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Metoprolol side effects after stopping. Heart poundingPalpitation SVT
29 year old male, was put on metoprolol for SVT only took it a month or so. I couldn't take the side effects light headedness, swollen left foot in hot showers, fatigue, could barely walk or exercise. I'd wake up with what felt like a high heart rate and it felt like heart palpitations some nights middle of the night or close to the time for my next dose. Couldn't focus really either most days from lightheadedness. Was told to wean off metoprolol for 2 weeks halfing my 25mg dose to 12.5mg and I did that for four days or five. Stopped cold turkey couldnt take the lightheadedness anymore even with half dose. Been in and out the hospital since september 21st with SVT episodes hitting 190 bpm atleast four times till 26th today, never had this many issues in one month outta the four years of dealing with SVT. Most was one episode every few months or 7-9 months. Still wake up heart racing, stand up slowly heart races and pounds, walk around heart pounds and feels like racing or heart palpitations. Only noticeable when sitting down or stopping activity when walking short or long distances, standing up slowly its very noticeable still even when just rising from my seat then sitting back down slowly. I was told august 29th to half my dose. I stopped september 3rd-4th around there cold turkey and its now september 26th. Not sure if Its heart damage I sustained from hospital records 2.5 from two different hospital visits and one 2 of troponin out of 20 on chart called my chart. I was given a calcium channel blocker one day when leaving hospital for SVT episode of 190 bpm or so Dilt XR or cardiazem august 21st. But I was scared to take it. That was around september 21st and have had a few SVT episodes over last few days had to bare down with blowing into a empty pill bottle. I'm worried my heart wont go back to normal and I keep asking for advice from doctors but they tell me its SVT. But its constant throughout my day when I been resting a lot the heart palpitations. I can feel my heart racing sometimes while just sitting or it feels like its pounding or high when its not. It comes and goes even when Im relaxed or focused on a movie or video game thats relaxing. BPM of 70 when resting and goes up to 80-100 when standing up slowly and walking around my kitchen just a few steps sometimes 105 bpm taking few steps slowly. I'm 120 pounds slightly fit or was till this happened in August. I was admitted to a different hospital on August 4th where they told me I had afib after I told them I had SVT and put me on eliquis and only took that for 6 days and my cardiologist told me to stop it as I didnt need it or have afib. I really wanna know if this is gonna be for the rest of my life the palpitations as its hard to excercise, walk to the store, grocery shop, and I can't get a job in this condition afraid I can't provide for my family. I have ablation soon since I've had so many problems with meds. I'm told my heart palpitations all throughout the day and night are from SVT when I fall asleep and wake up here and there to adjust sleeping positions I sleep mostly on right side never left. I dont drink do caffeine or anything else completely clean. Today I woke up fine most times but around normal time I wake up 8-9am It started again. Today was the first day I got good sleep thankfully. I havent been eating due to SVT triggers from food. I went to the hospital from eating a tomato turkey sandwich non-gmo spinach pizza etc. So no tomatoes for me. Will my heart come back from this and is it normal rebound effects of stopping metoprolol or withdrawals? I never had high BP in my life but recently its been high since stopping metoprolol succinate 25mg the extended release. I only took the pill for a month or slightly more. Im hoping the withdrawals are just lasting a long time and its nothing to worry about. Or my heart just needs rest from being over worked the passed five days. I was told yesterday in hospital I can walk for 20 minutes but not for hours. The day before yesterday I walked 2 miles taking my time to grocery store for food and got light headed on my way home after walking out of the store. Not sure what that was about I never get lightheaded and havent since I stopped metoprolol. My lab results from blood tests yesterday show a value of 4 out of 20 troponin. Should I be concerned and is that heart damage permanent?
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@bethann71 Thankful it worked out for you. How come your on metoprol?
@tatiana987 I would try that but Im to sensitive to caffeine. Did your metoprolol make you ever feel lightheaded or slightly dizzy?
@nelson1996 After my successful second ablation, I have remained on a statin and on a DOAC per instructions given by my cardiologist. My EP didn't disagree or ask if I would rather discontinue them. In fact, he also said I should remain on the DOAC, at least, until I die. I suspect the reason is twofold: a, I am an aging male with incipient hypertension (at the time of the ablations, but improved on my own since then), and b. I have a history of arrhythmia, but specifically the one most likely to produce clots and stroke, that being AF. When I calculate my own CHA2DS2-VASc score using an online calculator, I score a 1 or 1.5, not a 2. Two and higher means the person should be prescribed a DOAC. In my case, though, as a heavy user of a PC while seated, it probably would be smarter for me to just lump it and continue taking the pill twice daily. Cheap insurance against deep vein thrombosis (DVT).
For younger patients, no other comorbidities, if they have a successful ablation AND have a Watchman implanted in their left atrial appendage (where the risk of clots forming is found during AF), and if the Watchman is subsequently determined to be leak-free and sealed properly, those patients can go off of the DOAC....only with guidance from a physician, of course.
@nelson1996 In answer to your question, it is difficult for me to be 100% sure of causation. I had major problems with light-headedness and falling that stopped when I stopped Repatha. I eventually had breathing problems at night with Metoprolol that caused the doc to recommend stopping it. I stopped but soon returned to a different beta blocker, Atenelol. Beta blockers seem good for me, although I now take half my former dose, 12.5 mg, not 25 mg.
On the weird Georgian doc’s idea that worked for me: I wonder whether using another stimulant in place of coffee would work the same way? No clue here, but it seems possible. The idea is to trick the current pattern by stimulanting at an unexpected moment in the circadian cycle. Seems logical, Maybe.