Hi all,

I recently had my first a-fib scare, was alone traveling for work, and i woke up feeling like I was running a marathon, visited my PCP and he did and EKG and confirmed AFIB. Said I should go to ER as precaution, by the time I drove myself there..I had converted back to NSR, and they monitored me for an hour and sent me home with a bottle of metaprolol 25mg x2 a day.

I’ve been taking it now for about a week and a half or so solid. Now that I’m back at work, I’m finding that it’s causing me to remain fatigued and tired all the time, and I work on call 24/7. I’ve been hitting the gym at the hotel every day now and I feel fantastic while working out. Yet as soon as I sit down, the overwhelming fatigue sets in. I also feel it’s giving me a bout of insomnia as well.

I have to cut my dosing in half, and wean a few days...then half it again..

What are your recommendations? I have consulted PCP and he didn’t object.