How did you wean off Metoprolol?

Posted by kenny48 @kenny48, May 11, 2018

Hi,
I've been taking both flecainide and metoprolol now for eight years, as a prophylactic for Afib. I recently moved to North Carolina and have a new Cardiologist. Have had a lot of PVC's this past two months, and had to wear a heart monitor for an entire month. He said that although I had a lot of PVC's I didn't have even one PAC! He also noted that my BPM was low in the low fifties most of the time. He asked why I was taking metropolol. I told him that the only thing my previous doctor had said was " it makes the flecainide, work better". He suggested I stop taking the metoprolol to see how I do without it. Unfortunately I read a lot of information on the internet. I read that it can be very dangerous to stop taking it. I take 25 mg metoprolol succinate, split in half. Once in the morning with my flecainide, and then again in the evening for a second dose. He wants me to take half in the morning and skip the evening dose for two days, then stop entirely. Has anyone else stopped taking this drug in a similar manner? I'm worried that the cut off is too soon.

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

Profile picture for normanchester @normanchester

I had a big episode with anxiety reducing my metoprolol, I can't stop it,

Jump to this post

Blessings to you

REPLY

Thank you.

As I am retired - actually 76 years now and almost 6 years post stroke I'm still learning.
But it was so amazing to bring down my BNP. So joyous. The culprit in why it was so high and heading fot Heart Failure.
But I think if it is heart stress and higher than 100, it could easily due to heart stress.
Good on you for asking and I am able to tell you what happened to me.
Beta Blockers twice now have run their course at 19 months when BP goes low and I end them.
Interesting. I don't like them anyway.
Research now puts them at one f the worse for BP control. And they couldn't bring down ny rapid heart rate.
See if you can't take a CCB as there are many of them for different sypmtoms. But I think that they all have a better rate control. I have no tiredness, no swelling ankles although I tend to raise them at night.
cheri JOY. (Tuckie)

REPLY
Profile picture for tuckie @tuckie

No.
It can have a side effect as you describe. But I was like a zombie on Metoprolol.
But I'm probaly not the person to ask because I was thankful to have the 'put in hospital experience as if I hadn't my undiagnosed thyroid cancer would have spread.'
Can you try CCB Calcium Channel Blockers which don't boost the level of heart stress.
Have a BNP test done.
Usually the depression is caused at something else going on in your life .. even menopause.
Do take care.

cheri jOYE ( Tuckie)

Jump to this post

Thank you and may you receive healing and health

REPLY
Profile picture for normanchester @normanchester

Did you notice anything about how it affected anxiety?, that doesn't happen to everybody but it did to me, lowering my dosage caused me anxiety thank you for the information

Jump to this post

No.
It can have a side effect as you describe. But I was like a zombie on Metoprolol.
But I'm probaly not the person to ask because I was thankful to have the 'put in hospital experience as if I hadn't my undiagnosed thyroid cancer would have spread.'
Can you try CCB Calcium Channel Blockers which don't boost the level of heart stress.
Have a BNP test done.
Usually the depression is caused at something else going on in your life .. even menopause.
Do take care.

cheri jOYE ( Tuckie)

REPLY

When I began having side effects to Metoprol, it was "a no-brainer", I just stopped (cold-turkey) ... threw the container of pills into the "Drug-bin" at the drug store. You would be well advised to ask your Cardio-Health Care Provider or a member of his staff for their recommendation. We're All like "snow-flakes": No 2 of us are alike, so asking for advice on on starting or stopping a medication on a Web-site like this is like playing "Pin The Tail On The Donkey".

REPLY

I have thought about that, my resources are limited, I live at home alone with no driver's license and transportation,

REPLY
Profile picture for normanchester @normanchester

Thank you very much, the heart doctor won't admit it causes anxiety, metoprolol, but two of my pharmacist, said that it is prescribed for anxiety as well as other things, she don't want nothing to do with it, treating my anxiety the heart doctor don't, nor does my primary care physician

Jump to this post

This is just me, but I would find myself new doctors.

REPLY
Profile picture for suerte @suerte

Just a thought, but if you decide to once again go off the metoprolol, then don't put yourself in a position where you are just waiting for the next panic attack. You could be putting yourself in a kind of a loop function where you are becoming anxious which may cause your heart rate and BP to go up which causes you to have a panic attack. In the computer world it is called a "do-loop." A function or steps that keep repeating until some outside action breaks the loop. For you maybe that outside action that will break you loop maybe just giving yourself positive feedback. I am just a process-oriented person and not someone who understands your situation and I really suggest that you consult with your health care professional to see if they have suggestions to help you with the panic attacks.

Jump to this post

Thank you very much, the heart doctor won't admit it causes anxiety, metoprolol, but two of my pharmacist, said that it is prescribed for anxiety as well as other things, she don't want nothing to do with it, treating my anxiety the heart doctor don't, nor does my primary care physician

REPLY
Profile picture for normanchester @normanchester

I had a big episode with anxiety reducing my metoprolol, I can't stop it,

Jump to this post

Just a thought, but if you decide to once again go off the metoprolol, then don't put yourself in a position where you are just waiting for the next panic attack. You could be putting yourself in a kind of a loop function where you are becoming anxious which may cause your heart rate and BP to go up which causes you to have a panic attack. In the computer world it is called a "do-loop." A function or steps that keep repeating until some outside action breaks the loop. For you maybe that outside action that will break you loop maybe just giving yourself positive feedback. I am just a process-oriented person and not someone who understands your situation and I really suggest that you consult with your health care professional to see if they have suggestions to help you with the panic attacks.

REPLY
Profile picture for tuckie @tuckie

Hi
Immediately changed to a different Beta Blocker Bisoprolol which better for AFers.
cheri Joy

Jump to this post

Did you notice anything about how it affected anxiety?, that doesn't happen to everybody but it did to me, lowering my dosage caused me anxiety thank you for the information

REPLY
Please sign in or register to post a reply.