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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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@haygood

I have a question about weaning off Metropoplol tartrate. I have been taking this med for approximately 6 years. It was started when I was having fluctuations of hypertension and heart palpitations. For about two years, I've been so fatigued and short of breath that I could hardly function. In the last month, it has become so bad that I can't do anything physical. My cardiologist said that I have no heart issues to cause this. I do have asthma which is pretty much controlled. I take 50 mgs of Losartan once a day, 2.5 mgs of amlodipine twice a day, and 12.5 Metropoplol tartrate twice a day. I called my cardiologist for an appointment to discus the meds with him and all I got was a call from his nurse to try discontinuing the metropoplol but to watch my blood pressure. Nothing about weaning off it but I did research and so I have just been taking 12.5 mgs once a day for 3 days. I am shaking, feel awful, blood pressure going up and down and am wondering if this is from lowering the dosage. I'm aware that I was already on a low dosage but I can be pretty sensitive to drugs. I have had problems with my blood pressure going to low and my pulse rate hardly ever goes over 50 and is sometimes in the 40's. If this continues, I will insist on an appointment and don't understand why they wouldn't give me an appointment to discuss this issue.

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Replies to "I have a question about weaning off Metropoplol tartrate. I have been taking this med for..."

I was taking 25 mg Metoprolol Tartrate and 2.5mg Amlodipine Besylate both twice a day. They are both for reducing blood pressure. the Amlodipine does not lower your heart rate like the Metoprolol does. My calves were mildly swollen from the Amlodipine. I had two incidents where my calves were hard as rocks.
I stopped the Amlodipine. The cardiologist said he was Ok with this but if my blood pressure goes over 140 take one Amlodipine. My systolic gets high but not my diastolic-usually in the 50's. My heart rate is usually in the 50's. My previous cardiologist told me since the diastolic was low not to take the metoprolol if the systolic goes below 120.
The generally accepted medical practice is to hold the Metoprolol is systolic is 110 or below or the heart rate is 60 or below. If I followed this for my heart rate I would never take it.
How high does your systolic get? Are you off all salt?
There are other drugs to lower it.
Here is an excellent article:
https://www.consumerreports.org/cro/2011/03/best-drugs-to-treat-high-blood-pressure/index.htm
There are7 pages (lower right)