Withdrawal due to discontinuing microdose of metoprolol

Posted by johndoe333 @johndoe333, Oct 29, 2023

Hi everyone.
I am 25 and I have arterial hypertension.
I've been taking Lisinopril 10 mg + Amlodipine 5 mg + metoprolol 12.5 mg once daily for 7-8 years.
I've been questioning my metoprolol prescription for a long time and the only reason I was prescribed it was because I was nervous during a visit to a "doctor" and my heart was racing.
Now my heart rate is 45-50 BPM on metoprolol and my cardiologist gave me go ahead to try to quit it but once did it my resting heart rate has been 80-110 BPM. I got back on it again.
What is that? A withdrawal? Such laughable dose isn't supposed to have any therapeutic effect at all.
How do I taper off when I already take a quarter of a pill?

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Metoprolol can be discontinued quickly, but not usually unless there is something else going on and another medication is introduced to take over some of its function. At least, that has been my personal experience to date. I only ever ceased taking metoprolol once my first ablation had failed and I was in distress. The replacement was amiodarone to regulate my heart rate. I was told to cease metoprolol that very instant. No problems. However, the monograph for metoprolol usually says to not cease taking it abruptly, if I recall. I stopped taking it twice, and both times I took about a week to taper off.

I would let your physician know what happened. It couldn't hurt to experiment with cutting your pills into parts and trying to wean yourself off by reducing dosage by about 25% over a week...at least, in your case. Maybe two weeks just to make your heart notice the reduction less.

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@gloaming

Metoprolol can be discontinued quickly, but not usually unless there is something else going on and another medication is introduced to take over some of its function. At least, that has been my personal experience to date. I only ever ceased taking metoprolol once my first ablation had failed and I was in distress. The replacement was amiodarone to regulate my heart rate. I was told to cease metoprolol that very instant. No problems. However, the monograph for metoprolol usually says to not cease taking it abruptly, if I recall. I stopped taking it twice, and both times I took about a week to taper off.

I would let your physician know what happened. It couldn't hurt to experiment with cutting your pills into parts and trying to wean yourself off by reducing dosage by about 25% over a week...at least, in your case. Maybe two weeks just to make your heart notice the reduction less.

Jump to this post

Thank you for your advice. Unfortunately as I wrote I poorly imagine how else I can cut the dose given that I already take 12.5 which is a quarter of a 50 mg (lowest dose pill).
Yes, it's a good idea to let my doc know.

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Hi I don't know the answer to your question and am suggesting you ask your doctor and not us, but there are 25mg pills. They are very small. Also there are extended release pills (don't think you want to cut those). Good luck with your doctor.

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@feelingthankful

Hi I don't know the answer to your question and am suggesting you ask your doctor and not us, but there are 25mg pills. They are very small. Also there are extended release pills (don't think you want to cut those). Good luck with your doctor.

Jump to this post

Hey, thank you. You're all right, I should and will ask my doc .
And for the time being I'm back on it.

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Hi there! While it is a low dose, I take the same amount. Some of us are just extremely sensitive to beta blockers. I switched from the tartrate to the succinate, metoprolol. Helped IMMENSELY. Also, they come in 25mg (succinate, long acting). Although these are slow release, they are scored and you can break them in half, taking 12.5mg at a time.

I don't have tanking heart rates, like I did on the tartrate. A resting heart rate in the 50s is actually good. 80 to 110 resting is way too high.

Anyway, you may just be sensitive to that med. Some of us are. That's OK. If it's keeping your heart from going over 100 when resting, even at a small dose.... I'd say stay on it. Just get the succinate in 25mg pills and cut them in half.

Hope this helps!

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@bigheartedwarrior

Hi there! While it is a low dose, I take the same amount. Some of us are just extremely sensitive to beta blockers. I switched from the tartrate to the succinate, metoprolol. Helped IMMENSELY. Also, they come in 25mg (succinate, long acting). Although these are slow release, they are scored and you can break them in half, taking 12.5mg at a time.

I don't have tanking heart rates, like I did on the tartrate. A resting heart rate in the 50s is actually good. 80 to 110 resting is way too high.

Anyway, you may just be sensitive to that med. Some of us are. That's OK. If it's keeping your heart from going over 100 when resting, even at a small dose.... I'd say stay on it. Just get the succinate in 25mg pills and cut them in half.

Hope this helps!

Jump to this post

Hi, thanks.
That's the most difficult part. I don't remember my heart rate before getting on Metoprolol since I was a teenager and wasn't so aware. And now it makes it even more difficult to understand if it's a withdrawal or if I really have arrythmia.

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