instruction: hi doctor for two years I have been suffering from map mitral valve prolapse then I have undergone egg and tit but no map detected but I was advised to take the tablets given for map which includes metolac er 50 and dothimax 25 will these tablets cause any side effects
output: hello mitral valve prolapse cannot be detected on egg electrocardiogram or a tit treadmill test unless has very advanced and causing severe problems it can be picked up by an echocardiogram which is a heart ultrasound now coming back to your medications dothimax dosulepin is an antidepressant caution should be exercised in patients with a history of epilepsy high blood pressure increased eye pressure and urinary retention the most common side effects of dosulepin are dizziness blurred vision fast heart rate urinary retention tremor blood disorders low blood pressure sexual dysfunction and sweating less common side effects are nausea vomiting loss of appetite headache giddiness chills sleeplessness and anxiety metoiac metoprolol is a beta blocker this medication is used as a hypertension or be medication and also just to reduce the heart rate in people with arrhythmias abnormal heart rhythm or rate meaning fast and irregular most common side effects are depression low be low heart rate erectile dysfunction and dizziness please do not suddenly discontinue these medications for further information consult an internal medicine physician online