I was put on Toporal 50 mg. two years ago for chest pain which reoccured after having angioplasty w/stents. Within several weeks of starting this medication I felt like bird poop on a fence post, tired all the time, no energy, with continuing pains. Another angio was done with nothing found. Up until three months ago, I started noticing an increasing amount of shortness of breath, chest pains upon awakening in the morning, and difficulty from ED (inability to maintain erections).
At that time they decreased the dosage to 25mg and had me take it PM rather than AM. Almost immediatly a marked improvement in shortness of breath occured, chest pains diminished greatly, and while still tired, not nearly to the extent as before. Unfortunatly there was no improvement with erections, which may or may not have been caused by the medication. However Viagra has taken care of that problem.
At present time I am happy with the results provided by 25mg. Vitals have changed very little from 50 mg {BP 115/75, pulse 44) to 25mg (BP 132/80, pulse 46)
53 year old male