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Hello, kpryor, This is my story of how we dealt w/ my sudden appearance of constant PAC's, trigeminy and bigeminy, which were driving me nuts (yes, I believe that's the technical term 🙂 ). I was already taking 180 mg of extended release diltiazem daily, but it wasn't stopping the ectopics. My cardio who is not an EP said, "Increase diltiazem to 240 ER, and add 25 mg of metoprolol twice daily." It took a few days, but it stopped all of the ectopics completely. Not everyone is a candidate to take BOTH of these meds together, but I have no structural heart issues or other contraindications. (I had been on metopolol by itself for the last few years, but only 12.5 mg twice daily, and mainly because I take flecainide PIP to stop AF episodes.) I don't seem to have side effects from any of these meds. This regimen might prove to work for you--I hope so. Most of us feel that ectopics are far worse than having AF episodes.
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@drdianeschneider I appreciate this. I’m starting to see a pattern and it has to do with. I’m only on 25 mg of metoprolol and I’ve been on that for almost 2 years now twice a day. I do believe I need to go up on that dosage so I’m going to talk to my electric physiologist because it seems to wear off around night time every night about the same time and they start. I do have days where they’re crazy flareups and there’s nothing I can do on those days but just power through. I have a structurally normal heart. I did a cardiac MRI a few years ago on my own accord even though they made me feel silly for doing it. I needed to know my electrophysiologist says that my beats are all still under 1% most of the time like .3% so I feel silly feeling this way, but on the really bad days it’s still really hard because it’s not a normal thing to feel your heart this way