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Metoprolol Withdrawl
I started on Metoprolol Suc 25mg back in 2018 due to increased heart rate and BP...Heart rate sometimes topping 180 per minute. A few times my BP was higher than could be measured...then 2019 comes along and I found out I had an egg allergy. I didn't correlate the two as being the same issue and eventually, in 2021 my Metoprolol Suc was increased to 50mg.
After I really started watching my egg intake...that is very hard as just about everything has some sort of egg in it and my allergy was whites and yolks. My pulse would drop down into the 40's at night and I could go exercise and barely hit 70.
Talked to my doctor and asked if the egg allergy and BP issues could be related and was told no, that I needed to stop drinking any form of caffeine. Continued have issues with low pulse and lightheadedness. Was referred to a cardiologist and after giving my background was told to tapper from 50 mg to 25 mg for 4 days. I was nervous so I went a step further and split the 25 mg in half and took 12.5 for 4 days.
The first week was fine with a few episodes of High BP and Pulse but they told me to expect fluctuations for a week or two. So now starting on Day 5, I have been waking up with headaches...which if I take 2 migraine tabs it goes away but it happening for the 4th day now. Has anyone else had any headache issues coming off Metoprolol and how long did it last.
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I never have had headaches of any kind, except for a few excruciating ones between the ages of about 7 and 12. I was on an ever-increasing dose of metoprolol commencing in 2017, with a brief cessation when I had to go on amiodarone temporarily between August and the end of September in 2022. When I was given amiodarone, I was to cease metoprolol immediately. I had no problems with ceasing metoprolol, although I was now on amiodarone, which is not a rate control drug; it is a anti-arrhythmic drug only.
I think you have something else going on, perhaps anxiety, or perhaps even some kind of inflammation due to your long exposure to egg intake. Caffeine has not proven conclusively to be contraindicated for people using any heart medication, except perhaps for angina, but I don't know how that is treated....nitrites I believe. The point is that, while many claim any amount of alcohol or any amount of caffeine is going to set their hearts off and they'll get an arrythmia within minutes, the research says that modest amounts of caffeine, say four or five 40mg doses in coffee each day, do not show problems with cardiac rhythm. In fact, there is mounting evidence that some caffeine is good for the heart's function because it improves the heart's efficiency.