Weaning 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.

Liked by healthytoday

@afrobin

I know from experience, NEVER get off beta blockers abruptly. You must taper off gradually.

Jump to this post

That's what all the doctors say

Liked by Soliloquized

REPLY
@aprille48

Is anyone on here on beta blockers for an aortic aneurysm? My blood pressure normally is 110/60 but doctor wanted to get it lower. He prescribed Metropolol 25 mg succinate but I could not take it (so many issues and side effects after only 2 days). I was switched to Metropolol Tartrate 12.5 2 x per day and told to stay on it for at least 7-14 days. I am on day 21 and the side effects are growing and getting more and more invasive. Leg and foot cramps, insomnia, dizziness, mental fog, anxiety, depression, fatigue, headaches. None of these were happening to me before the meds. I have no other meds being taken right now. Messaged him this morning to ask about side effects and he responded that I must be dehydrated or doing too much. I am otherwise fit, have great bloodwork, no issues healthwise (other than bicuspid aortic valve that has caused aortic aneurysm). I want off the meds and I don't see why I need to suffer the side effects if my blood pressure isn't high to begin with. I have been told I lack the enzyme to properly metabolize medications so this is not new to me when put on medications.

Jump to this post

I'm not addressing your situation, each person reacts differently to different things. I was on Acebutolol 200 mg three times a day. After my afib started, I was switched to 200 mg Metoprolol Succinate in the morning. I take 25 mg Metoprolol Tartrate at 2:00 PM, and I take 150 mg Metoprolol Succinate at night. For seizures, I take 200 mg Phenytoin in the morning, and 300 mg late in the day. I had chronic urticaria, I'm still on Xyzal and Ranitidine AM and PM, I'm on Singulair once a day. And I take Zocor and a small dose of Maxide with HCTZ. Technically, I shouldn't even be awake, LOL.

I feel fine. I might feel better without that stuff, but for now, my seizures and heart rate are controlled. My Urticaria is held at bay, and here I sit, writing this. For people reading the side effects, please don't think you'll experience them just because others did. You can give people a Placebo and they'll have symptoms of exposure to whatever they were directed to study.

Liked by sue225

REPLY

Hello! I think I can help you get off TWO of your drugs. And that is for the chronic urticaria. I have suffered with hives for years off and on. At point they stopped 'off and on' and just remained. The itching, scratching, bleeding was terrible. I went to 2 dermatologists and 1 allergist and they all said the same thing; 'You may need to take your antihistamine and another drug for itching for the rest of your life. We don't know why people get this. Sometimes it spontaneously goes away which may happen and other times people have it for life.". The hives persisted for 8 months and the meds made me sleepy and lacking in energy. I decided to visit a naturopath who told me to cut out ALL carbs and drink plenty of water. Back then there were no protein, low carb keto or Dr. Atkins diets so this was novel. I was desperate and followed the diet to a T. I ate meat, fish, eggs, cheese and loads of vegetables as he recommended. Within 3 days the hives disappeared entirely and I was off the medication! For 3 weeks I kept up the diet (and lost lots of weight without trying!) and then I had a half a toast. Boom…hives! So I kept up the no carb diet for another few weeks and reintroduced a half a toast and I could tolerate it. Over the years when I eat too many carbs or if I have one big blast of sugar (birthday cake for example) I will start to itch at the ankles which is a warning.

At the moment I am on holiday in Europe and I have a major case of hives (a kind that 'travels' around my torso). It's next to impossible to restrict my diet. When I get back home, I am going on the protein with veggies diet with the aim of 10 servings per day. I can't wait to get rid of the chronic inflammation in my system and get healthy again…and off the antihistamines. Why not do the same, Soliloquized?

