r/Hypothyroidism • u/Equal-Appeal-8202 • 1h ago
Hypothyroidism Subclinical Hypothyroidism just starting meds getting high BP.
I have subclinical hypothyroidism. TSH 5.96, normal T4, T3, and TPO. I have hypertension, PVCs & PACs, and Tachycardia controlled with metoprolol succinate er 50mg 2 times daily, and stenosis of the liver. I have several of the symptoms of hypothyroidism (cold intolerance, weight gain, fatigue, muscle aches, etc). Endocrinologist put me on 12.5mcg Levothyroxine daily. I started taking it Monday morning (4+ hours before breakfast and my morning meds). Last night (day 3 of taking it), my resting bp got high (hypertension stage 1), and I got insomnia pretty bad. Today my BP has been high off and on and gets high any time I do anything other than sit still. My heart rate hasn’t been high, but I believe that is because of the metoprolol. I also showered for the first time without feeling exhausted after. I am also 52 and perimenopausal. I have not had a period in 102 days and today I was spotting.
I know that 4 days is not very long for the medication to have built up in my system, but I have anxiety about medications. Is this a sign the dosage may be too high or is this just an initial reaction that will get better with time? I am not sure if I should wait it out or call my endocrinologist tomorrow or not.
Any advice or personal experience welcome. I am not taking anything anyone says as medical advice, just would like to hear what experiences others have had.