Metoprolol Succ ER 25. I am to take one pill at day at night. How long does this pill stay in your system? I have been on this medication for almost a week now, and I am having bad dyheria, feel nauseous, some times I feel I wont have an appetite and some times I do, feel groggy and weak, tired with no motivation, and some times it feels that I cannot catch my breath. I have been checking my BP and it has been down aslong as my pulse. I do not think that my BP was too high before in the 140's. I am a 212lb 6' 25yr old male. I was told that this would only go on for a bit and then my body would get used to and level out with the medication. Should I wait it out a bit or tell my Dr.? Thank you.
Answer Were you told why this medication was started in the first place ? 25-mg is a very small dose and would be expected to not have much effect systemically after about 8-hrs, 12-hrs tops. These symptoms are out of proportion to the dose being given. You might want to discuss this with your physician. I would be interested in hearing what was being treated with this medication at this very low dose.
