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.

@afrobin

...and, Soliloquized, if you want to get your heart REALLY thumping and exacerbate Afib, you can watch the YouTube series, Nightmare Neighbour Next Door! Love the gardens, the accent...and the crazy (gunless) way neighbours settle their disputes! My daughter showed me how to watch the shows on the TV through our 'Google assistant'.

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I'll have to give it a peek. We watch via the Roku, and for non-YouTube videos on other sites, often you can Video Cast them from the Tablet Computer through the Roku. It just sends the video address to the Roku, somehow, you can shut the tablet off once the video starts.

I get emotional about music. Not listening often, I could drive across the country and back and never turn on the radio. But when I listen, I listen to evocative stuff, some quite weird, some classical, a lot of Electronic music, but darn, my afib acts up then, too, short runs breaking through, not really runs per se, just faster than my resting heart rate at the time for several beats.

I went to get my PTINR taken for the Coumadin, and I got into an altercation with another driver, it took hours for my heart to settle down. But I'm talking resting Heart Rate in the 60s, and after the altercation, it was in the 80s, but before this all started, on medication, it was in the 50s.

Nightmare Neighbour Next Door, maybe tonight. If I remember, I'll take my heart rate before and during. LOL.

Thanks.

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...and, Soliloquized, if you want to get your heart REALLY thumping and exacerbate Afib, you can watch the YouTube series, Nightmare Neighbour Next Door! Love the gardens, the accent...and the crazy (gunless) way neighbours settle their disputes! My daughter showed me how to watch the shows on the TV through our 'Google assistant'.

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@afrobin

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.

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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.

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@ellamster

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!

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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”.

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@afrobin

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.

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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.

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@1943

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.

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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.

REPLY

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.

REPLY
@ellamster

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!

Jump to this post

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.

REPLY

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!

REPLY
@lbryant

I was prescribed metoprolol, years ago at least 15, due to pvc's. Which at the time wasn't known why I was having them. Few years later I was diagnosed with panic/anxiety. Which I think was the cause of my racing heart. I also take vasotec for high BP. But that is not why I was prescribed metoprolol.
Lately my BP has been running low so I decided on my own to slowly taper off metoprolol. I was on 50mg and have cut down to 25mg that I will maintain for about 2weeks then half it again. I've done this with several meds I've weaned off of. But I have developed a fast heart beat, after a few days at this mg. Is this normal when weaning off this drug?

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

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