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What happens if I go from 50 mg to 25 mg Metoprolol?

Posted by bohaiboy @bohaiboy, 4 days ago

Hi all, I had an ablation about 5 1/2 weeks ago. I am still having some issues with AFIB. I also take Flecanide and Metoprolol (50 mg once daily). These drugs leave me really tired and fatigued. I had a post follow-up with my EP and he suggested cutting my Metoprolol by half. with a goal of getting off of it entirely. Have read some not so good reviews of trending it downward.

What can I expect? Will start it tonight and will closely monitor BP as well. See the EP again in two weeks.

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bajjerfan | @bajjerfan | 3 days ago
In reply to @bohaiboy "My wife (68) is not on blood thinners, and she bleeds easily, especially if the dogs..." + (show)
Profile picture for bohaiboy @bohaiboy

My wife (68) is not on blood thinners, and she bleeds easily, especially if the dogs jump on her in excitement. She also has reddish areas under the skin for a while as it heals.

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@bohaiboy
It's just pooled up blood. Sometimes I get them without any sort of injury. They are IIRC referred to as purpuras.
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bajjerfan | @bajjerfan | 3 days ago
In reply to @bajjerfan "You might experience a short term increase in BP." + (show)
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You might experience a short term increase in BP.

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@bajjerfan

After my partial nephrectomy in 2024 I tried cutting back fron 50mg to 25mg and my BP went up. Didn't pursue the drop long enough to see if it went down.

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gloaming | @gloaming | 2 days ago
In reply to @bohaiboy "He specifically said he removed scar tissue from the previous ablation in 2006" + (show)
Profile picture for bohaiboy @bohaiboy

He specifically said he removed scar tissue from the previous ablation in 2006

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@bohaiboy Oh, okay, so it was during that second ablation that he used RF to ablate away scar tissue from the first ablation. That's a new one on me, but I keep learning. Thanks!

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janbrown | @janbrown | 14 hours ago
In reply to @jaernste "I take 50mg/day of Metropol, 5 Lisinopril, 5 eliquis, 5 andropiline, and 81 aspirin. My BP..." + (show)
Profile picture for jaernste @jaernste

I take 50mg/day of Metropol, 5 Lisinopril, 5 eliquis, 5 andropiline, and 81 aspirin.
My BP is 134/84 and I exercise daily, and watch salt/sugar use.

Lately if I bump my arms, the skin seems to tear easier and bleeding starts. I can stop it in minutes with warm water compression, but then a red spot (penny to nickel size) forms. The red spot lasts a week or more even though I wash the spots twice a day. What ekse can I do?

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@jaernste I was put on 81 mg asa too but after a year I found that bruising started showing up badly when it never used to before and I kept getting pouring nose bleeds that only ice would make it stop. Small cuts became an open tap bleed as well. I stopped the asa and the bleed problem stopped and when I resumed the presistant bleeds reumed too. So now I am cutting the asa pills in half which works fine. I will be telling my doc when I see him next.

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