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You may need and benefit from your medications and I am NOT advising to to stop ANYTHING without consulting your treating physician BUT your list of meds does include many that are frequently associated with fatigue or drowsiness I note ..
Your vitals of pulse and blood pressure looks favorable for you...
As to palpitations these are frequently due to PVCs ( Premature Ventricular Contractions) The metoprolol may help reduce the frequency of these irregular beats >> you may also benefit to take and over the counter supplement of MAGNESIUM oXIDE 400mg /day ( thatoften helps and is quite harmless)
I hope that this information is helpful for you!
Let me know if you have further questions or discussion.
I will be happy to get back with you!
If my answers have been helpful and to your satisfaction then please remember to leave positive feedback. Thank You and Best Regards,
Anthony Bray MD