<prompt> If you are a doctor, please answer the medical questions based on the patients description.I recently changed primary care physicians, who in turn changed my blood pressure medicine and asthma inhalers. In the past few days I have been feeling extremely tired, pain in my hands in and feet, and an unusual sensitivity to cold. I have also been very dizzy, irritable and confused. I do not know if I should be concerned. Also my blood pressure is now running around 125 65 and my hear rate is running between 45 - 60 down from a normal of 70 - 80  <response>: Hello and thank you for asking Chat Doctor, I studied your case, and it is difficult to make a proper conclusion because you didnt mention the medication you did use and are using now. But these symptoms could be a result of changing your therapy. The value of your blood pressure is good, but your heart beat his low. I suggest you to visit your doctor to discuss with him your symptoms as soon as possible. I hope this answer was helpful to you. 