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@perner

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.

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Replies to "I tried twice stopping my low dose (12.5mg) metoprolol with poor results. The first time I..."

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.