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.

I take the same, but I have slightly elevated blood pressure. Is your blood pressure normal?

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@wes13

Hi,
I hope all is well with you. How’s your weaning off journey? I’m trying to do the same because my body hasn’t been itself since Sept 2020 and I’m on 25 mg. I have almost every side effect and it was worse when my dose was higher.

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Same thing with side effects for me too. I have only taken 1 25mg XR in 5 days. I feel this may be a damaging med in the long run. Let us know how you are doing. I care.

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@tinahaze22

I meant I am on 25mgs daily!

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I thought 2mg was strange. I started on 25mg 2X. Next was given 25mg XR 2-3 times daily. I had a heart monitor put on last week to wear for 2 weeks. I can hear the AFIB. I believe it was medication induced in the hospital by giving me IV Zofran for nausea for 2 weeks every 6 hours IV push. Then I was given Zofran for a year at home. I finally read all the side effects. Why would these doctor's continue to give a med that causes AFIB? The doctor said to take the blood thinner Xerelto.last week. Horrid bloody noses and traumatic increased chronic pain and neuropathy symptoms. I hope they subside. I took Eliquis for 10 days after hip replacement with no problems. This cardio doctor said no to taking it. He said to stop all blood pressure meds and reduce HCTZ 25mg to 12.5. That does nothing to lower B/P. I have been on Clonidine .2-,3mg 2 -3X a day unless B/P too low. The Nephrologist approved using on an as needed basis. Told me I have B/P that is not consistent with an on time use. I tried to stop it, but B/P went to 265/132. I took it right away. I woke up to this in horror. Used meditation to help. Some times I think the Metoprolol gives me AFIB. The doctor looked at me as if I was out of my mind. He said NO, Metoprolol cannot do this. I am not so sure. I am suppose to see another cardio tomorrow, but snowing heavy 80 miles north of Seattle. I will have to reschedule. I was also taking Lisinipril 10mg 2X and Diltiazam 120mg 2X. Stopped those when I left an abusive husband. I had to take 150mg of Metoprolol last time I picked up some things with X hubby on the property. Heart rate raced up to 140-160 a minute from fear. I was careful as I thought it might drop too low when I left. It went down to 65 beats. I hope everything goes well for you. I CARE. your friend, Doreen

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@erodla

Hi, I have been taking metoprolol 25 mg since february, and I have been trying to wean off a couple of times, but it is not easy. I freak out every time, with all these heartbeat and feeling awful! Now I have been taking 12.5 mg for 9 days and will try to take every second day for a week and then stop. This is the most terrible medicine i have ever tried and I Will never take it again.

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Hi,
I hope all is well with you. How’s your weaning off journey? I’m trying to do the same because my body hasn’t been itself since Sept 2020 and I’m on 25 mg. I have almost every side effect and it was worse when my dose was higher.

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@tinahaze22

I am on metoprolol 2mgs daily. When I originally was out on it by my cardiologist, I had chest pain and hypertension. I felt mellow on it, and my BP came down and chest pain subsided. However, I’ve always had bradycardia (I thought it was exercise induced); I began having horrible attacks at night, I felt like I was dying. I’ve had these all my life, but they were mush worse after starting metoprolol. Then I was diagnosed with OSA (48 ahi) and now on a cpap machine. I still get those attacks occasionally, and when I do, they feel pretty bad, and I feel like I’m having a hard time “recovering”, if that makes any sense. Anyone else have any of these issues? I’m a bit desperate. I exercise and have done so for years and I’m just shy of so-called “obese.”

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I meant I am on 25mgs daily!

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I am on metoprolol 2mgs daily. When I originally was out on it by my cardiologist, I had chest pain and hypertension. I felt mellow on it, and my BP came down and chest pain subsided. However, I’ve always had bradycardia (I thought it was exercise induced); I began having horrible attacks at night, I felt like I was dying. I’ve had these all my life, but they were mush worse after starting metoprolol. Then I was diagnosed with OSA (48 ahi) and now on a cpap machine. I still get those attacks occasionally, and when I do, they feel pretty bad, and I feel like I’m having a hard time “recovering”, if that makes any sense. Anyone else have any of these issues? I’m a bit desperate. I exercise and have done so for years and I’m just shy of so-called “obese.”

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Wow, long thread! I went from 25mg daily in late 2017 to 100mg about five months prior to my ablation in July 2022. I was getting more and more AF, and had to go to the ER to break a bad episode in September 2021.

Six days post-ablation, I was in the ER again for tachycardia and AF. I was placed on Amiodarone immediately and told to cease metoprolol immediately...NO weaning required. Now, all AF is gone, according to Mr. Holter, and all I have is an 11% burden of PACs....which are a pain where the sun don't shine.

For those suffering from PACs after ablation, it isn't fun, but the medical community doesn't tend to be concerned with them. They're common, mostly benign, except when the burden approaches 35-40% or so, at least according to the few sites I have visited.

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You are not alone. Unfortunately, it was terrible for me too.

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@cdmayo

Hi @bayxo

I'm 35, male, and was prescribed Metoprolol for what we believe was high BP caused by steroids (prescribed to fight an infection). I've never had issues with BP before and was told to take 25mg twice daily of M-Tartrate. Primary said stopping it shouldn't be a problem, but... IT WAS. I even went down to 12.5mg for two days and was feeling much better (less fatigue vs. 25mg). Then, I stopped this morning and had an acute reaction to MT being out of my system; heart palpitations, fatigue, dizziness, and BP through the roof (for me; 130/101). It was hell.

All to say - I'd really like to get out of this mess and I'm sad my Primary ever prescribed this drug. But, I'm going to copy you and continue to cut dosages. Spend about a week or so here @ 1/2 dosage and then go to 1/4 and see how my body takes to it. DO NOT STOP ALTOGETHER. If you're here reading this, that means you have had some sort of side effect or symptom. We're all helping each other to figure out the best way off this drug, but it's going to take longer than (I) expected. @bayxo , would love to hear about your journey and progression! Thanks to all for sharing their advice!

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Hi, I have been taking metoprolol 25 mg since february, and I have been trying to wean off a couple of times, but it is not easy. I freak out every time, with all these heartbeat and feeling awful! Now I have been taking 12.5 mg for 9 days and will try to take every second day for a week and then stop. This is the most terrible medicine i have ever tried and I Will never take it again.

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@margreet

I am on 200 mgr Metoprolol (, 100 in am and 100 mgr pm) and was reading that most people take only 25 mgr. quite a difference in mgr. so far I have no side effects except insomnia if that can be a side effect. Would prefer to be on a lower dose of metoprolol.

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I was on 200 mgr. metoprolol. (100 am and 100 pm. ) and had trouble with insomnia. My doctor suggested I lower it to twice a day 50 mgr for a few weeks and see what happens. I just started this week.

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