Yes, a resting heart rate between 66 and 78 beats per minute is completely normal and healthy. This indicates that your medication, propranolol (Ciplar LR 20mg), is working effectively to control your fast heart rate. A normal resting heart rate for adults is typically between 60 and 100 beats per minute. Since your heart rate is within this safe, ideal range, please continue taking your prescribed dose. Do not adjust or decrease your dose without consulting your doctor first.

It is very common to feel dizzy when starting Ciplar (propranolol) and Tryptomer (amitriptyline) for daily headaches. These are highly effective preventive medications, but your body needs some time to adjust. Propranolol can gently lower your blood pressure, and amitriptyline can cause mild lightheadedness?both of which can lead to temporary dizziness. This side effect often improves over a couple of weeks. For now, try rising slowly from sitting or lying down and stay well-hydrated. Please reach out to your prescribing doctor, as they can easily manage this by adjusting your dosage or timing to help you feel more comfortable.

While a heart rate of 90 beats per minute is technically within the normal range, the sensation of palpitations can be very uncomfortable. For quick relief, try slow, deep belly breathing or splashing cold water on your face to help calm your nervous system. Please do not stop your medication suddenly. I recommend consulting your prescribing doctor soon so they can safely adjust your propranolol dosage or explore other options to help you feel better.

Ciplar-LA 40 contains propranolol, which is a beta-blocker. For individuals with lung conditions like COPD, propranolol can sometimes cause the airways to tighten, making breathing more difficult. Because of this, it is generally not recommended. Safer alternatives for managing your blood pressure include generic calcium channel blockers or ACE inhibitors, which effectively lower blood pressure without affecting your lungs. Please consult your doctor to safely transition to an alternative that keeps both your heart and your breathing strong and healthy.

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.

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.