Thanks for explaining it so clearly. I’ll answer the way I would in clinic. A pounding or “throbbing” heartbeat after starting Vinicor-D is not something I’d ignore, especially since it’s waking you from sleep. Vinicor-D commonly contains metoprolol + chlorthalidone (a beta blocker plus a diuretic).  A few possibilities come to mind: 1. Low potassium / dehydration from chlorthalidone * This is actually a common reason for palpitations / pounding heartbeat, often more noticeable in the evening or at night. * You may also notice: * weakness * muscle cramps * dry mouth * extra thirst * feeling “off” or anxious 2. Blood pressure dropping too much * Can feel like pounding in the chest, dizziness, fatigue. 3. Heart rhythm irritation / ectopic beats * Sometimes you feel every beat strongly even if the rate isn’t very fast. 4. An unrelated issue uncovered after starting treatment * anemia, thyroid, anxiety/stress, caffeine, dehydration, etc. My medical opinion: Because: * you’re 29 * symptoms started after beginning the medicine * it’s persistent * and it’s disturbing sleep …I would contact the prescribing doctor within 24–48 hours and ask for review. That review may include: * BP readings (morning/evening) * Pulse * ECG * Electrolytes (especially potassium/sodium) * kidney function Important: Please don’t stop the medicine suddenly on your own tonight unless a doctor specifically told you to—beta blockers are usually better adjusted deliberately. Seek urgent care tonight / immediately if: * chest pain * fainting / near fainting * shortness of breath * pulse racing continuously * severe dizziness * BP very low * irregular heartbeat that won’t settle A couple of quick questions so I can guide you better: * What dose exactly is it—25 mg or 50 mg? * What’s your BP and pulse lately? * When the pounding happens: is the heart fast, irregular, or mainly strong/heavy beats?

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Yes medicine needs to be reassessed.

A thorough evaluation is a must in the given scenario Kindly book a consultation so that we can exactly pin point the main issue and manage it accordingly

In fact vincor is used to reduce fast heart rate.If you are getting heart throbbing in spite of taking it, a heart rhythm problem should be excluded. Get ecg, Holter monitoring done and share results.

It usually work good for most of the patients . As a normal side effect it may be because of reflex tachycardia due to decrease in BP . Or the symptoms you say are suggesting that  it may be side effect of the medication u are taking .. Metoprolol keeps a check on ur heart rate .. But in some patients and overdose it can cause AV block and precipitate arrythmias  which can lead to ur symtpoms Secondly chlorthalidone  can cause Hypokalemia  which can also add to the symtpom. But dont abruptly stop the medication .

Hi, This is a common side effect of Vinicor D in the initial weeks. It improves with time, but the sleep disturbance needs attention. Don't stop the medicine monitor BP and discuss with your doctor for possible dose adjustment or alternative. Feel free to consult for further guidance. 👍

Reconsult your  treating doctor.

Kindly do connect and consult with me for better treatment plan and advice on your case

What’s your BP and pulse rate need for further evaluation

Hello, I am available for online consultation on Practo. You can consult me there for proper evaluation, diagnosis, and treatment guidance. Feel free to book an appointment at your convenience.

Need a few more details please consult for further evaluation and treatment

Need few more details for further evaluation. Please consult

Avoid fried and spicy food Water intake more Do connect and consult

Change meds

Can help you, kindly consult and provide detailed history for proper diagnosis and further management