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Switching from Metoprolol to Verapamil - any problems with that?

Posted by danafitz @danafitz, 2 days ago

I saw my cardiologist’s NP yesterday to ask about switching from Metoprolol to Atenolol because of the dizziness I’ve been experiencing. Instead, they’ve decided to switch me to Verapamil. I have some misgivings. Not much of a taper off Metoprolol was advised, just cut my dose in half for 2 days & then start on Verapamil. I’d appreciate hearing how others handled a similar switch in medications. Thx

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Linda, Volunteer Mentor | @walkinggirl | 1 day ago

Interestingly, I was taking Verapamil, a calcium blocker, before a septal myectomy and then was prescribed Metaprolol, a beta blocker, after surgery. Surgery changes circumstances and I really can't give a valid story of my experience which was - no problems. Perhaps someone in the discussion has experience with this specific switch, I could find no links for you . Your doctor may have that answer for you.

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danafitz | @danafitz | 1 day ago
In reply to @walkinggirl "Interestingly, I was taking Verapamil, a calcium blocker, before a septal myectomy and then was prescribed..." + (show)
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Interestingly, I was taking Verapamil, a calcium blocker, before a septal myectomy and then was prescribed Metaprolol, a beta blocker, after surgery. Surgery changes circumstances and I really can't give a valid story of my experience which was - no problems. Perhaps someone in the discussion has experience with this specific switch, I could find no links for you . Your doctor may have that answer for you.

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@walkinggirl
Thank you, Linda…so you went the other way with your meds. But good to know Verapamil worked well for you for a good long while.

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joyrcc | @joyrcc | 17 hours ago

I can relate to your dizziness with metoprolol. When I was initially diagnosed, that was the prescription I was given and the cardiologist kept adjusting down the dose, but I couldn't tolerate it. I was switched to the verapamil 120mg extended release twice a day. I have been on it almost 20 yrs now. I had my septal myectomy one and a half years ago at Mayo, Rochester. They kept me on the verapamil, and added the metoprolol post surgery, but after 3 months I was able to discontinue it. I have great energy and exercise tolerance now, so you might find the verapamil much easier to tolerate, as I did. Best of luck.

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danafitz | @danafitz | 4 hours ago
In reply to @joyrcc "I can relate to your dizziness with metoprolol. When I was initially diagnosed, that was the..." + (show)
Profile picture for joyrcc @joyrcc

I can relate to your dizziness with metoprolol. When I was initially diagnosed, that was the prescription I was given and the cardiologist kept adjusting down the dose, but I couldn't tolerate it. I was switched to the verapamil 120mg extended release twice a day. I have been on it almost 20 yrs now. I had my septal myectomy one and a half years ago at Mayo, Rochester. They kept me on the verapamil, and added the metoprolol post surgery, but after 3 months I was able to discontinue it. I have great energy and exercise tolerance now, so you might find the verapamil much easier to tolerate, as I did. Best of luck.

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@joyrcc
Thank you for sharing your positive experience! I’m feeling more hopeful about the switch.

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