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

Hello Always Hope,
After a period of AFib where I did not have 3 steady beats in a row all day, every day..to the point where I felt faint all the time and the Holter monitor malfunctioned. I was put on the maximum dose of a beta blocker, Sotalol. I felt like an old lady but I was only 46 years of age. For almost 2 years I took that drug. The cardiologist told me that my heart could stop at such a high dose and to try to reduce it even by a bit. Try as I might, even cutting out 1/2 a tablet of the 4 I was taking daily, sent my heart into a tailspin.
I read that exercise can reduce arrhythmia and palpitations and I joined a gym. I went every day but Sunday for 35 minutes on the treadmill and then strength training for another half hour. I gradually reduced the dose of beta blocker and my heart remained steady. I was elated! At the end of a month, I was completely off the beta blocker.
My cardiologist said it wouldn't last. I kept going to the gym for 4 months. My heart remained strong and steady...and here I am 24 years later and my heart is fine. No issues whatsoever.
But I am sure half the secret is: since that dark period 24 years ago, I have cut out all stimulants; absolutely no coffee, tea, Coke, decongestants, any ephedrine drugs used in dental freezing or supplements that can be stimulating and alcohol. I have a friend with AFib who prefers to take the beta blocker so that he can enjoy his wine and morning coffee. For me...no thank you! I would rather be off those drugs and their horrible side effects.
Whenever you can, go the 'changes to one's lifestyle' route. Exercise and avoiding stimulants. It worked for me and my extreme AFib. So, it stands to reason that it CAN work for others.

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Hi AF Robin, It's taken me a while and a lot of research to understand why I'm feeling this way, And by the grace of God in His wisdom He led me to the Mayo Clinic forum for more help and info. Unfortunately, now my mobility is diminished. I have still been taking the 12.5 mg in the morning. How did you gradually reduce your dosage? Thank you for the great advice and God Bless You.

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@sue225

I was told by my cardiologist that you cannot stop metoprolol cold turkey as doing so can cause serious heart problems.

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Exactly! That is just what my cardiologist told me. Over a month I gradually tapered off the beta blocker.

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Hello Always Hope,
After a period of AFib where I did not have 3 steady beats in a row all day, every day..to the point where I felt faint all the time and the Holter monitor malfunctioned. I was put on the maximum dose of a beta blocker, Sotalol. I felt like an old lady but I was only 46 years of age. For almost 2 years I took that drug. The cardiologist told me that my heart could stop at such a high dose and to try to reduce it even by a bit. Try as I might, even cutting out 1/2 a tablet of the 4 I was taking daily, sent my heart into a tailspin.
I read that exercise can reduce arrhythmia and palpitations and I joined a gym. I went every day but Sunday for 35 minutes on the treadmill and then strength training for another half hour. I gradually reduced the dose of beta blocker and my heart remained steady. I was elated! At the end of a month, I was completely off the beta blocker.
My cardiologist said it wouldn't last. I kept going to the gym for 4 months. My heart remained strong and steady...and here I am 24 years later and my heart is fine. No issues whatsoever.
But I am sure half the secret is: since that dark period 24 years ago, I have cut out all stimulants; absolutely no coffee, tea, Coke, decongestants, any ephedrine drugs used in dental freezing or supplements that can be stimulating and alcohol. I have a friend with AFib who prefers to take the beta blocker so that he can enjoy his wine and morning coffee. For me...no thank you! I would rather be off those drugs and their horrible side effects.
Whenever you can, go the 'changes to one's lifestyle' route. Exercise and avoiding stimulants. It worked for me and my extreme AFib. So, it stands to reason that it CAN work for others.

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@alwayshope1

Yes I've been taking Metoprolol succinate. Metoprolol succinate is an extended-release version of metoprolol, so it remains in your bloodstream for a longer time. Metoprolol tartrate is an immediate-release version of metoprolol.

