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 suzanne2019 @suzanne2019

Y p.o ur dose is low but that is reported the #1 worse beta blocker on the market! I did a lot of research and weaned myself off due to my extreme side effects just like yours. I have heard so many similar stories on this site from this drug. Dont take it anymore!!! So happy I stopped taking it!!!

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Could you list a link to an article about Metoprolol being the worst beta blocker on the market, I simply don't see that. My Cardiologist doesn't prefer it, at least the Succinate Version, but I'm fine on it, succinate and all. The hospital put me on it and my family doctor keeps me on it. But I had taken Inderal LA for years, and when I went into afib was on Acebutolol (rather than Inderal, which later was switched to Atenolol, then switched to Acebutolol, this over a period of many years) in a large dose, but I didn't notice any problems with Metoprolol Succinate, save before they raised the dose high enough. I left the hospital on 200 mg Tartrate, I asked my family doctor to prescribe the Succinate, and technically, my Cardiologist told me to take 400 mg Succinate as 200 mg in the morning, and 200 mg in the evening. But I take, with my family doctors guidance, 200 mg Metoprolol Succinate in the morning, 25 mg Metoprolol Tartrate at 2:00 PM, it gets me through the afternoon more smoothly, and the pharmacy spoke with the doctor, most people don't take most forms. I then take 150 mg Metoprolol Succinate in the evening.

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Profile picture for nancynana4 @nancynana4

I’ve been taking 12.5 mg metoprolol succ Er once a day for only the past 3 days. Totally messing me up mentally. Constantly crying, depression, my head feels weird, panicking. I’m done with this prescription. Prescribed for when my heart rate gets very high when in stressful situation.

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I take 200 mg Metoprolol Succinate in the morning, 25 mg of Metoprolol Tartrate at 2:00 PM, and 150 mg of Metoprolol Succinate in the evening. That's a total of 350 mg Metoprolol Succinate AND 25 mg Metoprolol Tartrate. Plus I take Coumadin, Phenytoin, Zocor, and Singulair, and that's the short list.

Beta Blockers are known to calm people down, they've been safely used where people experience effects of Adrenaline, such as performers might have before going on stage. I'm not dismissing the symptoms you have, medications can produce idiosyncratic reactions in a small number of patients, but if you were prescribed Metoprolol to tame a fast heart rate, you likely will need to be taking something. My heart, I feel every irregularity in the rhythm, well, practically every one, but many people don't feel anything, despite how fast, or irregular, their heart rate is.

Your doctor, and you, must make decisions on what medication you should be taking. Don't rely on Forum Discussions, they can help, but you need to tell your doctor the problems you're having, and if necessary, try something else under his guidance.

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Profile picture for Soliloquized @soliloquized

Before reducing, you should consult your doctor. He or she should have advice on weaning to 12.5 mg if an issue exists. Consulting Google for a Toprol XL 25 mg pill, it shows it as white, oval tablet scored in the middle, so breaking it in half with your doctor's awareness should be easily done. Why are you taking it, I'm taking it because I'm in afib and otherwise develop fast rhythms.

I'm currently on 400 mg Metoprolol Succinate (Long Acting) taken as 200 mg twice per day. I may be put on Sotalol in the hospital and monitored for 2+ days. My point in relating this to you is that although Sotalol is a special kind of combination beta blocker and anti-arrhythmic, I'll be stopped from my 400 mg Metoprolol overnight, no taper.

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Hi, so how are you now without metoprolol? Did everything work out fine?

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I had this a few years ago and I had the same side effects. My doctor prescribed it because sometimes my heart rate goes very high, but I just couldn't tolerate it. My son in law had this too and had to give it up.

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Profile picture for nancynana4 @nancynana4

I’ve been taking 12.5 mg metoprolol succ Er once a day for only the past 3 days. Totally messing me up mentally. Constantly crying, depression, my head feels weird, panicking. I’m done with this prescription. Prescribed for when my heart rate gets very high when in stressful situation.

