I have been taking deryphyln retard 150 along with metxl 25 one dose at 9am another at 5pm my first question is can these booth medicine be taken to gether or not My doctor suggested take metxl 25 along with deryphyln retard 150 i have been taking this since 6 years somehow within initial difficulty got used to Now new medicine has been given to me which is telma I take at 10pm after starting this medicine i get fatigue Is it the addition of telma 40 contributing to it I want to know whst other medicine I can take instead of deryphyln to reduce fatigue I also want to know after 6 years can this medicine cause toxins because now after adding telma 40 the fatigue has restricted my life at 70 I was 60 percent active but now this is effected iam really lost I nedd to know if prolonged use can cause toxins I better talk to my doctor csn thst be cause of fatigue

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I have been taking deryphyln retard 150 along with metxl 25 one dose at 9am another at 5pm my first question is can these booth medicine be taken to gether or not My doctor suggested take metxl 25 along with deryphyln retard 150 i have been taking this since 6 years somehow within initial difficulty got used to Now new medicine has been given to me which is telma I take at 10pm after starting this medicine i get fatigue Is it the addition of telma 40 contributing to it I want to know whst other medicine I can take instead of deryphyln to reduce fatigue I also want to know after 6 years can this medicine cause toxins because now after adding telma 40 the fatigue has restricted my life at 70 I was 60 percent active but now this is effected iam really lost I nedd to know if prolonged use can cause toxins I better talk to my doctor csn thst be cause of fatigue
Asked by Male, 70 ยท 10 days ago
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I understand your concerns about taking these medications together and the fatigue you're experiencing.
Taking Deriphyllin Retard 150 (Theophylline 35mg + Etofylline 115mg) with Metxl 25 (Metoprolol Succinate 25mg) is generally possible but requires careful monitoring. Metoprolol is a beta-blocker that can affect heart rate and blood pressure, while Theophylline/Etofylline are bronchodilators that may influence heart rhythm. Your doctorโs advice to take them together suggests they have considered this balance, but watch for symptoms like palpitations or dizziness.
Fatigue is a known common side effect of Telma 40 (Telmisartan 40mg), an antihypertensive medication. It can cause tiredness or weakness, which might explain your new symptoms after starting this medicine.
If Deriphyllin is contributing to fatigue, alternatives like other bronchodilators or inhaled therapies might be considered. However, any change should be guided by a pulmonologist or cardiologist familiar with your condition to ensure safety and effectiveness.
Long-term use of Theophylline/Etofylline can sometimes lead to side effects if blood levels become too high, but it does not typically cause "toxins" to build up. Fatigue after many years is more likely related to medication effects or other health changes rather than toxicity. Regular monitoring of drug levels and organ function is important.
If your fatigue worsens or you experience chest pain, severe dizziness, or breathing difficulty, seek urgent medical care immediately.
Answered 10 days ago