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I'm not a physician, but I have ready a great many reports from people across heart health fora that metoprolol sometimes works against the patient. It depends on how the individual metabolizes it, how much the patient needs vs. what he/she is advised to take per prescription, and also changes in the myocardium as well over time.
AF evolves. The heart remodels itself the longer it is fibrillating. Eventually, the changes might mean that metoprolol is not the better choice of medications...but that would be determined by a cardiologist...not by me.
150 mg is a whopping dose. It was the highest I was ever prescribed, and I did poorly on it. So have many others who end up with bradycardia, a very slow heartbeat and low blood pressure, as a result of ingesting metoptolol.
Don't get me wrong! Metoprolol is a wonderful drug in the right patient at the correct dosage. However, as their arrhythmia progresses to other forms, and as the dose of metoprolol rises, there is more of a chance that the drug overwhelms the heart when it isn't needed....meaning when it is happily beating in normal sinus rhythm (NSR), or wants to.
So, my advice is to see a new cardiologist and seek that person's studied advice.
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Thank you so much for your reply. I see my doctor tomorrow at the clinic. It’s a neighbourhood clinic here in Manhattan. The positive aspect is it that I see a different doctor every two years as they go through the program. The negative aspect is basically start over every time I see a new doctor with new test generally the same ones with the same results and continue the same medications. The heart specialist I saw a month ago complained to that so many of the patients he sees there are basically just left “on their own“. I of course would like to continue dealing with my constant a fib through medications rather than any kind of cartelization of the veins around my heart. The cost being my primary concern of course. thank you again for your comment. I do appreciate it. Best regards.