I started 12.5 mg once daily for over a year now for a fast resting heart rate, and yes I am having growing problems with muscle cramps, spasms, stiffness and joint pain which makes no sense to me. It has caused a lot of anxiety and making it difficult to walk. I contacted my cardiologist and PCP and both stated definitely not to quit, reduce the dosage until something else could be prescribed.

Unfortunately, I lost my medical insurance and could not make an office apt to see the cardiologist or PCP for a different prescription naturally they would not prescribe another medication without seeing me.

The muscle spasms, cramps and stiffness are definitely a side effect. On some websites it's considered "less common" but it is listed (also on the Mayo Clinic website)

After significant research I found that metoprolol has an "anti-anxiety" agent which relaxes and lowers the heart rate. This can make it difficult for some people to quit cold turkey because after long term use the body can build a dependence on it so after consulting your doctor, reducing the dosage until another medication is prescribed makes sense for some.

Also, there are some people who are sensitive to Beta Blockers, I'm also one of them. I have searched and searched to understand what specifically in metoprolol causes this condition but can't find anything that explains it.There may possibly be vitamin or supplement that may help?

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I was told by my cardiologist that you cannot stop metoprolol cold turkey as doing so can cause serious heart problems.

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@jlbyrd975

I've been on metoprolol about 8 months for one bout of afib. I was prescribed 25mg twice daily. I took that for 2 days and my pulse was in the 40s so went down to once a day. It was still low 50s so I went to 12.5 and have been on that for most of the time. My resting pulse is mid 60s which is lower than it's been my whole life. I'm sensitive to most drugs and metoprolol I think is one of them. I'm having terrible back and hip pain to the point of it affecting how I walk. I've told my cardiologist and my pcp but they both say metoprolol isn't the cause especially at such a low dose. Tonight I started halving the 12.5 and will use that for a week and then stop. If after a few weeks if the pain goes away I'll know it was the drug and see what alternative drug is suggested by my cardiologist. Has anyone else had back and hip pain?

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Yes I've been taking Metoprolol succinate. Metoprolol succinate is an extended-release version of metoprolol, so it remains in your bloodstream for a longer time. Metoprolol tartrate is an immediate-release version of metoprolol.

I started 12.5 mg once daily for over a year now for a fast resting heart rate, and yes I am having growing problems with muscle cramps, spasms, stiffness and joint pain which makes no sense to me. It has caused a lot of anxiety and making it difficult to walk. I contacted my cardiologist and PCP and both stated definitely not to quit, reduce the dosage until something else could be prescribed.

Unfortunately, I lost my medical insurance and could not make an office apt to see the cardiologist or PCP for a different prescription naturally they would not prescribe another medication without seeing me.

The muscle spasms, cramps and stiffness are definitely a side effect. On some websites it's considered "less common" but it is listed (also on the Mayo Clinic website)

After significant research I found that metoprolol has an "anti-anxiety" agent which relaxes and lowers the heart rate. This can make it difficult for some people to quit cold turkey because after long term use the body can build a dependence on it so after consulting your doctor, reducing the dosage until another medication is prescribed makes sense for some.

Also, there are some people who are sensitive to Beta Blockers, I'm also one of them. I have searched and searched to understand what specifically in metoprolol causes this condition but can't find anything that explains it.There may possibly be vitamin or supplement that may help?

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@healthytoday

It's possible to take too much vit d, Do ur homework.

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The level quoted in this article on MayoClinic is 30 times higher than the 2000 IU that I take. I don't believe in Mega Vitamins myself, but 2000 IU has been beneficial for me. For those on Medications, or with illnesses, consulting a Doctor might be best before taking any supplement.
https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/expert-answers/vitamin-d-toxicity/faq-20058108

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@sue225

About a year after starting Metoprolol, my normally low blood pressure, (which initially went even lower on Metoprolol) started to climb. Cardiologist thought this was normal part of the aging process. Since it was sometimes high and sometimes not, I had the bp monitor test done and was told to monitor at home. Anyway, I thought it was weird that this was happening. Coincidentally, my appt with the specialist for osteoporosis was around this same time. Bloodwork showed my VitD levels were low. Started taking VitD religiously (1000iu to 2000iu daily). Within a few months, blood pressure back to my normal/low level and it has stayed that way.
I asked a bp specialist if there was a connection and he said there had been some small studies done showing a link.
So far no new meds needed!