Liked by Soliloquized

REPLY
@afrobin

Hello! I think I can help you get off TWO of your drugs. And that is for the chronic urticaria. I have suffered with hives for years off and on. At point they stopped 'off and on' and just remained. The itching, scratching, bleeding was terrible. I went to 2 dermatologists and 1 allergist and they all said the same thing; 'You may need to take your antihistamine and another drug for itching for the rest of your life. We don't know why people get this. Sometimes it spontaneously goes away which may happen and other times people have it for life.". The hives persisted for 8 months and the meds made me sleepy and lacking in energy. I decided to visit a naturopath who told me to cut out ALL carbs and drink plenty of water. Back then there were no protein, low carb keto or Dr. Atkins diets so this was novel. I was desperate and followed the diet to a T. I ate meat, fish, eggs, cheese and loads of vegetables as he recommended. Within 3 days the hives disappeared entirely and I was off the medication! For 3 weeks I kept up the diet (and lost lots of weight without trying!) and then I had a half a toast. Boom…hives! So I kept up the no carb diet for another few weeks and reintroduced a half a toast and I could tolerate it. Over the years when I eat too many carbs or if I have one big blast of sugar (birthday cake for example) I will start to itch at the ankles which is a warning.

At the moment I am on holiday in Europe and I have a major case of hives (a kind that 'travels' around my torso). It's next to impossible to restrict my diet. When I get back home, I am going on the protein with veggies diet with the aim of 10 servings per day. I can't wait to get rid of the chronic inflammation in my system and get healthy again…and off the antihistamines. Why not do the same, Soliloquized?

Jump to this post

I had angioedema with the Urticaria. I was given Prednisone for non-Emergency swelling, but I discovered taking 15 mg daily every day held the worst at bay. One doctor wanted me off of it, but she was the one that made me so afraid of the angioedema. I found another doctor, he didn't think it was a problem, it was a low dose. Nearly 2 years later, my afib started, I was hospitalized, they took me off the Acebutolol I was taking, started me on Metoprolol. They weren't initially giving me the prednisone, but I talked to someone and it was added. But I stopped manifesting Urticaria while in the hospital. It was either a coincidence, or related to discontinuing the Acebutolol. Acebutolol has ISA properties, intrinsic sympathomimetic activity, (I couldn't spell the 2nd word, it's copy and pasted, but I can say it, LOL), I'm wondering if that wasn't triggering it the Urticaria. A big reduction came in my Urticaria when I was put on Singulair.

I missed taking the Singulair once the other day, just had a few red dots. I take 1 1/2 Xyzal per day in divided doses, tried dropping to one, but my eyebrows were burning, a sign from before that I was going to break out.

I took pictures of my breakouts over the duration of my problems, everything from covered in huge red splotches, to conventional hives as raised areas. A researcher would be welcome to them.

The part that saddens me, I read a study conducted by analysis of abundant data, not a study specific for the cause, but patients that take 7.5 mg or more of Prednisone daily long term have a statistically significant likelihood to devolop afib, which I did. Ugh. I hoped I'd spontaneously convert when off, and I've been off for months, but no luck.

I'm saving your post to study more, I think I'm borderline Urticaric, if that's a word, especially with the high pollen count of spring. I appreciate your post, and advice, and am interested in reducing the number of meds I'm on, but only with demonstrated efficacy and the Doctor's advice.

Liked by healthytoday

REPLY
@soliloquized

I had angioedema with the Urticaria. I was given Prednisone for non-Emergency swelling, but I discovered taking 15 mg daily every day held the worst at bay. One doctor wanted me off of it, but she was the one that made me so afraid of the angioedema. I found another doctor, he didn't think it was a problem, it was a low dose. Nearly 2 years later, my afib started, I was hospitalized, they took me off the Acebutolol I was taking, started me on Metoprolol. They weren't initially giving me the prednisone, but I talked to someone and it was added. But I stopped manifesting Urticaria while in the hospital. It was either a coincidence, or related to discontinuing the Acebutolol. Acebutolol has ISA properties, intrinsic sympathomimetic activity, (I couldn't spell the 2nd word, it's copy and pasted, but I can say it, LOL), I'm wondering if that wasn't triggering it the Urticaria. A big reduction came in my Urticaria when I was put on Singulair.

I missed taking the Singulair once the other day, just had a few red dots. I take 1 1/2 Xyzal per day in divided doses, tried dropping to one, but my eyebrows were burning, a sign from before that I was going to break out.

