How did you wean off Metoprolol?

Posted by kenny48 @kenny48, May 11, 2018

Hi,
I've been taking both flecainide and metoprolol now for eight years, as a prophylactic for Afib. I recently moved to North Carolina and have a new Cardiologist. Have had a lot of PVC's this past two months, and had to wear a heart monitor for an entire month. He said that although I had a lot of PVC's I didn't have even one PAC! He also noted that my BPM was low in the low fifties most of the time. He asked why I was taking metropolol. I told him that the only thing my previous doctor had said was " it makes the flecainide, work better". He suggested I stop taking the metoprolol to see how I do without it. Unfortunately I read a lot of information on the internet. I read that it can be very dangerous to stop taking it. I take 25 mg metoprolol succinate, split in half. Once in the morning with my flecainide, and then again in the evening for a second dose. He wants me to take half in the morning and skip the evening dose for two days, then stop entirely. Has anyone else stopped taking this drug in a similar manner? I'm worried that the cut off is too soon.

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@soliloquized

Metoprolol Tartrate, but not Metoprolol Succinate, has, according to the studies, been proven to reduce the chance of a 2nd Heart Attack. Perhaps that's why it's still prescribed. Discuss it with your doctor.

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@vyronp that's what my cardiologist said. It's heart protective.

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@soliloquized

Metoprolol Tartrate, but not Metoprolol Succinate, has, according to the studies, been proven to reduce the chance of a 2nd Heart Attack. Perhaps that's why it's still prescribed. Discuss it with your doctor.

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If true, this gives me some concern. I take Metoprolol Succcinate, 50mg, for about 3 years now after suffering from an attack of Takasubu when my sister passed away. I have not any unusual symptoms or pathology taking this medication. I am 88 yrs.old and take other medicines as well for pressure, heart issues , etc. I do review these with my internist who is a cardiologist and am due for an ekg in March when I will review again.

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thank you all for your replies. my main concern is that, although the medicine can have some helpful side uses, its main job, as i understand it, is to keep the blood pressure low. my fear is if it gets it too low? i mean it's been like three years since the incident and i never had a single discomfort to the chest etc. to alert me.

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@sapphira

If true, this gives me some concern. I take Metoprolol Succcinate, 50mg, for about 3 years now after suffering from an attack of Takasubu when my sister passed away. I have not any unusual symptoms or pathology taking this medication. I am 88 yrs.old and take other medicines as well for pressure, heart issues , etc. I do review these with my internist who is a cardiologist and am due for an ekg in March when I will review again.

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I'm not sure which part you're addressing by "If true, this gives me some concern".

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@sapphira

If true, this gives me some concern. I take Metoprolol Succcinate, 50mg, for about 3 years now after suffering from an attack of Takasubu when my sister passed away. I have not any unusual symptoms or pathology taking this medication. I am 88 yrs.old and take other medicines as well for pressure, heart issues , etc. I do review these with my internist who is a cardiologist and am due for an ekg in March when I will review again.

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If you're addressing the ability for Tartrate to prevent a 2nd Heart Attack, it may be the studies focussed on the Tartrate version and not the Succinate. I can't find why one would and one wouldn't, they're different forms of the same medication, but the Succinate is designed to be long acting. Without studies of the Succinate version, they wouldn't be able to make a claim that it reduces the chance of a 2nd Heart Attack.

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@soliloquized

I'm not sure which part you're addressing by "If true, this gives me some concern".

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Just saying there are more holistic ways to deal if you haven't had a heart attack, stoke or have a serious heart condition..I just had high blood pressure which was mostly due to my my 16hr work days and not enough rest. A lifestyle change can be a miracle.

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@vyronp

thank you all for your replies. my main concern is that, although the medicine can have some helpful side uses, its main job, as i understand it, is to keep the blood pressure low. my fear is if it gets it too low? i mean it's been like three years since the incident and i never had a single discomfort to the chest etc. to alert me.

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I'd speak with your doctor. Remember, I'm on 350 mg Metoprolol Succinste and 25 mg Metoprolol Tartrate. The reason I jump into this thread is people worried about low doses of it. Blood pressure wise, do you get faint when rising from laying down? If you're on a stable dose, and not losing weight, and not introducing other medications, I wouldn't think you'd see much change. If you are dieting and losing weight, talk to your doctor, if you are taking new meds, talk to your doctor or pharmacist.

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No I never get faint and no I am not overweight and in great physical shape

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@vyronp

thank you all for your replies. my main concern is that, although the medicine can have some helpful side uses, its main job, as i understand it, is to keep the blood pressure low. my fear is if it gets it too low? i mean it's been like three years since the incident and i never had a single discomfort to the chest etc. to alert me.

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@vyronp a home blood pressure monitor might make you worry less. Consumer Reports rates Omron b.p. machines highly. The next time you see your doctor have your b.p. checked and tell him what you are worried about.
I am on metoprolol for my arrythmia and my blood pressure pre the betablocker was normal/low . It did drop lower as did my pulse but after awhile the body adjusts to the medication and in my case a mostly regular steady heartbeat.

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@heffert

I was told I have NSVT and to take metoprolol. I started the drug one week ago and had a visit w my dr yesterday. She consulted with another specialist about my condition and he doesn’t think I even have NSVT. I’m going to be hooked up to another Holter for 2 weeks and see what happens. She said I could stop the metoprolol, which I want to. Can I do this cold turkey being that I’m only on 12.6 once a day? And only for one week? I called the pharmacy and they said take it every other day for 2 days. I’m reading horror stories about people coming off this drug. Now I’m afraid but I don’t want to be on something I might not need.

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I'd probably listen to the pharmacist. 12.5mg is a really low (almost homeopathic dose). Its only 2 more days. I take 25mg split in 1/2 a.m and p.m for the last three years for NSVT. It was detected on a holter monitor. Some public speakers and actors take betablockers to deal with stage fright.

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