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Cardiologist doubled my metoprolol to treat PVC
Heart Rhythm Conditions | Last Active: May 23 12:23pm | Replies (31)Comment receiving replies
Just a word of caution. I had been put on Metoprolol (varied from 25 - 50 mg. twice/daily along with Eliquis. The reason I as because I had a thyroid disease which caused my heart to go into a “toxic storm” which sent me into AFib and RVR at the same time. Fortunately, I saw an ER dr that quickly treated it correctly without letting me stroke out. I thank the GREAT physician for that and for providing wisdom to this little rural community dr. That’s when I had to begin Eliquis and Metoprolol and had been on both for several yrs. Recently, my electrophysiologist (in FL) discovered that I now, along with paroxysmal SVT and Afib also have Bradycardia (slower than 60 beats/min even during awake times), which is also very dangerous. He explained that the Metoprolol caused the Bradycardia so he greatly decreased the daily dosage. I was advised to use another drug, Flecanide, if I should go into irregular rhythms that don’t stop quickly on their own, which they always did until recently. I took 1 Flecanide and it did help. Another word of caution is “be sure not to take Flecanide unless you are also taking Metoprolol! Can’t win!
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@conrand10 Interesting - I was treated for years with Losartan because the Metoprolol (which worked great for me) interfered with my Asthma meds. Sadly it didn't control the rapid heartbeat from my thyroid issues (same story about the "storm" except I was already in the hospital post-ortho-surgery and a sharp-eyed nurse called int eon-duty doc!)
Fast forward to 2024 - and angina mistakenly identified as shortness of breath led to a diagnosis of Coronary Artery disease. Suddenly I was on 4 meds - Losartan for BP, amlodipine for Angina, Plavix to prevent clots, and Repatha for cholesterol (failed all statins.)
Now I feel great, so this week I asked my cardiologist if there was anything we could "get rid of" - he patiently explained the purpose of each and actually looked up whether there were any combination alternatives or other meds to reduce the number of pills to keep track of, and concluded I am on the best and safest regimen with the least side effects. He also told me this is "for the rest of my life" unless things get worse and we have to revisit alternatives.
I guess that in my mid-70's, with a long list of health issues, I should be grateful that modern medicine has solutions that allow ne to stay active.