These side effects are not permanent and typically resolve once your treatment is adjusted. The fatigue and swelling might suggest your thyroid levels have become too low, which is easily managed by adjusting your carbimazole (Neo-Mercazole) or propranolol (Ciplar) dose. However, please contact your doctor promptly regarding the throat pain and voice changes, as carbimazole requires a quick blood check to rule out throat infections. For a permanent cure for your overactive thyroid, your options include radioactive iodine therapy or surgery. Please consult your specialist to safely guide you through these next steps and help you feel better.

The dizziness you feel after eating could be a mild reaction to propranolol (Ciplar), which can lower your blood pressure. While anxiety is a very common trigger for strange sensations in the arm and jaw, these symptoms should always be evaluated by a professional, especially since you are taking fenofibrate (Lipicard) for lipid management. I highly recommend speaking with your doctor soon to check your vitals, rule out any issues.

A blood pressure reading of 94/63 is lower than your usual range, but it is not immediately alarming, especially since you are feeling dehydrated. Your morning medication, Ciplar 20 LA (propranolol), naturally lowers your blood pressure, and dehydration significantly amplifies this effect, causing evening dizziness. Please sit or lie down safely to prevent falls, and slowly sip water or an electrolyte drink to rehydrate, which should help raise your blood pressure. Avoid standing up too quickly. If you experience fainting, chest pain, or severe shortness of breath, please seek immediate medical care.

Since eating brings relief, one key possibility is low blood sugar (hypoglycemia), as propranolol (Ciplar) can sometimes affect blood sugar levels. Alternatively, your chest tightness and palpitations might stem from acid reflux, which eating can temporarily soothe, or your body adapting to pantoprazole/domperidone (Pan-D). Please share these details with your prescribing doctor. They can safely check your blood sugar and ensure your medications are adjusted perfectly for your comfort and safety..

It is generally safe to take propranolol (Ciplar 10) and Vitamin E (Evion Forte) together, as there are no known harmful interactions between them. While your blood pressure is 117/75, the fluttering, racing heart (84?105 bpm), and left hand sensations should be evaluated. Because propranolol is often prescribed to regulate heart rate, these symptoms might indicate that your current dose needs adjustment or that you are experiencing anxiety. Please consult your doctor soon to get this checked for your peace of mind. Avoid changing your medication doses without their guidance.

Since you take Thyroxine for your thyroid, it is also important to have your hormone levels checked, as improper thyroid levels can sometimes trigger shivering feelings. Please do not adjust any of your medications on your own. A neurologist, in coordination with your primary doctor, can safely review your regimen and help you find relief.