Mitral Valve Prolapse: Symptoms and Medication Guidance

Q: Mitral Valve Prolapse: Symptoms and Medication Guidance

Hello： Inderal (10mg) is a short-acting medication, so it can be taken continuously for a few days (2-3 days) at a dosage of twice daily (morning and evening), with half a tablet or one tablet each time. <br>If your condition improves after 2-3 days, you may consider discontinuin

2nd degree prolapse

In July, I experienced severe chest tightness and palpitations, so I went to Chang Gung Memorial Hospital in Taipei for a consultation.
After an electrocardiogram and echocardiogram, it was confirmed that I have mitral valve prolapse.
I was prescribed Inderal 10 mg, to take half a tablet as needed.
However, I have been feeling uncomfortable continuously.
I currently take half a tablet every day, but recently, with the sudden change in weather, I often experience shortness of breath and chest tightness at night, making it difficult for me to sleep.
I would like to ask if I can take another half tablet after dinner in the evening?

Cludia Lin, 30~39 year old female. Ask Date: 2008/11/13

Dr. Lin Jixiong reply Cardiology

Hello: Inderal (10mg) is a short-acting medication, so it can be taken continuously for a few days (2-3 days) at a dosage of twice daily (morning and evening), with half a tablet or one tablet each time.
If your condition improves after 2-3 days, you may consider discontinuing the medication.
It is advisable to avoid foods high in caffeine (such as coffee and tea), refrain from staying up late, and manage your mood, as these can help improve your condition.
Sincerely, Dr.
Lin Chi-Hsiung, Taoyuan General Hospital.

Reply Date: 2008/11/13

More Info

Mitral Valve Prolapse (MVP) is a condition where the mitral valve, which separates the left atrium from the left ventricle of the heart, does not close properly. This can lead to various symptoms, including palpitations, chest pain, and shortness of breath. Your experience of severe palpitations and chest discomfort, leading to a diagnosis of MVP, is not uncommon. The medication you have been prescribed, Inderal (Propranolol), is a beta-blocker that can help manage symptoms associated with MVP, such as palpitations and anxiety.

Regarding your question about taking an additional half dose of Inderal after dinner, it is essential to follow your doctor's guidance on medication dosing. Inderal is typically prescribed to be taken as needed, but it is crucial to adhere to the prescribed dosage and frequency. If your doctor has advised you to take half a tablet as needed, you may consider taking another half tablet if you are experiencing significant discomfort, but it is best to consult with your healthcare provider before making any changes to your medication regimen.

In terms of managing your symptoms, here are several strategies that may help:
1. Medication Adjustment: If you find that your symptoms are not adequately controlled with the current dosage of Inderal, it is essential to discuss this with your doctor. They may consider adjusting your dosage or exploring alternative medications that could provide better symptom relief.

2. Lifestyle Modifications: Certain lifestyle changes can help alleviate symptoms associated with MVP. These include:
- Stress Management: Techniques such as yoga, meditation, and deep-breathing exercises can help reduce anxiety and improve your overall sense of well-being.

- Avoiding Stimulants: Caffeine, nicotine, and certain medications can exacerbate symptoms. Limiting or avoiding these substances may help reduce palpitations and anxiety.

- Regular Exercise: Engaging in regular, moderate exercise can improve cardiovascular health and help manage symptoms. However, it is essential to consult your doctor before starting any new exercise program, especially if you have significant symptoms.

3. Monitoring Symptoms: Keep a diary of your symptoms, noting when they occur and any potential triggers. This information can be valuable for your healthcare provider in determining the best course of action for your treatment.

4. Sleep Hygiene: Since you mentioned experiencing difficulty sleeping due to chest discomfort, establishing a good sleep routine may help. This includes creating a comfortable sleep environment, maintaining a regular sleep schedule, and avoiding heavy meals or stimulating activities close to bedtime.

5. Follow-Up Appointments: Regular follow-ups with your healthcare provider are crucial for monitoring your condition and adjusting treatment as necessary. If your symptoms persist or worsen, do not hesitate to seek medical attention.

In summary, while it may be tempting to adjust your medication on your own, it is always best to consult with your healthcare provider before making any changes. They can provide personalized advice based on your specific situation and ensure that you receive the most effective treatment for your symptoms. Remember, managing MVP often requires a combination of medication, lifestyle changes, and regular medical follow-up to ensure optimal heart health.

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