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myra
@myra

Posts: 5
Joined: Mar 22, 2017

wean off Carvedilol

Posted by @myra, Mar 22, 2017

I a new to this group. i hope I’m doing things right. I was put on Carvedilol on March 1 by a cardiologist for HBP. I had been on Metopolol for many years maybe 11 years. with no side effects. He told me to stop Metopolol immediately and to start on Carvedilol. Since that time I have been stumbling almost about to fall when I turn, nightmares and excessive urination. I go back to the doctor tomorrow. Should I have stopped the metoplol suddently?

REPLY

Hi @myra. Sorry to hear about your unfortunate symptoms after stopping Metoprolol abruptly and starting on Carvedilol. Your question is interesting — asking about stopping Metoprolol, but not about starting Carvedilol. I have been on Carvedilol for more than a year, having started at 12.5mg per day (in two doses). I’m now taking 50mg per day in two doses. I can’t identify any symptoms from starting Carvedilol.

I was advised from the beginning not to suddenly stop or sharply reduce Carvedilol, which is a beta blocker used to regulate heart rhythms and reduce blood pressure. Since then, I have read several articles by medical professionals giving the same advice on Metoprolol, which is also a beta blocker. Your long reliance (and perhaps dependence) on Metoprolol raises an important question about possible side effects from abrupt halt of the medication. It is so important that you should promptly tell your cardiologist about your symptoms and ask whether the abrupt shift from Metoprolol to Carvedilol could have caused your problems. Ask also whether the two drugs are equivalent in both purpose and effect or whether each is used for a different set of symptoms. If your cardiologist isn’t clearly sympathetic and understanding, you should get second opinions from another cardiologist in answer to all of these questions. Your primary concern should be to get a good medical diagnosis of your instability, nightmare, and urination problems.

Good luck in getting this episode behind you. We’d also like to know more about why your cardiologist relied on Metoprolol to treat your hypertension for so long.

Hello @myra,
I’d like to add my welcome to @predictable‘s who has given some great insight, and I would encourage you to read these discussions about Carvedilol, too:
1) Side effects of heart medicine carvedilol joint pain and stiffness: http://mayocl.in/2nTvsB6

2) Stopping Carvedilol (Coreg): When will the effects wear off? wear off? http://mayocl.in/28YeSeN (This discussion, (No. 2), includes a reply by a Mayo Clinic pharmacist).

I’d also like to introduce you to @murryone @neeci @sittingscribe1 @momma78 @constanceann @teatime @barnes123 @lola63 @auntdd @incrediblemulk98 @doug_58 @barneythe2nd, as I’m sure they will return to share their experiences with you.

@myra, you may also wish to see this discussion about Metoprolol:
New to Afib, warfarin and metoprolol (beta blocker): http://mayocl.in/2neURa8

@hopeful33250, @kdubois do you have any information to share about your experience with Metoprolol that would help Myra?

Liked by myra

Hello @myra I had similar side-effects to the Metoprolol. I had very busy dreams (felt tired when I woke up). I looked on the drug’s website and noticed that was a side-effect along with dizziness and clumsiness. So I emailed (using My Chart) my cardiologist and he agreed that what I was experiencing was most likely a reaction to the med (he said it crosses the brain) and he switched me to Attenolol which has worked nicely without the side effects. It did take a while for the dreams to settle down, several weeks. Teresa

Hi @myra, did your doctor say why he wanted you to cease the metoprolol immediately? From what I understand, ceasing metoprolol shouldn’t cause those symptoms.

@kanaazpereira

Hello @myra,
I’d like to add my welcome to @predictable‘s who has given some great insight, and I would encourage you to read these discussions about Carvedilol, too:
1) Side effects of heart medicine carvedilol joint pain and stiffness: http://mayocl.in/2nTvsB6

2) Stopping Carvedilol (Coreg): When will the effects wear off? wear off? http://mayocl.in/28YeSeN (This discussion, (No. 2), includes a reply by a Mayo Clinic pharmacist).

I’d also like to introduce you to @murryone @neeci @sittingscribe1 @momma78 @constanceann @teatime @barnes123 @lola63 @auntdd @incrediblemulk98 @doug_58 @barneythe2nd, as I’m sure they will return to share their experiences with you.

@myra, you may also wish to see this discussion about Metoprolol:
New to Afib, warfarin and metoprolol (beta blocker): http://mayocl.in/2neURa8

@hopeful33250, @kdubois do you have any information to share about your experience with Metoprolol that would help Myra?

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I didn’t have any problems with Metopolol , My primary doctor wanted me to see a cardiologist because after having a chest cold almost 3 months with no clearing. She figured that I was having heart failure which the cardiologist didn’t find. My blood pressure was really high ( 184/86) so he took me off Metoprol and put me on Cavedilol. I think that the side effects are leaving, but I have this balancing problem. The Clinical Pharmacistt which I saw on yesterday, He is a partner of the Cardiologist, said that the medicine would not cause this and it looks liike my equilibrium is off. I never had this problem when changing medicines.

@kdubois

Hi @myra, did your doctor say why he wanted you to cease the metoprolol immediately? From what I understand, ceasing metoprolol shouldn’t cause those symptoms.

Jump to this post

This is what the clinical pharmacist said. He said its changing one beta blocker to another beta blocker. He said that I just experience some side effect which will be noted.

@hopeful33250

Hello @myra I had similar side-effects to the Metoprolol. I had very busy dreams (felt tired when I woke up). I looked on the drug’s website and noticed that was a side-effect along with dizziness and clumsiness. So I emailed (using My Chart) my cardiologist and he agreed that what I was experiencing was most likely a reaction to the med (he said it crosses the brain) and he switched me to Attenolol which has worked nicely without the side effects. It did take a while for the dreams to settle down, several weeks. Teresa

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Thank you for your concern. Thank God those nasty side effects are subsiding.

