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.

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@amandaa

Hi @jankanrite, Welcome to Mayo Clinic Connect. I am so sorry to hear you are having a problem with the physician prescribed medication Metroprolol as well. It seems the symptoms with these medications are increasing. Did your doctor stop you cold turkey like @mc4777 physician did? Are you having the same symptoms or are there others that you wish to share, as well?

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I tell the doc that the med is fine, because, I know the next step would be trying a different one. And that whole process has proved to be a pain. I'd like to go off all of them. Metroprolol is like driving a car with one foot on the excelerator and one on the brake. After raking leaves, the brake wins and I sit down winded. With less of the med, I can go on alot longer, but eventually feel a bit odd and get the swelling in my abdomen. I just hang in there.

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Hi @jankanrite, Welcome to Mayo Clinic Connect. I am so sorry to hear you are having a problem with the physician prescribed medication Metroprolol as well. It seems the symptoms with these medications are increasing. Did your doctor stop you cold turkey like @mc4777 physician did? Are you having the same symptoms or are there others that you wish to share, as well?

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@mc4777

Thank you Both for listing your side effects. I am on Metropolol
50 mg now cut to 25 mg 1 day then stopped cold turkey as per my Dr. and I was having at least 3/4 of the symptoms you both mentioned. Plus low heart rate, crazy palpitations. It’s only been 2 days so at least I have hope these symptoms will slowly subside. Dr. Switched me over to calan sr 120 mg for my blood presure and to help with palpitations. Plus a small dose of Xanax as needed for anxiety.
I noticed
terrible gas,
loose stools,
nightmares,
Dizziness turning over in my sleep caused the room spinning,
Losing weight
Low heart rate 45
Bp low 100/65
Dry mouth
Difficult breathing
Fatigue
Heart palpitations
Anxiety
Depression
hair loss
I am so glad to hear that these will subside slowly.
Thank you for giving me insight and hope. This is terrifying to go through alone!
They should add all these symptoms to the RX pamphlet!

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I am having the same problem:/

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@scottij

I did not mean to imply that I made that decision on my own. As my original post indicates I trust my professionals. My cold turkey quit was approved by my cardiologist and aided by having taken it for so short a period.

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I wish I could go off of Metetc, but when I half it, I get rather manic, and them my abdomen swells from fluid and I just go back on the recommended dosage (which is low). I want my better mental function back and more energy, but, that's the price I pay. I'll talk to the doc about it next visit. The slow release works better.

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@hopeful33250

Hi @lucky1038,

There are other beta-blockers, other than Metoprolol, that don't have the same side-effects. If you talk with your doctor he can probably find a replacement med for you.

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thx

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@lucky1038

thanks for sharing. i am glad you had a fix. I take metoprolol and am having increasing difficulty with an itchy throat and sinus pressure. I have to sit up and cough -- it keeps me awake.

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Hi @lucky1038,

There are other beta-blockers, other than Metoprolol, that don't have the same side-effects. If you talk with your doctor he can probably find a replacement med for you.

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@scottij

I did not mean to imply that I made that decision on my own. As my original post indicates I trust my professionals. My cold turkey quit was approved by my cardiologist and aided by having taken it for so short a period.

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I'm glad that you clarified that, @scottij!

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I did not mean to imply that I made that decision on my own. As my original post indicates I trust my professionals. My cold turkey quit was approved by my cardiologist and aided by having taken it for so short a period.

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@scottij

I took metoprolol for a very short period before and after mitral valve surgery (subsequent heart transplant alleviated the need for a beta blocker). I hated the metoprolol and quit cold turkey though I was not on it more than two months total. No issues for me in stopping.
Good luck and...
Best always,
s!

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Hello @scottij,

While I'm glad to hear that you had no issues after going off the metoprolol it is always best to contact your doctor if a medication is causing a problem and get a different script or a plan to reduce the med with the doctor's approval. This is especially true for meds that affect the heart and/or blood pressure.

I also took metoprolol for a short time and didn't do well with it. I contacted my cardiologist and told him about the problem. He prescribed a similar med, but one that did not have the side-effects.

Remember to contact your prescribing physician before removing a med and check to see the correct way to do so.

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I took metoprolol for a very short period before and after mitral valve surgery (subsequent heart transplant alleviated the need for a beta blocker). I hated the metoprolol and quit cold turkey though I was not on it more than two months total. No issues for me in stopping.
Good luck and...
Best always,
s!

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