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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Profile picture for silverkat @silverkat

I took it too, but was suffering from rashes. My doc changed it to carvedelol. which seems to be okay.

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I've been getting terrible rashes too..

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Profile picture for atorgers @atorgers

I was on metoprolol Er 25 mg for about 3 months. My ep then lowered it to 12.5 and now I split that. How long do the side effects last for? I’ve been weaning for about a month now and it is still kicking my butt. Get lightheaded, nausea, been to the ER with tachycardia and they do the normal tests and all come back normal. Scheduled for an ablation on March 5 th to take care of this and the PVCs I’m having. Any help is greatly appreciated!!! I’m also on flecainide and losartan. Just need to get off all of these horrible medications!

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Good luck with your surgery! How are you doing now?

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Profile picture for cturner01 @cturner01

I only took the drug for a month & had some terrible side effects. I did like you cut the pill in half & weened off it.

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How have you been since then?

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Profile picture for rezon8r @rezon8r

Anyone who wants to ween off beta blockers should read my story.
I had a heart attack July 2015 and was placed on beta blockers (metoprolol). I was on 25mg to start, half a pill in morning and evening. Over a few months my pulse was dropping to 43 bpm and my BP was very low. My doctor recommended cutting the dose to half to see how I did. It helped a bit. (12.5mg) once a day.

About 2 months later - out of the blue, my heart started racing 155 bpm and my blood pressure spiked to 180/100. I had chest pain, difficulty breathing, sweating, dizzy... was positive I was having another heart attack. Off to the ER. They did ecg and trope, X-ray... all was fine and my symptoms abated over a few hours.

The next attack happened about 3 weeks later. Same thing. They gave me a hotter monitor and nothing. This went on for a year. I had several stress tests that said all was good. They prescribed lorazepam and told me it was anxiety attacks.
Sometimes my heart rate was 170+ and bp 225/130.
I was in hell. Doing vagel exercises and holding my breath in a bowl of ice cold water. The attacks started to get worse and more frequent. Sometimes waking me up at 4am. The lorazepam did nothing to abate - but still 4 cardiologists, a heart specialist and maybe 25 different doctors wrote it off to anxiety attacks. Yet, after almost 3 years of this, I had strong suspicion it was a rebound effect from the beta blocker.

I tried to ween off it very slow for 2 years. Once I was off for 3 1/2 weeks and then BAM, massive attack that actually registered a tiny trope test. So I had to go back on.

Finally, my heart specialist said let’s switch beta blockers- that metoprolol is a twice a day drug and I was only taking a small amount once a day. So we switched to bisoprolol 2.5mg (half a pill) once a day. This was in August 2018.

The attacks stopped completely. What was happening, yet nobody will admit, was the metoprolol was wearing off every evening before I took my next dose, or shortly after... my body started to produce adrenaline again, and since I had developed billions more adrenal receptors (from being on beta blockers - bodies reaction to the drug), my body would flip out and I would have a hypertension/tachycardia attack.

2 weeks later on the bishoprolol and I felt like crap. Dizzy, no energy, insomnia... but no attacks. Bp and pulse were low so we cut dose to 1.25mg. Felt like crap for a month... then started to feel a little better.
This January, I had had enough of feeling dizzy and no energy. One night my pulse went down to 40bpm and my BP was 190/110. Off to emergency I went. They did all the tests and nothing. So we decided to cut my dose to ween off. I was told by several doctors to just go off cuz it was such a small amount. But having read so much, I thought I should ween. So .65mg tiny thing.

It has been 2 weeks now and I’ve been to ER with crazy high BP twice - but it always comes back down after a few hours on its own. I keep having these attacks again and I’m 100% sure it’s caused by the beta blocker.

This time I’m going to power through even if it kills me. This is a nightmare drug and after almost 4 years of pure hell - I have had enough.

My understanding is although I may be off the drug for months at some point- there is still the physical manifestations of the extra adrenal receptors that will eventually deteriorate as my chemistry normals.

Couldn’t imagine doing this without God. Good luck everyone who is fighting this battle.

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Hi,
How's its been since you've weaned off? I'm currently going through the process.

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Profile picture for glr702 @glr702

Hello,
I took propranolol 10mg 4 times a day for a week. Had horrible side effects, was switched to metoprolol succinate 25mg once a day for 2 weeks, felt a little better but still many side effects, so I was on them for about 3 weeks only. I tapered down and took the last dose 6 days ago. The first day was horrible, then a little better the second, same on the third. However, I’m still having palpitations, dizziness, head feeling weird, some tachycardia (somewhat less today), weakness. I’m much better than when I was on the medication, that’s for sure. I had almost all of the side effects I could get and even ended up dehydrated in Urgent Care, also got anxiety for the first time in my life which has been horrible. So, my main question is: am I any close to the end of this road? I don’t know if I’ll ever be able to feel like myself again. I was put on this for occasional hypertension and tachycardia, which I believe was caused by stress. I would appreciate it so much if someone could help me with their experience. Thank you so much

