@jeffmarc
I do the same thing when my tachyardia comes around - but only when I have an elevated heart rate session. I have been on Orgovyx for about 8 weeks (started last weekend of October). I have had 2 episodes of elevated heart rate (both late at night) that lasted less than 20-30 minutes and metoprolol eased them away as normal. I had a cardiac ablation 2 years ago (prior to my prostate cancer getting to a recommended treatment level). I was advised that tachycardia could be a side effect and to treat as normal when/if that happens. My understanding is that this is 'normal' and to be prepared if you are susceptible to tachycardia.