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Hi @nancynana4, welcome to Mayo Clinic Connect. It sounds like you're having a very rough time. Might I suggest that you call your doctor first thing in the morning? You'll want to let him/her know how you are feeling and that you suspect these symptoms are because of the medication. @sue225's right that 3 days isn't very long to judge. @suzanne2019 is also right that drugs can cause side effects. Everyone is different. And no one can tell you what you should or shouldn't do. That's between you and your doctor. Your doctor uses medical knowledge and evidence to make a recommendation. Only you can tell the medical professional how it effects you. There are choices. I hope you'll call in the morning and report back what you learned.

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Profile picture for nancynana4 @nancynana4

I’ve been taking 12.5 mg metoprolol succ Er once a day for only the past 3 days. Totally messing me up mentally. Constantly crying, depression, my head feels weird, panicking. I’m done with this prescription. Prescribed for when my heart rate gets very high when in stressful situation.

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@nancynana4maybe you should stay on it a little longer: three days isn't enough to decide. Maybe your body will adjust. I have been on the metoprolol tartrate for over three years to control an arrythmia. I had different side effects for 10 months! but I liked how all my pounding and fluttering and racing sensations vanished. My doctor tried me on bisoprolol , atenolol, metoprolol and I chose the one which at the time was the least offensive in terms of side effects. And eventually my body gave up rebelling against the drug. Let your doctor know, and know that there are other meds within the betablocker family to try.

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Profile picture for nancynana4 @nancynana4

I’ve been taking 12.5 mg metoprolol succ Er once a day for only the past 3 days. Totally messing me up mentally. Constantly crying, depression, my head feels weird, panicking. I’m done with this prescription. Prescribed for when my heart rate gets very high when in stressful situation.

Jump to this post

Y p.o ur dose is low but that is reported the #1 worse beta blocker on the market! I did a lot of research and weaned myself off due to my extreme side effects just like yours. I have heard so many similar stories on this site from this drug. Dont take it anymore!!! So happy I stopped taking it!!!

REPLY

I’ve been taking 12.5 mg metoprolol succ Er once a day for only the past 3 days. Totally messing me up mentally. Constantly crying, depression, my head feels weird, panicking. I’m done with this prescription. Prescribed for when my heart rate gets very high when in stressful situation.

REPLY
Profile picture for suzanne2019 @suzanne2019

Omg. So many people have the same symptoms I had. I stopped taking it all together.my right foot had a rash on it and I couldn't figure out what it was. I put all kinds of stuff on it thinking maybe it was a fu gus because it was so itchy. My chest was tight all the time
As soon as I weaned myself off during g a week period my rash went away! My chest tightness gone!. That stuff is horrible. My anxiety was through the roof. Now I have to take herbs for my anxiety until I retrain my brain!! Good luck!

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What r u going to do about ur afib.

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Profile picture for amberj @amberj

Hi, I’m having a lot of the same symptoms as you, my Dr is going to wean me off of it soon, I’m on 50 mg a day, the side effects are miserable. My eyes are constantly watering, my nose pores like a faucet,anxiety,muscle pain, all my toes on my right foot are sometimes blue and staying cold and swollen, sick stomach, sunshine and lights are hurting my eyes. And a Lot more, it just takes me forever to type, it’s not helping my BP it’s still running high. I have COPD and a my breathing meds causes a lot of these symptoms but not the worst ones that’s all metoprolol, the cold sweats are getting worse. I’m taking it for Afib. But I just wanted to let you know how your side effects are so mine also.

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Omg. So many people have the same symptoms I had. I stopped taking it all together.my right foot had a rash on it and I couldn't figure out what it was. I put all kinds of stuff on it thinking maybe it was a fu gus because it was so itchy. My chest was tight all the time
As soon as I weaned myself off during g a week period my rash went away! My chest tightness gone!. That stuff is horrible. My anxiety was through the roof. Now I have to take herbs for my anxiety until I retrain my brain!! Good luck!

REPLY
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