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I cannot take metoprolol (Toprol) because of its devastating side...

Posted at 2:14 PM on Jul 03, 2006 by strayze, #15998
I cannot take metoprolol (Toprol) because of its devastating side effect of sleepiness. It's greatly exacerbated my lifelong neurological condition called narcolepsy, which brings sleep attacks at unpredicted times. I'm unable to make doctors' appts or do very much at all because of the sleepiness. I explained this to the doctor, but I believe he does not understand CNS disorders.Willpower does not work for the attacks are sudden and uncontrollable- - it is not ordinary sleep, which I believe he's confused it with. I've had similar responses to drugs with CNS side effects, so I've had to avoid them. The doc has added three more drugs that can potentially cause added sleepiness. Since I'm unable to communicate how nonfunctional my life is since hypertension control, until I can find another doctor less rigid than mine (a long process due to doctor shortage here), my only option is to substitute atenolol, the previous beta blocker I was on, at therapeutic equivalence. I'm a week completely exchanged, and so far so good, but nolocal replacement doctor is yet available, but I may be sufficiently awake to be capable of driving to the medical school far away where the doctors are. I believe my doctor is highly technically capable at treating hypertension, but my rare narcolepsy and the impact of Toprol, are not taken seriously. The standard treatment has been a central stimulant such as amphetamine. More recently, I've switched to a new drug Provigil (modafinil), and I'm maxed out on thatl I developed high blood pressure last summer after 71 yrs of normal pressure. I do not have heart disease other than chronic atrial fibrillation that's been with me for 50 yrs. To date, no structural heart problems, no artery disease other than pulmonary hypertension that accompanies my rare lung disease IPF.
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