What causes fatigue along with poor vision?
Patient: I have been feeling funny lately. Not so much energy...I am 57 and on 25 mg of toprol xl I have complained for years of fast heartbeats (sorta racing) .My doctors says its ok. I went to get my pap test a 2 weeks ago and my doctor said we need to talk about blood pressure 154/ 95 ...it was the 95 he was worried about. I told him I always watch the top number ....he explained to me. I have been watch every day taking pressure some times 140/79 I feel funny today ....eye sight has been getting bad the last month. My father had major heart issues. Today my pressure 194/ 94 than later 149/88 Doctor: The symptoms you describe may be due to fluctuations in blood pressure with it being on the higher side most of the times.  I would recommend you to take regular reading at different times of day on different days,  if persistently high start an anti hypertensive medication as per your doctor.  Also cut down salt in your diet,  no frozen and foods with preservatives.  Try some exercise,  30-45 mins a day for atleast 5 days a week. If there are no palpitations  and things well controlled with toprol,  changing it is not  justified. Toprol is not the first line anti hypertensive and adding a better med is justified at present.