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BBC Doctor Warns Some Heart and Circulation Medicines Can Leave Hands and Feet Persistently Cold

NHS guidance lists cold fingers or toes as a common beta blocker side effect warranting GP review if it persists.

Overview

  • On Nov. 4, NHS GP Dr Punam Krishan told BBC Morning Live viewers to seek medical advice if they develop persistent indoor chill or cold extremities after starting new medication.
  • She said drugs that can alter temperature regulation include diuretics, antidepressants, vasodilators and beta blockers.
  • Viewers were urged to treat pain, tingling, numbness, weakness, stiffness or skin colour changes as red flags requiring assessment.
  • She noted that iron deficiency or anaemia, an underactive thyroid, Raynaud’s, heart disease, peripheral artery disease and advanced diabetes can also cause cold hands and feet.
  • People were advised not to self-medicate, to contact a GP, NHS 111 or a pharmacist if worried, and to use practical measures such as layering, draught-proofing and keeping older adults’ homes at about 18°C.