I took pictures of my breakouts over the duration of my problems, everything from covered in huge red splotches, to conventional hives as raised areas. A researcher would be welcome to them.

The part that saddens me, I read a study conducted by analysis of abundant data, not a study specific for the cause, but patients that take 7.5 mg or more of Prednisone daily long term have a statistically significant likelihood to devolop afib, which I did. Ugh. I hoped I'd spontaneously convert when off, and I've been off for months, but no luck.

I'm saving your post to study more, I think I'm borderline Urticaric, if that's a word, especially with the high pollen count of spring. I appreciate your post, and advice, and am interested in reducing the number of meds I'm on, but only with demonstrated efficacy and the Doctor's advice.

Jump to this post

My aim as I age was to be on NO drugs at all. I envisioned myself healthy, strong, active with minimal health problems like maybe just arthritis. I am aiming in that direction but I am off the mark.
Thank God I was able to cure my severe 2 year bout with AFib with 35 minutes of treadmill 6 days out of 7 for 4 months (but off beta blockers and cured within a month)….and of course, cutting out all stimulants such as coffee, tea, soft drinks, chocolate, alcohol etc.. I believe strongly in prevention and looking for the cause rather than treating symptoms with drugs….which is what doctors do.
I am dealing with thick hives all over my abdomen and hips since the start of April. When I get home next week I will start the NO carb diet (protein and veggies only) and I expect the hives to go away like they did before. Obviously my body is in acute inflammatory mode and I am treating my gut with probiotics since 80% of the immune system is in the gut. I don't want to rely on drugs if I can.
I am in Europe on holiday but look forward to buckling down to this healthy diet…and as a bonus losing some weight. I have been walking an average of 14.000 steps per day here in the Netherlands and will continue with about half that per day at home as well.

Liked by healthytoday, sue225

REPLY
@afrobin

My aim as I age was to be on NO drugs at all. I envisioned myself healthy, strong, active with minimal health problems like maybe just arthritis. I am aiming in that direction but I am off the mark.
Thank God I was able to cure my severe 2 year bout with AFib with 35 minutes of treadmill 6 days out of 7 for 4 months (but off beta blockers and cured within a month)….and of course, cutting out all stimulants such as coffee, tea, soft drinks, chocolate, alcohol etc.. I believe strongly in prevention and looking for the cause rather than treating symptoms with drugs….which is what doctors do.
I am dealing with thick hives all over my abdomen and hips since the start of April. When I get home next week I will start the NO carb diet (protein and veggies only) and I expect the hives to go away like they did before. Obviously my body is in acute inflammatory mode and I am treating my gut with probiotics since 80% of the immune system is in the gut. I don't want to rely on drugs if I can.
I am in Europe on holiday but look forward to buckling down to this healthy diet…and as a bonus losing some weight. I have been walking an average of 14.000 steps per day here in the Netherlands and will continue with about half that per day at home as well.

Jump to this post

What probiotic do you take?

REPLY

I take Garden of Life 50 billion probiotics.

Liked by sue225

REPLY
@afrobin

I take Garden of Life 50 billion probiotics.

Jump to this post

Thanks. Just started a box of Align. Will keep yours on file.

Liked by healthytoday

REPLY

Dr Weil: Evidence shows that chronic inflammation is the root cause of many serious diseases in the developed world, including heart disease, Alzheimer’s and many cancers.

Liked by healthytoday, maddox

REPLY

Align has about 1 billion beneficial bacteria versus 50 billion in the Garden of Life and other more complete (and expensive) probiotic formulas

Liked by healthytoday, sue225

REPLY
@afrobin

Align has about 1 billion beneficial bacteria versus 50 billion in the Garden of Life and other more complete (and expensive) probiotic formulas

Jump to this post

Big difference. Will try next. Trying to get improvement in my IBS-C which has gone south since being on metoprolol and prolia. (and I plan to stay on both).

Liked by healthytoday

REPLY
@sue225

What probiotic do you take?

Jump to this post

Eating beans; lima, pinto, white, black etc. are food for the microbes in your gut.

REPLY
@healthytoday

Eating beans; lima, pinto, white, black etc. are food for the microbes in your gut.

