Low blood pressure and metoprolol

Posted by katiekateny @katiekateny, Oct 22, 2023

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?

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

Had metoprolol stopped after a week when BP dropped to 80/52 and my 7th TIA in a couple months.
on xarelto soon to switch to eliquis because of cost. try (pharmacy checker).
Also on flecainide for afib/flutter.
Awaiting ablation/ watchman procedures if brain MRI growth stops.
Having too much fun.

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In reply to @kimberlyannaug "So what do I do" + (show)
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@kimberlyannaug At the very least talk to your doc re your concerns and request they tell in plain language what the benefit is for you. If your B/P is so low that you are dizzy, lightheaded there are things that might help, like compression hose, but you need them to explain clearly so you can understand and then they should help you figure out ways to make sure you’re as functional as you can be. I sympathize deeply as my afib often reduces B/P to 90/50s and unreadable when standing. This was not caused by meds. Only happens w afib. My primary care has been great helping to figure ways to stay at least somewhat functional. Best of luck.

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