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Extreme fatigue from Metoprolol?

Heart Rhythm Conditions | Last Active: Feb 16 1:43pm | Replies (19)

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Profile picture for dalebout123 @dalebout123

I am an 82 year old female. I have been active all my life for a female born in 1940s when, in the succeeding years, it was considered unladylike to sweat. I cut the dose in half for awhile and successfully finished an uphill hike in Zion National Park that was deemed "moderate". I belong to a very wonderful hiking group (all younger- under 70) and they offer support and encouragement when I hike with them.

Both my primary care and pulmonologist have given me permission to discontinue Metoprolol. I can't say I am a bundle of energy, but I do feel better without it. I am on BIPAP with oxygen at night. I do what I call a minihike with the man in my life and his dog most mornings for two to three miles and do pilates and aerial yoga an hour each during the week. I'm a firm believer in exercise being key to wellness. But age does have its limitations. Luckily I have all my parts and no pain so that make the exercise easier than for those who are not so lucky.

Wishing you good luck on your journey of finding what works for you.

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Replies to "I am an 82 year old female. I have been active all my life for a..."

@dalebout123 Thanks. That's encouraging. Why were you prescribed Metoprolol? In my case a 24 hour Holter monitor showed SVT. I was prescribed something (can't remember) and felt much better. A second 24 hour Holter monitor then showed no SVT but Afib 90% of the time. Was prescribed 25 mg of Metoprolol per day and that's when the problem with climbing started. After a one month Holter showed no Afib but continued problems with climbing a second one month Holter was done. A second cardiologist then thought that although the Afib was gone that the SVT might still be there. So the Metoprolol dosage was increased to 50 mg per day (25 mg in the morning and 25 mg at night). Also take Pradaxa - blood thinner. After a time delay due to travel and weather I was finally able to get out for some climbing hikes and again had extreme fatigue and dizziness when climbing on a 8 mile hike which I used as a recovery hike 2 years ago. I have a message in to my cardiologist on all this but haven't heard back. He knows the history and my goals and is working with me.

I am ready to dump the Metoprolol. I have identified a very nice 25 mile dead flat hike on the Lost Coast Trail in northern California.