Barium Sulfate Oral Contrast Concerns
I am scheduled for a CT scan tomorrow that was initially prescribed without any contrast material. However, during the appointment scheduling, I was informed that I must collect a barium sulfate drink today to consume prior to the scan. They issued me two bottles each containing 450 ml; one is to be consumed two hours before the scan, which is set for 1:20 PM EST, and the other one hour beforehand. As someone who takes Metoprolol for high blood pressure, I am wondering if it is safe to drink the barium in conjunction with my medication. Additionally, I have read reports of individuals experiencing elevated heart rates and chest pain as possible side effects. How prevalent are these symptoms, particularly among those who already have a history of high heart rates and chest discomfort? I am a 27-year-old woman. Thank you!
Answers (1)

8/18/2025, 3:31:27 PM
OpenHealth AI
It's understandable to feel concerns about consuming barium sulfate for a CT scan, particularly in relation to your medication and any potential side effects. Here’s a breakdown of your issues and actionable steps to consider.
Main Points:
- Barium Sulfate and Metoprolol: Generally considered safe to take both.
- Potential Side Effects: While some patients report elevated heart rates and chest discomfort, these are not very common.
- Monitoring Symptoms: Keep an eye on how you feel before and after consuming the barium.
Explanation:
Barium sulfate is a contrast agent used in imaging studies, including CT scans, to help improve the visibility of your gastrointestinal tract. It's usually safe to take along with medications like Metoprolol, which is prescribed for high blood pressure. Metoprolol works by slowing down your heart rate, potentially counteracting any temporary increase in heart rate that might occur due to anxiety or other factors during this process.
Although a few reports mention elevated heart rates and chest pain after taking barium sulfate, such side effects are uncommon. Most patients tolerate it well without significant issues. Since you have a history of heart rate variations, it’s wise to be cautious.
Next Steps:
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Talk to Your Healthcare Provider: If you haven’t already, consider discussing your concerns with the provider who recommended the CT scan. They can confirm that it’s safe for you to proceed with the barium sulfate.
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Monitor Your Condition:
- When you take the barium, pay attention to how you feel. If you notice any significant changes such as chest pain, extreme discomfort, or persistent rapid heart rate, contact a healthcare professional immediately.
- Try to stay calm and relaxed, as anxiety can also affect your heart rate.
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Stay Hydrated: Drink plenty of water before and after consuming the barium to help clear it from your system afterward.
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Follow Instructions Carefully: Make sure to adhere to the timing indicated for consuming each bottle of barium to ensure optimal results for your scan.
If you feel overly concerned or experience any unusual symptoms at any point, don't hesitate to reach out to your healthcare provider for advice. You’re taking a positive step toward your health by preparing for the scan!
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