Hello @rgharding1234. Welcome to Mayo Connect. I had an a-fib diagnosis 5 years ago and a small stroke a year later. Your symptoms seem similar but more intense. My cardiologist prescribed Carvedilol as my main medication for a-fib. It is in a class of drugs known as beta blockers. Metoprolol is also a beta blocker, so I'm not surprised that your medical team has put you on it. Your Xarelto is an anticoagulant, one of a small group that is prescribed to defend you against blood clots (like the one that caused my stroke). Each of them has a particular antidote that may be needed to stop bleeding that Xarelto or one of the other anticoagulants is supporting. I have one serious warning about this and other anticoagulants: Not every hospital emergency room keeps a supply of antidotes in stock, OR the ones they stock are less or little effective in neutralizing an anticoagulant. I feel strongly about this because my friend was taken by ambulance to a hospital one mile away after he fell off a ladder injuring his head. He had been taking an anticoagulant for a few years. The hospital did not have the proper antidote on hand, so after an hour or so in the ER, he was helicoptered to another hospital 30 miles away where they found his brain bleed too much to control, and he died in the arms of his family shortly after they arrived from my neighborhood. Since then, I don't enter a clinic, a hospital, or an emergency room without asking the staff if they have the antidote on hand for my anticoagulant, and what is it? Those antidotes are pertinent to specific anticoagulants and sometimes don't work -- don't stem the bleeding and can be more serious as a result of Xarelto or another anticoagulant. Take care, my friend, so that I don't have to lose another friend to careless application of these medications. Martin