Concor (bisoprolol) and Inderal (propranolol) are both beta-blockers, but they work slightly differently. Bisoprolol is "cardioselective," meaning it targets the heart directly, and is often used for high blood pressure or heart failure. Propranolol is non-selective and can be used for heart conditions, migraines, or tremors. Generally, bisoprolol (Concor) tends to have a more favorable side effect profile and is often preferred for older adults because it is less likely to cause issues like breathing difficulties. However, the "safer" choice depends entirely on your unique health history. Please consult your doctor to find the best fit for you.

What you are experiencing could be a combination of both factors. Stopping Rival-LS (rabeprazole/levosulpiride) can cause rebound acid, leading to nausea, chest discomfort, and a sore tongue. Meanwhile, dizziness and dry, gritty eyes are common in post-COVID recovery, though continuing Inderal (propranolol) can also sometimes contribute to mild dizziness. A low fever is more typical of viral recovery than medication changes. Please rest assured, these symptoms are manageable. I highly recommend discussing this with your doctor to safely adjust your medications and evaluate your post-COVID recovery.

Sweating, a fast pulse, feeling cold, and low blood pressure can occur due to dehydration, anxiety, infection, or a sudden drop in blood pressure. Rest for a while and drink enough fluids to stay hydrated. If the symptoms continue, worsen, or are associated with dizziness or fainting, seek medical advice immediately. Consult a doctor to check your blood pressure and identify the exact cause of the problem.

Inderal (propranolol) works quickly to manage physical symptoms of anxiety. However, please do not stop taking it abruptly on your own. Even if you feel improved after just one dose, stopping suddenly can sometimes cause your heart rate or anxiety to rebound. Depending on how your doctor prescribed iteither daily or on an "as-needed" basisit is safest to discuss a tapering plan with them. They will guide you on how to safely reduce or stop the medication without any discomfort or reliance.

Your normal ECG is very positive news. Since propranolol (Inderal) hasn't helped, the next steps should focus on exploring other common causes. Because this happens at bedtime, we should consider a gastrointestinal evaluation for acid reflux, which often mimics chest pressure when lying down. To fully rule out heart-related causes, your doctor might suggest a Holter monitor to track your heart rhythm at home, or an ultrasound of the heart (echocardiogram). Please discuss these options with your physician to find the right path forward.

Stopping Inderal LA (propranolol) suddenly after seven years can cause rebound effects, including increased anxiety and muscle tremors that might affect your speech. Please contact your doctor right away to have this evaluated safely. They can help manage these withdrawal symptoms and explore alternative, gentler treatments for your hand tremors.