I’m listing all the side effects I had with these medications, sorry for the long post:
✔️Blurred vision
✔️chest pain or discomfort
✔️like electrical current in head
✔️tingling, chills like on arms, back and head
✔️confusion
✔️palpitations
✔️dizziness, or lightheadedness when getting up suddenly from a lying or sitting position
✔️hair loss
✔️dry mouth
✔️hot flashes/heat intolerance
✔️sweating
✔️unusual tiredness or weakness
✔️insomnia, nightmares
✔️soft stools
✔️difficult or labored breathing
✔️difficulty with speaking
✔️extreme tiredness or weakness
✔️fast, pounding, or racing heartbeat or pulse
halos around lights
✔️headache
✔️overbright appearance of lights
✔️lose weight
✔️seeing, hearing, or feeling things that are not there
✔️tightness in the chest
✔️tingling of the hands or feet
✔️troubled breathing
✔️continuing loss of appetite that got to the point when only could eat liquids
✔️continuing abdominal pain
✔️continuing nausea
dark urine
✔️difficulty with moving
fever
✔️general tiredness and weakness
✔️hoarseness
✔️increased frequency of urination
✔️muscle pain
✔️sore throat
✔️sores, ulcers, or white spots on the lips or in the mouth-white tongue
✔️unpleasant breath odor
✔️weakness
✔️anxiety

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How long did it take to feel better after discontinuing? Was your blood pressure still high after going off the metoprolol?

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I have 20k heart pvcs. Will have a ablation March 12th. Hopefully no more medication after that

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I only took the drug for a month & had some terrible side effects. I did like you cut the pill in half & weened off it.

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Profile picture for healthytoday @healthytoday

Good luck. It gets so confusing. I'm on metoprol also. I've given up weining off of it, cause I feel much better when on my dosage. There are annoying side effects such as low libido and little energy or interest in doing anything, this also goes along with the covid life style etc. I told my dear cardiology team at Scottsdale Mayo Clinic 3 years ago, that I didn't want an ablation since the idea of it scared me. Instead we did three cardioversions that didn't hold, they usually don't. Put on .....heart med who's name I've forgotten...that worked for about a year until Christmas and the holiday stress just slammed me out of rhythm and I gave it up. Then metoprol was recommended to slow the heart rate and see how I felt. By this time I was living in Carson City Nv and no longer a patient at the Mayo Clinic, though my cardiology said, if you need something major done, your going back to the Mayo, right? Decided then I'd keep it together with low salt and sugar, no caffaine (except alittle dark choc, I mean alittle). This helped. Also I study Christian Science and practiced affirmations of health and prayer, and this helped. Also received theraputic massage weekly, love this. Anyway, have improved alot. Maybe there is something better for me, but I'm exhausted by the process. At my lowest point 6/16, was in serious heart failure. Now just afib with leaky heart valves. I'm 73 and live with my husband, daughter and one granddaughter.

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I took metropolol for a few years until i discovered it was giving me rash breakouts. When I informed my cardio doc he switched me to carvedolol. That seems to be working fine with no outbreaks so far.

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Good luck. It gets so confusing. I'm on metoprol also. I've given up weining off of it, cause I feel much better when on my dosage. There are annoying side effects such as low libido and little energy or interest in doing anything, this also goes along with the covid life style etc. I told my dear cardiology team at Scottsdale Mayo Clinic 3 years ago, that I didn't want an ablation since the idea of it scared me. Instead we did three cardioversions that didn't hold, they usually don't. Put on .....heart med who's name I've forgotten...that worked for about a year until Christmas and the holiday stress just slammed me out of rhythm and I gave it up. Then metoprol was recommended to slow the heart rate and see how I felt. By this time I was living in Carson City Nv and no longer a patient at the Mayo Clinic, though my cardiology said, if you need something major done, your going back to the Mayo, right? Decided then I'd keep it together with low salt and sugar, no caffaine (except alittle dark choc, I mean alittle). This helped. Also I study Christian Science and practiced affirmations of health and prayer, and this helped. Also received theraputic massage weekly, love this. Anyway, have improved alot. Maybe there is something better for me, but I'm exhausted by the process. At my lowest point 6/16, was in serious heart failure. Now just afib with leaky heart valves. I'm 73 and live with my husband, daughter and one granddaughter.

REPLY

I was on metoprolol Er 25 mg for about 3 months. My ep then lowered it to 12.5 and now I split that. How long do the side effects last for? I’ve been weaning for about a month now and it is still kicking my butt. Get lightheaded, nausea, been to the ER with tachycardia and they do the normal tests and all come back normal. Scheduled for an ablation on March 5 th to take care of this and the PVCs I’m having. Any help is greatly appreciated!!! I’m also on flecainide and losartan. Just need to get off all of these horrible medications!

REPLY
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