← Return to Atrial fibrillation (AFib) and medication side effects

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@jlgc

Almost same story here. I’m 75 soon. Had Paroxysmal Afib for several years controlled well with Sotalol, then January started a monthly symptomatic SVT with several visits to ER all while waiting to be scheduled for an Ablation. Had the procedure (pulmonary vein isolation) July 3 and Sotalol was discontinued. Was good until started having episodes of Afib and some symptomatic SVT with exertion. Eventually put on Metoprolol Succinate which is long acting BUT here’s the rub: feel so weak on that medication. My question is: are my symptoms and runs of Afib and SVT just part of the 3 month healing process after procedure? I almost feel worse than before procedure.
If you are traveling (we traveled to Europe for 5 weeks this past winter during these episodes be sure to have travel (Geo Blue) insurance and ofc bring your metoprolol.

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Replies to "Almost same story here. I’m 75 soon. Had Paroxysmal Afib for several years controlled well with..."

That's important about the type of Metoprolol. I was on Metoprolol Tartrate but down to 6.25mg twice a day. But I felt so fatigued and my blood pressure went so low aty cardiologist's appointment that he immediately put me on Metoprolol Succinate but only 12.5 mg and taken at night. That change has really helped me feel less fatigued during the day.

And immediately after the ablation I did feel better but as soon as I started the Pantoprazole 40 mg and Sucralfate 1gm, started feeling terrible. After 4 days, I came off it. I am slowly feeling better. I will know more in about 2 weeks when I am back to taking only apixaban and metoprolol.

I plan to keep taking metoprolol succinate until after my vacation. But if both cardiologists say I csn stop, sort of as a test, I will still carry it with me, as you suggest.