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How did you wean off Metoprolol?
Heart Rhythm Conditions | Last Active: Sep 19 7:56am | Replies (551)Comment receiving replies
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! 🙏🏽
Replies to "Hey everyone, I’m 26 years old and was put on metoprolol 25mg, twice a day for..."
I don't mean to sound contrary, but how do you know your 'standing' or average BP was 160/92, and that it then dropped to the last number you cited? Were these averaged over several readings each day? A single reading taken during the day is NOT an indication of a high pressure or a low one, and it does not constitute an accurate assessment. So, if you ran a cuff several times throughout several days, and then came up with that high systolic/diastolic, then you had something to worry about. The last pressure, even off metoprolol, suggests that it was probably closer to the real average value for you, but if it's a single measurement, no, it's not.
You probably reduced your dosage correctly, over time, and now your system is finding its equilibrium. To get a more reliable indication of your true BP, do what trained athletes know to do: take your resting HR first thing before you get out of bed, and use a calibrated device to get a BP at the same time. Then, ignore that first day's reading, but record it. Record a day each week for the next three weeks, and then take an average of the three records. That, more than anything will tell you what your BP really is, and that will be quite low. The rest of the day should be, if you're normal, all over the place. Chop cordwood and see what happens to your BP. A measurement taken during that effort will no more be an indicator of your real average BP than would a single measure of your heart rate.
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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