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.

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@kenny48 I took a very small dose at one time (25 mg/ 1 X a day) and substituted it for another beta blocker (same dosage) and did not have any problems. From your post, it appears like this is a new cardiologist who is making this recommendation?

Teresa

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That is similar to what my doctor has said when I've had to stop for certain procedures or tests. That is, a gradual tapering down. I also take 25 mg/day, split between morning and evening. However, I don't have afib, and I don't take flecainide so my case not identical.

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I’ve had 3 catheter ablations. I was started on 50mg, then to 75mg. Now, I’m on 150mg daily...and my cardiologist is adamant on about the dosage.

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