Thank you!!! This is the first thing I’ve read that makes sense to me. I live in Canada where the medical system only lets you have one crack at a cardiologist or diagnosis. I was put on metoprolol 2years ago- for suspected atrial flutter- no symptoms other than a high heart rate that spun back down on its own but which I felt worried about when it showed up on a drug store monitor I used just by chance-I had no discernible symptoms otherwise- I had other cardiac tests-all normal but was put on metoprolol while on a wait list for a cardiologist. Immediately upon starting the medication I was so sick! Fatigue, general malaise, sleeplessness, chest pain, shortness of breath and low blood pressure. I knew it was the metoprolol- my dose was eventually reduced to half 12.5 mg twice a day so I wasn’t as sick- but I’ve never been the same. I wanted to go off it but was convinced by others that I needed it to protect my heart- since atrial flutter could cause stroke. I also continued to have the tachycardia even more often. Meanwhile the “triage” at the cardiologist I was waiting to see, decided I was low priority and I had to wait 11 months to be seen (while continuing metoprolol and feeling ever worse.) No one would even consider trying me on a different beta blocker when I asked- though a pharmacist suggested it. Doctors here so busy and burnt out- it’s impossible even to get a 10 minute phone appointment with a GP for which- if you can get it -you wait 3weeks . Once I saw the cardiologist a year ago now- he was scornful of me for being at all worried about the high rate a year prior to my seeing him-though it had started happening ever more frequently and has since really increased. He said I had a kind of SVT (EAT)which was not deemed a serious condition (which must have come up in the holter readings which the referring doctor- an internal medicine guy at my local hospital - (there is no actual cardiologist in my town)- had initially read and thought might be atrial flutter. And the reason I was triaged as only semi urgent-but nobody thought to tell me or my GP that it was not flutter. So I suffered a year of these debilitating side effects thinking that I had a potentially serious condition and had to endure them while I waited .) After talking to the cardiologist- also very busy and acting like I was wasting his time- I determined from what he said that I didn’t actually “need” the beta blocker to prevent a stroke or heart attack - though he also insisted I should stay on it -indefinitely -for the SVT and totally poohed poohed my claim that it seemed to be the thing making me sick. He said that the chest pain and other symptoms were likely anxiety and unrelated to the SVT. He prescribed propofanol which I tried for three days and had such a huge reaction to it (more tachycardia even at night- and unable to even do yoga without pulse rate shooting up to 150 and staying up) that I knew it would be a disaster to stay on it. Propafenal has a “box warning” and is -from what I read AND heard from a pharmacist -not recommended for anyone who does not have serious heart disease. But my refusal to continue on it -I felt like I was poisoning myself frankly- just made the cardiologist and my GP further write me off as an anxiety case. I had already spent the year worrying and feeling like hell, had bought a smart watch because I felt that there was not enough medical oversight which made things worse because I then truly did become neurotic about looking at my heart rate. I now am labelled as “anxious” on top of everything- have spent a fortune on therapists who are calling my SVT and other seemingly cardiac symptoms, “somatic illness”. I have chest pain, shortness of breath, blurred vision, heart rate that spins up to 150 to 170 bpm multiple times a day. Despite a year of the best psychological therapy money can buy. (Here in Canada mental health care is private pay… but regular medical care is free for all but somewhat limited as a result-and the private pay medical advice available is limited to entrepreneurs who charge more than I can afford. I have even tried naturopaths and other alternative medicines and every dietary supplement available and exercise. I’ve tried -despite this continued medical advice to stay on it -many times to wean off the metoprolol because that feels like the moment -(now two years ago) when I started actually feeling sick- but whenever I do, my SVT gets a lot worse and all of the chest pain and other feelings of malaise I get before and after it increase-so I, having had no medical support in the first place to wean off it, just give up and go back on it. I recently tried again and just gave up the weaning (I was down to 10mg twice daily) yesterday. I am so desperate now- something has to give. It’s why I googled and saw this. And why I’ve written this long crazy reply to your post. I’m really really interested in knowing anything else you have found out. It’s been two years for me and my gut says it’s the beta blocker that’s making me sick and I really want to try to get off it. But how? Thanks again. Keep me posted? Best of luck to you. 😊

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