How did you wean off Metoprolol?

How do I ween myself off of this drug Toprol

@cblatch001 -- Hi. Best thing to do is contact the prescribing doc. Your history, diagnostics and other health info is vital to how to proceed. From your post, this MD will likely have your most recent records, and may be in the best position to ascertain how to move forward with your care.

All the best!

/LarryG

I’ve been taking Metoprolol for a few years and got as high as 75mg. I recently was changed to Micardis. Should I continue to take/wean down the Metoprolol while starting the new BP med(Micardis)?? I have been experiencing palpitations, fatigue, feeling jittery and very anxious. Thank you.

Hi, Kenny. If you're taking the beta blocker only for Afib rate control, and your current BPMs are pretty low, weaning off it is certainly reasonable. Cutting your dose in half for a week, and seeing how that works is what I would've done. And if OK, then cutting that in half again for another week, and if all is well, then stopping it altogether. I would've checked this procedure with my EP beforehand, of course. (I'm presuming you have an accurate way to obtain heart rate readings.)

Been taking BBs for over 20 years and have cut my dosage over time... think I started at 50 mg / day. Eight years ago or so, I went down to 12.5 mg / day. Four months back, I increased it to 25 mg / day. My EP is totally fine with me taking readings at home and adjusting my own doses based on my experienced BPMs. (NOTE: I'm a licensed RN, and used to work in an ICU years back.)

Good luck. Hope things improve for you!

/LarryG

@erodla, I moved your question about weaning off metoprolol 25 mg twice daily to this existing discussion:

- How did you wean off Metoprolol? https://connect.mayoclinic.org/discussion/weaning-off-metoprolol/

I did this so you can easily connect with fellow members like @becky1024 @markdeegan @dprest56 @mrsilver @dalous @sueinmn and others. Click the link above to read past posts.

@erodla, You're right to ask questions. The FDA warns "Don’t stop taking metoprolol suddenly. If you do, you may experience worse chest pain, a jump in blood pressure, or even have a heart attack. Stopping metoprolol is not recommended. If you need to stop taking the drug, first talk to your doctor. Your dosage should be gradually decreased under a doctor’s supervision."

I suggest you tell your doctor about your concerns. It is possible that because your dosage is low enough, the period you were taking the drug was short enough and your condition is stablized that you are okay to stop. But I think it's worth sharing your concern.

Oh ok I understand now sorry to hear that my cardiologist said is ok to cut them also the nurse said that every doctor is different I know had you had any issue since stopping it ? The pill I m on day 6 of stopping it

My doctor told me that the Metoprolol ER shouldn't be cut in half even though it had the line in it to do so. When I checked with a friend of mine who is a nurse she told me the same thing. She was the one who told me instead of cutting them in half to start taking them every other day for a week then every third day for another week and then stop. But I decided on my own after the first week of every other day to just stop on my own.
I was put on Metoprolol after the heart attack. I was on a ventilator for about the first 10 days in the hospital and was given everything through an IV. After they removed the tube from the ventilator and they deemed that I could swallow I started taking it in pill form.

When I first went to the cardiologist he told me that my heart was strong. My EKG was good. The reason for my diagnosis was because my Troponin was high. He said that he has seen this a hundred times from people with Covid and said he was going to reduce the Metoprolol from 50mg to 25mg then wean me off. My second visit my EKG was good I was walking up to 2 miles a day and when I told him about all the different side effects I was having from the Metoprolol he said he was going to leave me on it because I had a heart attach. Then he said he would see me in 6 months. No explanation of why the change of not weaning me off or any response to the complaints of the side effects. This drug was causing depression so bad that I began to think I would have been better off dead than to feel this way. Within days of being off this drug my mind cleared and the dizziness went away and I felt positive about life again. As I said before I'm going to a Holistic doctor this week to get a second opinion but going off of how I feel, I feel great.

This drug is terrible worse side effects ever when I said I rather have the tachycardia then take this and havent had the tachycardia after stopping it also my heart was really low feel like dying every day I don’t have any heart conditions or any other conditions on my body but I just thought if I was taking it for 2 months 50 mg I thought I have to do like 2 weeks or more of 25 mg before stopping it no just one week is what I thought so maybe it go by the dose and no by how long people are taking this

Oh ok good to know this information for how long did you took 25 mg how many months before you decided to stop completely did your doctor reduced you to cut the 50mg succ in half or to the regular dose of 25 mg metoprolol tartrate? Did the myocardial happened before you was put on metoprolol or after ? did you had any heart conditions previous metoprolol or after I don’t know why the nurse told me to do 6 days of half of 25 mg then stopped but after she said so 3 days like literally trying to make me have a heart attack I did 7 days straight 25 mg half and stopped yes my anxiety get worse because I read before that stopping this too soon can cause a lot problems did you had the myocardial after you stopped taking the metoprolol