I need to discontinue 12.5 mg once a day of Metopolol. Is this dangero
Does anyone have experience coming off of 12.5 mg of metropol. I have been taking it for 2 months.
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When I was first in AF, I took metoprolol for rate contol. It didn't work to control it, but by the time I stopped taking it I was taking 75 mg twice a day. My cardiologist changed my medication and I just stopped the metoprolol. Didn't have to ween off it. No problems.
I was on metoprolol for years (25mg or 50mg can't recall). It was at least 4 years. After my last open heart surgery the doctor said I no longer needed it. He took me off of it and it was fine. I had the same concern. I am no doctor, just someone in a similar situation who can comfort you.
I took myself of it
Not abruptly of course.
I had no negative responses.
In some cases, desisting from metoprolol is done when another drug is substituted. Some practitioners advise weaning off of drugs related to heart function, metoprolol included, but especially anti-arrhythmic drugs. Some report that they were advised to desist, did so, and had no problems. So, you can take your pick, whatever you are comfortable with doing. If I had the time and the practitioner's agreement, I would try to wean off over about two weeks ideally, but maybe over 8-10 days is not so bad. If you have recurrent problems, let your doctor know immediately. If you have no effects, then you're achieving the end-state that your advisor wants for you.
I think it is always safer to wean off a med. Just cut 1/4 off for a couple days or so, and then half and the 3/4.
2 weeks since dropping from 50 mg. To 25 mg because of low blood pressure been on 50 mg. 1 yr. Massive side effects also liver problems dont believe liver metabolizing metaprolol properly from get go new medical thing all travelling doctors 4 never had same one couldnt remember names first day dropped to 25 mg. Weak dizzy heart palpitatoins blurred vision just really sick 2nd day all of above little less sick knew about tiered reduction 3rd day went back to 37.5 mg. Felt better next 5 days dropped to 25 mg. Again felt worse 3days later could see writing on tv first time in a year hearing better memory improving gaining energy strength balance rash was going away n̈othing said to me about weaning off good thing i read nurse told me i was my own best advocate
My PCP put me on metropolol when I had arythmia that woke me at night. I am uncomfortable with any meds so I started breaking the pills in half and cancelled the auto fill; saving the remaining pills for it the events begin again. I will end the half pills soon.
The metoprolol package inserts and other information recommends gradually coming off this drug, not stopping it cold turkey. I was told that a person on a low dose of the drug may be able to stop it altogether without having to gradually wean off it, but I haven't a number indicating exactly what that low dosage would be. It seems to me that 12.5mg/daily is a very low dose, and you may not need to wean off that amount to discontinue the drug. Your prescribing doctor would be the best person to ask about that.
A number of years ago I was working with an electrophysiologist to substitute another rate control drug ( diltiazem ER) for the metoprolol I was taking, and had to wean off the metoprolol first- I was taking 150 mg/.day.
He recommended that I drop down from 150 to 100 mg/day for a week, the second week drop down to 50mg/day for the second week, and then go cold turkey and start on the diltiazem.
I had some of what I think was withdrawal symptoms with that tapering, as I felt jittery, kind of wound up and anxious for some time after I stopped, as I pictured it my beta adrenergic receptors were missing their metoprolol and overreacting to the adrenaline they were exposed to ( that's my story and I'm sticking to it). That got a little better over time, though it was only six weeks until I was back on a smaller dose of metoprolol again as the diltiazem didn't do much to control the tachycardia and I still had the bradycardia with this drug.
I'm guessing that with your low dose of metoprolol, you might not really need to taper off to discontinue this drug, but that's really best addressed by your prescribing healthcare professional.
I tried twice stopping my low dose (12.5mg) metoprolol with poor results. The first time I stopped abruptly and after 3 days I had a 12hr Afib experience which really scared me. I restarted the 12.5 mg metoprolol and returned to a low heart rate/low BP condition. About a month later I tried again to stop, this time tapering off by skipping every other day, and then skipping 2 days. I noticed my heart rate started to become irregular which concerned me to the point of restarting the regular dose of 12.5 mg per day with my heart rate returning to a regular rhythm. A cardiologist I saw about 6 months ago suggested that I continue with metoprolol and increase my dosage to 25 mg per day. I am not happy with the effects of low heart rate and the corresponding lack of energy and getting easily winded in return for a regular heartbeat. Note, my regular cardiologist approved of me attempting to stop the metoprolol but did not advise me how to do it or what reaction I could expect.
This is just an offering for you to consider, and not because I have experience or training, especially about your case and your overall health:
If your heart continues to act up when you take steps to reduce its usual dose of metoprolol, and in view of the science and history behind the drug and of its millions of users, each of which is a potentially unique case, you may need a substitute, and not just to wean off it. You may need something like diltiazem or even an anti-arrhythmic drug. This is something you should discuss with your cardiologist, or find another who will take a fresh look at your recent history and help you to find a way ahead. Of course, if it would be useful and not already attempted, a catheter ablation might help you to get off both types of drugs. It did for me.