How did you wean off Metoprolol?

Yes...misspelled it....probably misspelled Carville too but the name brand for that is coreg.

No, we can't know, Debra. We don't have your file, your history, nor what the prescribing Dr. has concluded about your circumstances, including if you are habituating to metoprolol. Heart arrhythmias like atrial fibrillation are progressive in nature. Because they progress, they tend to work their way out from under the first and second drugs prescribed to control your rate or your rhythm. At some point, the best advice is to treat the arrhythmia using mechanical means such as catheter ablation or a pacemaker. It's quite involved, and worth learning about, but most people find their medications becoming less effective over months and years.

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.

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)

new guideline for blood pressure:
https://newsroom.heart.org/news/high-blood-pressure-redefined-for-first-time-in-14-years-130-is-the-new-high#:~:text=Blood%20pressure%20categories%20in%20the%20new%20guideline%20are%3A,140%20or%20diastolic%20at%20least%2090%20mm%20Hg%3B

Thanks for your reply. I am now on day 6 of taking 12.5 mgs of metropoplol tartrate. Some of the fatigue and shortness of breath are better but my blood pressure is trending higher than on full dosage of metropoplol. It's staying in the 130's and upper 80's. For the first time in years, my pulse rate is in the 60's. I am going to try again to make an appointment with my cardiologist (he's always been wonderful but health care is changing).

Have you ever had a heart catheterization to rule out a myocardial bridge? Recent discoveries and research are finding this condition can cause unique symptoms in the heart’s functions. Stanford Medical Center . Video series called My Imperfect Heart is excellent to watch.

No, I've not had a heart cauterization but had a heart ct scan this year. I was told that my arteries were good. I've had stress test and nuclear stress test and all were good. I do not have AFib but I do get skipped beats and I've been told it's an electric impulse issue but not serious. I have a large hiatal hernia that is possibly causing some of my symptoms; pulmonologist believes it might be pressing on my lungs. I believe it is the cause of some shortness of breath but I've had it for a long time and just recently my symptoms of fatigue and inability to walk any distance or climb steps of any height have gotten much worse. If I knew that the hernia was the reason for my inability to function, I would schedule repair surgery as soon as possible. It is not an easy surgery with recuperation taking a while along with possible complications. I've also been warned that a major concern is the hernia returning or tearing loose even before I leave the hospital. My fear is that I will go through this surgery and my condition will not be better. As I stated, I also have asthma and I read some concerns about being given metropoplol with asthma drugs. Thanks for all your suggestions.

Hey everyone, I’m 26 years old and was put on metoprolol 25mg, twice a day for tachycardia. I’ve been taking this since 21 years old, so 5 years on it. I’ve had multiple cardiologists and doctors that basically say I will be on this medication my whole life due to echocardiograms and stress test coming back fine. All they say is “genetics” or something along those lines. I’ve stopped listening to them honestly, after about the 3rd year on it I reduced my dosage to 25 in the day and 12.5 at night. Months later I did 12.5 in the day and 12.5 at night. Adjusted decently to that and stayed there for a while. About 2 months ago I started doing 6.25 in the day and 6.25 in the night, and 2 weeks ago was my last dosage of 6.25. I just know all of these side effects I’m feeling (headaches, hair thinning, brain fog, anxiety, irritability, etc.) is from this medication. I’ve always had high blood pressure since I was 15 I would take lisinopril 20 mg and still do that and it’s been decently controlled. I knew stopping metoprolol was going to cause more anxiety, rebound blood pressure and tachycardia. Right now im 2 weeks off. Highest blood pressure has been 160/92, but eventually has come back down to the 130s/70. I did a lot of research and learned that it can take multiple weeks, to a few months for the beta receptors to become active again, especially if taken for such a long term. I’m doing this without medial supervision because they would go against it, but I test my blood pressure at home 10+ a day to make sure it’s safe. I believe it will work. God bless all, hope this is helpful to someone and I hope my beta blocker journey will come to an end within the next few weeks! 🙏🏽

Thank you for your post and information. I have a question. Have you ever been told you have a Myocardial Bridge of your LAD artery of your heart? This is one possibility for your symptoms as you say you were told it’s congenital. There is a web page called Myocardial Bridge you might find useful