How did you wean off Metoprolol?

Sotacor mentioned is known by many as Sotalol, just a note for other readers. Strange how I've become more tolerant to physical exertion, but emotions seem to exacerbate my Afib. It all gets back to the AV node that controls the rate of signals passing from the top of the heart to the bottom. For those that can that are more physically fit have a naturally slower rate than those that aren't physically fit. And the AV Node is controlled by the Sympathetic and Parasympathetic Nervous System, so emotions can create the opportunity for a faster rate in people without Afib, governed by the SA Node, but in those of us with Afib, the Afib (fast Atrial Rate) makes it through the AV node more often and symptoms occur.

This still has me obsessed, a life time of periodic assaults by PVCs has made me hyper aware of my heart, I feel every variation (well, most at least) from normal. I had/have the chance to be converted, but reading the literature on Sotalol, something that was going to be used to prevent recurrence, it says only to be used in highly symptomatic patients and I'm not highly symptomatic. One Cardiologist that does ablation for Afib got to experience it for himself, and though he converted pharmacologically, he said some people have mild Afib and horrible symptoms and others have horrible afib and mild symptoms, he said it's an enigma, just unpredictable. Ugh.

Tylenol (acetaminophen) and paracetamol are exactly the same drug compound. Being a long time viewer of a plethora of British TV Shows over the years, and more recently began watching many YouTube shows from England, I'm accustomed to hearing it.

As well as:

Lorry for Truck - Bonnet for Vehicle Hood - Cooker for Stove - Digger for Backhoe - Torch for Flashlight - Lift for Elevator - and many more.

One thing my wife and I find fascinating is that for recipes, they use a scale and weigh the ingredients used rather than measure by volume. And the ovens aren't marked in Temperature, they have a numbering system, one show just yesterday placed bread in the oven and said to set it to #7. The husband asked his wife if she knew the temperature for American and other audiences, she did not.

And don't get me started on pronunciation, we have migraines, they have them too, but we say "Mi Grains" they "Me Grains".

If you want a wonderful break from the hectic life, and want to watch some shows on YouTube my wife and I find very restive, look for the shows on English Canal Boats, most are Narrow Boats, but long, 50 to 75 feet in length is common, and there are a series of Waterway Locks that are manipulated by the person or persons on the boats or by Canal Trust Volunteers. At one time pulled by horse, these modern boats are motorized, usually steered by a Till or Tiller at the Stern End, and some canals (England has a vast system of them) go through tunnels not much bigger than the Narrow Boat - one so small on a show we watched a few days ago that the Husband and Wife turned off the boat motor and pushed their 50 plus foot long boat through the tunnel by pressing against the tunnel ceiling with their hands. Many people live on these boats, and the shows are usually about that with video of their travels.

Just remember, England and America are “two nations divided by a common language”.

Now that you mention it when I first started betablockers almost 3 years ago and told the cardiologist about the overwhelming episodes of tiredness, he said drink lots of water. In any event that's all water under the bridge now. No longer experience the fatigue.

Hi 1943. Were you born in 1943? That could be part of the reason. I was born in 1949 and I have to catnap every day. Part of it is age and part the BP meds, I'm sure. And it could be the same with you.
What I do is get out and garden or shop or go for a walk and that wakes me up. Being dehydrated konks you out as well.

Been on metoprolol succ 50mg bid for about one year and cannot stay awake any chance to call asleep i do. Not at all like me.

Hello Ellamster, I think I have written about my experience of getting off a beta blocker( for the worst case of Afib the cardiologist had ever seen) about 5 times so I won't go into it all again. Suffice it to say that I went from 320 mg of Sotacor per day (the cardiologist said it was a lethal dose and to lower it) to zero through exercise. I pushed my heart every day on a treadmill. It kept beating at 80 beats per minute but I guess it did my heart good because finally I was able to lower the dose as the cardiologist wanted and did so in increments. It remained steady. Like you, last year, I did have a stressful experience and was back on beta blockers for just a few days actually. LOL I just steer clear of ANY and ALL stimulants and that includes sugars and carbs to some degree. No alcohol, chocolate, coffee or tea. And all is kept nice and steady. I maintain that WE can do so much by tuning in to our bodies, doing our own research and altering our lifestyle.

I am very interested in this thread. I have been taking metoprolol for years, since 2007. After a few years, Perindopril was added. To my frustration because I really dislike taking medication 🙁
My heart beat was getting worse, it could feel like a galloping horse, stop, or simply race. In times when the rhythm is erratic, I really feel exhausted. My cardiologist kept upping the dosage, I was at the max at some point and felt terrible. I would want to walk but could not because my heart was beating too slowly to actually do anything.
That being said, years ago I lost weight and felt so much better. I stopped eating added sugar and toned down the carbs. I noticed my heart was very calm and decided to diminish the dosage. By myself though..
I went from 200 and higher to half a tablet of 12.5 per day, then I simply stopped using it for a long time. My heart would sometimes act up, but mostly in times when I remembered and suffered from memories about a painful period in my life, which actually caused so much stress my heart finally reacted to it.
In 2017, something very bad happened and I ended up taking it again. I am on half a 25 tablet per day now.
A 'women's heart' cardiologist told me metaprolol can be considered the 'paracetamol for the heart'. You can take it, or not, if the heart is relatively okay it is okay to stop with it, and see how it goes. Especially since my dosage is low. I am a bit afraid, and I won't do it yet because I have not recovered from the stress of 2017. But I try, i won't give up yet!

What is a Fast Heart Beat, what rate are you talking about.

I'm on Metoprolol Succinate 200 mg in the morning, Metoprolol Tartrate 25 mg in the afternoon, and Metoprolol Succinate 150 mg at night. I'm not experiencing these symptoms that others profess. I'm also on Coumadin, Phenytoin, Zocor, Xyzal, Singulair, Ranitidine, Maxzide, and Vitamin D3.

Yes, certain drugs can, by themselves, or in combination with other drugs, cause some people to experience symptoms that others don't., including tiredness, but so can the issues we're taking the drugs for.

I'm concerned that many read this thread and think Metoprolol cessation is the answer for tiredness, that may not be the case, and those of us taking it should not be discontinuing it without our doctor's advice and supervision.

I get tired from Ibuprofin, significantly, but if I took it every day (not a good idea, but for example) eventually I'd expect that tiredness to subside. The same may happen with Metoprolol, and that noticeable tiredness that some may feel when first put on it should largely subside.

I am on a low dose of metoprolol (12.5mg x2). When I first started taking it, (for an arrythmia) I experienced sleepiness, low b.p. and a slow pulse. I felt like a hibernating bear. Eventually that all disappeared and I dont notice anything anymore.