Metoprolol and low heart beat

I have been on Metoprolol for two years I find taken it at Dinner time haven’t had any adverse effects but since you mentioned insomnia I have had at different times trouble with sleeping did you ask your doctor if this can happen.

I noticed it could be one of the side effects. Thanks for responding.

Bradycardia is an unfortunate result when your AF is in its early stages and if your heart is otherwise in good shape, and if you are also in good condition. I suggest trying to break up the dose over two sessions, one at breakfast or shortly thereafter, and one near supper time, or even later, closer to bed if you have nocturnal episodes/onset of AF (which is surprisingly common).

Your white 25 mg metoprolol tartrate (is this correct, or are you on succinate..?) is scored across the midline transversely, as you might already have seen. Break it on the counter using a finger tip on each side of the score line and pressing firmly. It will split easily. Take the one half when you are ready and when convenient, and take the other half later. This split dose will have less of a chance of placing you in difficulty with things like bradycardia.

I don't know how much you know, or even want to know, about AF, but it is a progressive disorder. For some, it happens quickly, for others it can take a decade before it becomes truly obtrusive and intrusive. But, it always marches in one direction, just as you do temporally. Try to get a Top Tier electrophysiologist in the picture before too long, and before you are using antiarrhythmic drugs or getting to the point of persistent AF. It is usually best to treat the condition with catheter ablation sooner rather than too-much-later.