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Low blood pressure and metoprolol
I have Afib. I am not over weight. I do not have diabetes or any metabolic disorder. Don’t drink, smoke. The ER Doc referred to my blood work as “pristine”. In short, I have no other risk factors. I have low blood pressure … about 110/70, often a bit lower.
So, I am on metoprolol now and can barely make my body do as I want. It feels like my muscles just ran 2 miles…all the time. But, I also see that my blood pressure drops down to 90/58. I wonder why I am given metoprolol when I have low blood pressure to start. Should I be on something else?
Today I had multiple “episodes “. I am wondering if the dosages has to be increased … that metoprolol might be a bad idea…already taking 75mg
Finally, this is just my random thoughts….I have been reading that Afib doesn’t kill. It’s the blood clot that get us. So, why the use of metoprolol at all? I guess that Afib often comes with high blood pressure and other metabolic issues. But, without those other complications it seems that as long as I am on blood thinner (eliquis) is there any other real risk?
Any one else with low blood pressure trying to deal with these beta blocker meds?
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This is exactly the dose I am on, 25mg cut in half (once every 12 hours). My diastolic is still too low. I was also one Valsartan but was taken off that because of low BP. It remains to be seen whether or not this is the right dosage. The change was just four days ago.
I also am on metoprolol extended release my pressure also drop to 110/58 or sometimes lower. I had a heart attack April of this year 2025 and a stent was placed. I also am on blood thinner. Dizziness when getting up and fatigue also like I’m carrying around two logs on my legs. Not understanding why
@dana07 The metoprolol is a rate control medicine, meaning it's meant to slow your heart. But, it also reduces the force behind each contraction. So, you get decreased output from the heart on two accounts. If your cardiologist insists on the current dosage, it must be for a good reason, but it doesn't mean you can't give him/her feedback such as how dizzy you are and that your blood pressure falls too much. That's important information that he/she may wish to know from you.
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1 Reaction@dana07 I was on metoprolol prior to and after an ablation. I never like the effects that metoprolol was having on my body. Like you I felt like I was carrying around two logs on my legs. From the knees down it felt like that portion of my legs were just along for the ride. I was lethargic and just did not feel like I had any energy. My BP was always at the lower end of what was considered just above being too low. After a number of consultations with my EP I went off of metoprolol and almost overnight I felt, and continue to feel, 100% better. No more problems with my legs and my energy level are much improved. My BP and heart rate are well within normal ranges, and I am able to perform the physical activities that I need. Because of my age (86) I am on Eliquis, but Eliquis has not had any adverse impact to my general health and well being.