Metoprolol: Are you experiencing side effects?

I take 100 mg metoprolol ER succinate in the mornings and 50 mg in the evenings with no side effects that I notice but I think when I started with 50 mg a few years ago I felt very tired. I got adjusted to it. I hope it works for you and you feel better.

I take Metoprolol and I don’t have any side effects. Maybe a little bit of weight gain.

I started Metoprolol Tartrate about 20 years ago with a break of several years due to inability to work and lack of insurance. My original cardiologist adjusted my dosage until my heart rate was in the 50s. My Hocm was not yet symptomatic and I had no side effects from the Toprol other than the reduced heart rate. The only time I had any side effects was a few years ago when one of my doctors cut my dosage from 100mg twice daily to 50mg twice daily with no period of adjustment. I had several months of palpitations and dramatically increased chest pains and shortness of breath. I do not know if it is technically withdrawal, but my understanding is that abrupt stoppage is NOT recommended. Apparently cutting 50% is not either. My symptoms never went back to the pre-adjustment level, but the first two months were the worst. My current cardiologist put me back at my prior dose at my first visit and my symptons quickly improved. I would strongly recommend studying up on interactions with food and other drugs as well as other safety information, but I have not personally had any problems other than withdrawal. I do not count a low heart rate as a problem but I do keep a watch on it.

I'm 84 years old. I suffered a mini stroke on 4/7/24! I have AFib that probably the cause of the stroke per hospital doctor. I didn't suffer any damage to my body functions except my vision got worse that I can't read like before the stroke!
Doctor prescribed Metoprolol to lower my blood pressure and slow down my heart rates. Metoprolol makes me dizzy, wheezing, more getting up at night to urinate! Doctor reduced the dose from 50mg 2X/day to 25mg 2X/day, still do not help!
Should I endure the side effects and they will go away after my body gets used to it?
Any comments are helpful, thanks a lot!

Ask your doctor about Metoprolol SUCC rather than Tartrate. I had dizziness when starting that medication after a septal myectomy. Mayo people suggested I switch to SUCC because it helped alleviate such side effects in some of their patients, my home cardiologist then prescribed that form. Unfortunately, that made no difference for me and I eventually ended up with a pacemaker/defibrillator. We are all different, in my opinion it's worth a discussion with your doctor.

Hi @camtak

I started at 100 mg Metoprolol then they increased to 150mg total (100mg mornings and 50 mg at night). I have had the same issues of dizzines and urinating more at nigh, but I had no choice other than to get adjusted to that. So my body is adjusted to it with a little improvement on dizziness so I am still on it. I have HOCM so I had no choice. I hope you can get better on it.

I am curious if you are on Metoprolol SUCC? I have not had serious side effects from taking it 2x a day at 75 mg. (yes, I break a pill in half) Feeling dizzy is not your friend. I have found great insight from my cardiac nurse, but if you don't have someone like that to talk to, Please talk to your cardiologist. I hope you find an answer and feel better soon!

I'm 76, with three moderately leaky heart valves, and was switched from Losartan to Metropolol 25 mg, after dinner, for blood pressure control about 6 months ago. A low dose, yet I still feel as if something is pressing on my chest, have low energy, and blood pressure usually just above 100/60s. I drink the required amount of water and usually get up once early early a.m. to urinate.
That BP seems to be too low for me.
I do not drink, never smoked, and eat a very healthful diet--Mediterranean, mostly, no red meat or pork.
I have so very little energy compared to pre-metropolol. I'm about to call my cardiologist--if I can get her nurse on the phone!--to ask to have it reduced even further.

I just started that medication too. Since my blood pressure tends to run low, I was told to take it only if my systolic is 120 or over and only if my bpm is 60 or above. Otherwise, everything might go to low. This means I have to be vigilant with taking my bp, which I haven’t done a very good job with.
Also, I was told to split the 25 mg- 1/2 in am and 1/2 in pm.
Not sure if this helps.
Hope you get some answers.
This disease is quite perplexing.

are you also on Camzyos for the Hocm?
I take 25 mg metoprolol XL in the evening. I have to say I hate it. I’m always fatigued, don’t sleep well, and I’m ready to ask my cardiologist to switch after my upcoming echo.
I do have a pacemaker in.
suggestion?