@ctholen You might ask your cardiologist for a different beta blocker. I was told by one cardiologist that Metoprolol is lipophilic and more easily passes the blood-brain barrier to cause nightmares. I was getting nightmares from Metoprolol. He suggested Atenolol…it is hydrophilic and lower brain penetration. It is also eliminated by the kidney, not broken down by the liver like Metoprolol.

Worth a try. I am an intermediate metabolizer of CYP2D6. I just had a bad medication interaction with Ranexa, Metoprolol and Voquenza. I kept fainting, fatigued, weak and nauseated. I have an appointment with my cardiologist to see if we can switch from CYP2D6 metabolizer Metoprolol to something like Atenolol.

All the best to you. Sending digital hugs.

Vania