<s>[INST] Hello doctor, I had hip pain mostly related to sciatic and hip muscle pain. The doctor gave me Methylprednisolone 1000 mg yesterday. The pain subsided but blood pressure slightly elevated at 135/75 and heartbeat at 110 to 120. Earlier, it was 125/80 and heartbeat at 90 to 95. I feel slight heaviness at center and back. It may be due to long bed rest or something else. Fast heartbeat bothers me. It is like I am in full-time anxiety. What should I do? Can I continue with that or should I take blood pressure lowering drug like Propranolol HCL? Please advise how to relieve these symptoms resulted due to Methylprednisolone. [/INST] Hello. You are having this tachycardia and hypertension due to the intake of steroid in a high dose. Once when you are off the medicine, your vitals will normalize. There is no need to take any anti-hypertensives. For fast heart rate, I suggest you take tablet Metoprolol Sustained Release 50 mg at 8 a.m. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. I suggest you do a D-dimer test to rule out pulmonary embolism. Review with a repeat ECG (echocardiogram) and report. For more information consult a cardiologist online --> </s>