Hi Myra,

After my bypass I was on Metroprolol and was told by the surgeon that if my heart rate went below a certain number or my BP readings were very low to stop taking the Metroprolol. Well, my heart rate did go below the rate specified by the surgeon and I was switched to Carvedilol. That one has kept my resting heart rate down to as low as 36, but the migraines I suffered through of years are gone unless I try to go off the Carvedilol.

The migraine doctor told me if I were to switch to any other beta blocker it would have to be back to Metroprolol. She claimed it was the only other one that would address my heart problems. They seem to be like twins, Carvedilol and Metroprolol. The pharmacist however differed with both of the doctors and suggested Attenolol.

I don’t think there are any perfect for everyone drugs ever made by pharmaceutical companies.

@kanaazpereira

Hello @myra,
I’d like to add my welcome to @predictable‘s who has given some great insight, and I would encourage you to read these discussions about Carvedilol, too:
1) Side effects of heart medicine carvedilol joint pain and stiffness: http://mayocl.in/2nTvsB6

2) Stopping Carvedilol (Coreg): When will the effects wear off? wear off? http://mayocl.in/28YeSeN (This discussion, (No. 2), includes a reply by a Mayo Clinic pharmacist).

I’d also like to introduce you to @murryone @neeci @sittingscribe1 @momma78 @constanceann @teatime @barnes123 @lola63 @auntdd @incrediblemulk98 @doug_58 @barneythe2nd, as I’m sure they will return to share their experiences with you.

@myra, you may also wish to see this discussion about Metoprolol:
New to Afib, warfarin and metoprolol (beta blocker): http://mayocl.in/2neURa8

@hopeful33250, @kdubois do you have any information to share about your experience with Metoprolol that would help Myra?

Jump to this post

These so called xperts will tell u whatever the book says. I was on coreg and after 3 months had dizziness. It progressed over the next few months. I had a catherization to check for,arrhythmia came,back,normal. Had a ct scan and tilt tabl test and all normal. Went to an Ent and all good. So now I’m weaning off coreg and it’s the second week. I’ve gone 4 days without and had chills and headaches., today was good except having some sob. So I took one and will see what happens. My,dizzy has been better but will see what happens with the sob. Also I’m I’m 5 mg of lisinopril.

Very interesting. I was put on Carvedilol instead of Metoprolol overnight. The Nephrologist claimed they are more effective. I am taking 6.25mg , twice
a day now because my pulse was too slow, instead of 12.5mg twice daily. I do not feel any different at all. Hope you get it under control. Axel

@axels

Very interesting. I was put on Carvedilol instead of Metoprolol overnight. The Nephrologist claimed they are more effective. I am taking 6.25mg , twice
a day now because my pulse was too slow, instead of 12.5mg twice daily. I do not feel any different at all. Hope you get it under control. Axel

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Do you chew gum? I just read an article about a Japanese study. They had the patients chew gum and walk. some only chewed gum, some only walked, and some did both. They found that chewing gum was as effective at raising heart rates as walking. My thought was this…give it a chance. I bought some gum before going to give blood. When I have donated in the past my heart rate has been under 50 and I have been rejected based on that alone. This time while chewing gum my heart rate was 62. Masticating is the answer to getting your heart rate up.
https://www.afp.com/en/news/23/walk-and-chew-gum-it-may-keep-you-thin-study-doc-15c71b2

My pulse has been so low that my cardiologist wants to put a pacemaker in. Worst problem, besides they don't turn them off when you die, is the in event of need for MRI to discover what can be wrong with you (unless they call the company to get a rep in to turn the devise off and then back on again) you are simply out of luck and stuck with die being injected so the tissues show up on CT.

Try walking to raise your heart rate. Carvediol seemed to suppress my heart rate as well.

@axels

Very interesting. I was put on Carvedilol instead of Metoprolol overnight. The Nephrologist claimed they are more effective. I am taking 6.25mg , twice
a day now because my pulse was too slow, instead of 12.5mg twice daily. I do not feel any different at all. Hope you get it under control. Axel

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1.Walk in the sunlight to the max possible extent 2 Learn and Do deep breathing and other exercises.3 Move To Total Plant Based food.4 Meditate and Pray 5 Do Yoga 6 Smile and Sleep well. I was given 12.5 mg Carvediol after heart attack.Now I take 3 .125 mg , twice a day .HR is perfect.I feel palpitations in morning but with Meditation , I become Ok , 90 % Of time.MEDITATION is the Key.

Liked by Jamie Olson

Some cannot, even with your recommendations, ever bring their heart rate to a "normal" HR. Some need off that medication completely as their HR is too low to be on it.

My husband just came off coreg this week.The problem is he is waking up two or three times per night to urinate.He had never done that before.He is a smoker has a history of stents # 11 .He has been on coreg for three years. Complaining of fatigue and constant headache so he abruptly stop taking coreg this week.

@jacobwill
When I abruptly quit core I suffered migraines. Have a history of them and they seemed to disappear after my bypass surgery. Then I asked my Doc about going off Coreg. he stated that I should try it. OOPS!!! Back came the migraines I had been free of for 6 months.
Tried again just cutting the does in half, still got migraines.

Sooooo, long story cut short I took advantage of advise posted here. Don't be abrupt about weaning off the stuff. Go slowly, work out a wean off schedule. Took 14 weeks, but when I was completely through with the stuff , not a single migraine.

Maybe your hubby should figure out a wean off schedule and temporarily use the core but begin a wean off , but not so fast.

Hope this helps.

Eilena

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