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How did you wean off Metoprolol?

Heart Rhythm Conditions | Last Active: Sep 19 7:56am | Replies (551)

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@afrobin

Hello Ellamster, I think I have written about my experience of getting off a beta blocker( for the worst case of Afib the cardiologist had ever seen) about 5 times so I won't go into it all again. Suffice it to say that I went from 320 mg of Sotacor per day (the cardiologist said it was a lethal dose and to lower it) to zero through exercise. I pushed my heart every day on a treadmill. It kept beating at 80 beats per minute but I guess it did my heart good because finally I was able to lower the dose as the cardiologist wanted and did so in increments. It remained steady. Like you, last year, I did have a stressful experience and was back on beta blockers for just a few days actually. LOL I just steer clear of ANY and ALL stimulants and that includes sugars and carbs to some degree. No alcohol, chocolate, coffee or tea. And all is kept nice and steady. I maintain that WE can do so much by tuning in to our bodies, doing our own research and altering our lifestyle.

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Replies to "Hello Ellamster, I think I have written about my experience of getting off a beta blocker(..."

Sotacor mentioned is known by many as Sotalol, just a note for other readers. Strange how I've become more tolerant to physical exertion, but emotions seem to exacerbate my Afib. It all gets back to the AV node that controls the rate of signals passing from the top of the heart to the bottom. For those that can that are more physically fit have a naturally slower rate than those that aren't physically fit. And the AV Node is controlled by the Sympathetic and Parasympathetic Nervous System, so emotions can create the opportunity for a faster rate in people without Afib, governed by the SA Node, but in those of us with Afib, the Afib (fast Atrial Rate) makes it through the AV node more often and symptoms occur.

This still has me obsessed, a life time of periodic assaults by PVCs has made me hyper aware of my heart, I feel every variation (well, most at least) from normal. I had/have the chance to be converted, but reading the literature on Sotalol, something that was going to be used to prevent recurrence, it says only to be used in highly symptomatic patients and I'm not highly symptomatic. One Cardiologist that does ablation for Afib got to experience it for himself, and though he converted pharmacologically, he said some people have mild Afib and horrible symptoms and others have horrible afib and mild symptoms, he said it's an enigma, just unpredictable. Ugh.