How did you wean off Metoprolol?
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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I have been on metoprolol tartrate 25 mg twice a day for 4 days. Was on atenolol wanted my heart rate to come down always running 115 or so..the metoprolol has made me feel awful!! Light headed,dizzy my anxiety is awful. Went to er due to my bp dropping to low and not feeling right. Ekg normal..blood work normal. Today on 12.5 tapering down will start on atenolol 25 mg tomm what I was on before. Worst drug ever still have heart palpitations and anxiety. I hope I go back to normal when I start back on atenolol.
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2 ReactionsWow I hope you continue getting better. I am on a pure diuretic now and had side effects for a couple of weeks but now I’m feeling much better on this one. I hope your new doctor will put you on that! The sartan family of bp pills caused my tremendous joint pain so I am sorry you had that too but glad you’ll feel better getting off that one as well!
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2 ReactionsSorry to hear of your issues. Drugs and related drugs that can cause Anaphylaxis (such as Penicillin in some), must be carefully watched. I was on a Beta-Blocker known to interact with a medication a neurologist was trying to prescribe. I told him so, and he said I was wrong. I refused to accept it from him, so he phoned a cardiologist friend of his. After getting off the phone, it was now "Let's take you off your medication first, and then we'll start this". And to think many people walk out with prescription in hand. Pharmacists are people to talk to about interactions, possibly more knowledgeable than the Doctor. Years later, also on a Anti-Epileptic Drug, I had to inform another physician that the antibiotic he was prescribing was contraindicated by my medication. He corrected it with no protest. The pharmacy likely would have caught it as well.
I can't advise medically, I hope you find the source. Though not advocating the medication, after suffering pain in my arm (not heart related) for months, I went to the doctor, he prescribed Orudis (Spelling? And I don't think it's on the market anymore). It's chemically related to Ibuprofen, and I figured it wouldn't work, as I tried Ibuprofen already. Voila, the pain went away. Sometimes it takes a while to figure out the correct medication for the particular problem. Keep in touch with the Doctor.
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2 ReactionsI am currently going on the treadmill 10 minutes per day at 3 mph, stretching and weights of 5 lbs for another 5 minutes
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1 ReactionCan you tell what heart exercises you are taking?
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1 ReactionI suggest that you get more exercise, preferably aerobic if you can. Cut out all stimulants including coffee and alcohol. Even on morning coffee can get your heart going off track. It worked for me and I am 25 years free of a very serious case of Afib.
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2 ReactionsSounds good, I too am weaning myself off of Metropolol 25 mg twice per day and Sandoz Levetiracetam 500 mg twice per day.. I had lower back pain of 10 on a scale of 1 to 10. I cut it in half twice per day and back pain went to a 5. My mind was not as dull and I could think properly again but not as sharp as before i was put on this drug by the Cardiologist. My Neurologist suggested i try this approach and he was correct about the side effects and said I should cut back slowly. I have cut back the medication over a 6 week period.
The effect of this drug on the mental capacity reduction is quite dramatic. I then cut the medication to just once per day at 12.5 mg in the evening.only. My mind has gone back so I can now do mental work again during the day. As an engineer that is quite significant.
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1 ReactionAgreed! And I am fully aware of the potential consequences of stopping BP meds. And that is why I made sure to mention those potential consequences. But since I likely have Covid, having been exposed to it and having all the classic symptoms, I am faced with another risk factor, also potentially serious. My cardiologist agreed with the report stating that he did not recommend stopping the BP meds. Not enough testing has been done at this point. There have to be human trials etc.. We shall see down the road what comes of it.
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3 ReactionsHi @afrobin, The Canadian Cardiovascular Society (CCS) is giving the same recommendation as your doctor and the information that @mayofeb2020 quoted from the American Heart Association (AHA), the American College of Cardiology (ACC), and the Heart Failure Society of America (HFSA).
Here is the statement from CCS: https://www.ccs.ca/images/Images_2020/CCS_CHFS_statement_regarding_COVID_EN.pdf
"COVID-19 and concerns regarding use of ACEi/ARB/ARNi medications for heart
failure or hypertension
The Canadian Cardiovascular Society and the Canadian Heart Failure Society
strongly discourage the discontinuation of guideline directed medical therapy
(GDMT) involving Angiotensin Converting Enzyme Inhibitors (ACEi),
Angiotensin Receptor Blockers (ARB) or Angiotensin Receptor Neprilysin
Inhibitors (ARNi) in hypertensive or heart failure patients as a result of the
COVID-19 pandemic.
Cessation of these drugs in stable patients can lead to
uncontrolled hypertension and increased hospitalizations for heart failure with an
unnecessary increase in health care utilization, straining our valuable inpatient
hospital resources. Although preclinical data has shown that the COVID-19 virus (also
known as SARS-CoV-2), uses the SARS-COV receptor angiotensin converting enzyme
(ACE) 2 for entry into target cells, there is NO clinical evidence at this time to support
withdrawal of these agents. Please continue GDMT.
Robin, I know that you are concerned about the balance of power sitting with pharmaceutical producers and you are right to question the prescribing habits of your doctor and to determine with your medical professionals what is right for you. Please keep in mind that drugs can save lives and help people manage chronic conditions and enable people to have a improved quality of life. What is right for one person may not be right for another. Hence professional associations and societies produce guidelines based on population numbers for doctors to adapt to the needs of their patients individually.
All,
At this time, it is recommended to continue taking heart medications as prescribed. Here's another great article from Mayo Clinic News Network
- Expert Alert: Have heart disease? Protect your health during the COVID-19 pandemic https://newsnetwork.mayoclinic.org/discussion/expert-alert-have-heart-disease-protect-your-health-during-the-covid-19-pandemic/
I wish everyone to stay heart healthy during these trying times, and do your best to avoid needing to go to the hospital for a cardiac event.
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3 ReactionsI have read about this and was concerned because I do have Covid symptoms...or the worst flu + bronchitis I have ever had in my life, was exposed to someone returning from overseas who was coughing and am awaiting test results. I contacted my cardiologist and he said basically what is written above and that he would not prescribe just diuretics or some other safer BP drug. I understand that it is impossible for doctors to go up against Big Pharma without serious repercussions.
So I decided to take a risk of stroke or heart attack and stop the ARB drug I am on (Candesartin) and my symptoms are a bit better but nothing dramatic so far. I have just started taking 3x per day a 'natural' product BP Esssentials by Julian Whitaker, a Canadian product that is Hawthorne Extract and Fish Protein Powder. It's better than nothing...and we shall see if my BP comes down...because, of course it is up to 160/100.
One interesting thing that I definitely notice is that I am no longer stiff or achy when I get up from being seated or get up in the morning or lift up my grandchild etc..
I think a major diet and much more activity is necessary to get my BP down...and hopefully avoid taking any BP drug.
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