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My email backed up. Sorry for taking longer to respond. I'll keep your discovery in mind. My neurologist tested the Vitamin D3 levels, and it's good, she was concerned I wasn't taking enough.

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@healthytoday

I think memoirs are marketable and have been in the past, but you didn't write it as a marketable piece it seems to me. You wrote it as a way to express your feelings and issues, and writing is a good way to get them out of your system. I have about 35 years worth of journels. I do ponder their fate. I am getting closer to the idea of taking them to a blm campground this summer with a fire pit, and having a goodbye fire. I'd like to let go of the past though I have plenty of cool drawings in them. I'm not a writer.

I'm 71 with an annoying heart problem (afib etc) and want to explore completion with all my life's loose ends. Therefore, I just made a donation to an antique store of misc antiques and some small paintings. I have given many misc objects here and there. My main purpose now is to place valued objects in the right place. Three years ago I sent ancestral photos to Historical Societies in Indiana and New York. They were appreciate to receive the donation for there collections. Jung says the end of life should be a process of completion. Not that I'm going to heaven tomorrow, but placing these things holds meaning.

Jump to this post

@healthytoday Perhaps I misled you - I did initially have a book agent during my sister's long illness (cancer) who encouraged me to write a novel. I had already published a story in a NY magazine. She obtained an editor at Simon & Shuster who read and critiqued the memoir, liking it, but wanted me to lengthen it and add more characters. I was redoing it for about 6 months or so and was unfortunate as the editor had to retire and care for her father in Charleston during the time I was at work building the novel. Then too
my agent retired so I was whammed at all ends with getting to a publisher. Just to say, I both wrote it for distraction and I did intend to
have it published , if possible. Also, from New York publishing people I've touched base with - first novel memoirs are tough sells - I was encouraged to work on the mystery novel which I had already started. They are popular now. We all have different stories, I guess.

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@sapphira

as to publishing a first novel - a memoir - quite difficult. I tried two agents - one sent me a lovely rejection letter - seriously - She thought it was well written,
but it didn't "grab" her. Memoirs are not marketable so I'm told so I began to write a mystery, but stopped writing as I find it too confining. It keeps me indoors too much - and I need to walk and do more activities. I could self-publish but I find that a bit egotistical and costly. I'd want my memoir/novel published on it's merits, not as an ego trip. All is in abeyance at the moment.

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I think memoirs are marketable and have been in the past, but you didn't write it as a marketable piece it seems to me. You wrote it as a way to express your feelings and issues, and writing is a good way to get them out of your system. I have about 35 years worth of journels. I do ponder their fate. I am getting closer to the idea of taking them to a blm campground this summer with a fire pit, and having a goodbye fire. I'd like to let go of the past though I have plenty of cool drawings in them. I'm not a writer.

I'm 71 with an annoying heart problem (afib etc) and want to explore completion with all my life's loose ends. Therefore, I just made a donation to an antique store of misc antiques and some small paintings. I have given many misc objects here and there. My main purpose now is to place valued objects in the right place. Three years ago I sent ancestral photos to Historical Societies in Indiana and New York. They were appreciate to receive the donation for there collections. Jung says the end of life should be a process of completion. Not that I'm going to heaven tomorrow, but placing these things holds meaning.

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@sapphira

writing can help a lot - I wrote a novel during my sister's illness. It was a form of distraction for me after visiting and caring for her. Helped me a lot during that time.

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I wrote a short story when I didn't understand my husbands actions etc. It really helped.

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