Jump to this post

Sadly, my irritable bowel says no (in no uncertain terms) to all legumes.

Liked by healthytoday

REPLY
@sue225

That's what all the doctors say

Jump to this post

My medical backstory: In 2014 I had a fall,(I was aprox 56 then) I didn't hit my head but fell hard enough forward that it somewhat knocked the wind out of me. A day or so later I was extremely dizzy to the point I couldn't function. A visit with a ENT diagnosed me with Benign Paroxysmal Positional Vertigo (or BPPV) because the fall had loosened microscopic "crystals" in my inner ear.

Unfortunately, physical therapy including all vestibular maneuvers or all conventional medications didn't work so in late 2016 the neurologist prescribed 2Mg of Valium. 1Mg calmed the spinning it never completely goes away but I could work. By mid to late 2017my health was failing. And the falls from the vertigo have now caused Sciatica and that pain increased. In Dec of 2017, I was so weak, having hart palpitations, extreme anxiety, muscle pain and stiffness my mobility was diminished and after a visit to the emergency room, an EEG the ER doctor diagnosed I was low on potassium. In March 2018 my PCP referred me to a cardiologist who did a battery of tests said I have slight high blood pressure and I might have a small heart murmur and prescribed 25 Mg of Metoprolol Succ. along with the Valium.
I still had the vertigo but aprox July or August I felt the same prev symtoms coming back with a vengeance. I contacted my PCP, neurologist and cardiologist and they chalked it up to the Sciatica said I needed physical therapy or lumbar cortisone injections. I now know that I was and have been suffering from benzo tolerance and my body was going through with drawl (along with the Sciatica condition) I'm now trying to taper off the Metoprolol AND the valium.

I know the 12.5 Mg an 1 Mg of Metoprolol sounds like a small dose but it's the length of time I was taking the Valium added with the Metoprolol and 10 Mg of Benicar for my blood pressure. I am down to 6.25 Mg of Metoprolol,50Mof Valium and 10 Mg of Benicar and it's Hell. It's like I read in a previous post I read. I could not do this without God's help. I wish the doctors told me that I could only take both for a short period because after extensive research these meds are not meant for long term use.
Does anyone know if weaning off taking half doses for two weeks at a time is going too fast? Thanks

Liked by healthytoday

REPLY
@alwayshope1

My medical backstory: In 2014 I had a fall,(I was aprox 56 then) I didn't hit my head but fell hard enough forward that it somewhat knocked the wind out of me. A day or so later I was extremely dizzy to the point I couldn't function. A visit with a ENT diagnosed me with Benign Paroxysmal Positional Vertigo (or BPPV) because the fall had loosened microscopic "crystals" in my inner ear.

Unfortunately, physical therapy including all vestibular maneuvers or all conventional medications didn't work so in late 2016 the neurologist prescribed 2Mg of Valium. 1Mg calmed the spinning it never completely goes away but I could work. By mid to late 2017my health was failing. And the falls from the vertigo have now caused Sciatica and that pain increased. In Dec of 2017, I was so weak, having hart palpitations, extreme anxiety, muscle pain and stiffness my mobility was diminished and after a visit to the emergency room, an EEG the ER doctor diagnosed I was low on potassium. In March 2018 my PCP referred me to a cardiologist who did a battery of tests said I have slight high blood pressure and I might have a small heart murmur and prescribed 25 Mg of Metoprolol Succ. along with the Valium.
I still had the vertigo but aprox July or August I felt the same prev symtoms coming back with a vengeance. I contacted my PCP, neurologist and cardiologist and they chalked it up to the Sciatica said I needed physical therapy or lumbar cortisone injections. I now know that I was and have been suffering from benzo tolerance and my body was going through with drawl (along with the Sciatica condition) I'm now trying to taper off the Metoprolol AND the valium.

I know the 12.5 Mg an 1 Mg of Metoprolol sounds like a small dose but it's the length of time I was taking the Valium added with the Metoprolol and 10 Mg of Benicar for my blood pressure. I am down to 6.25 Mg of Metoprolol,50Mof Valium and 10 Mg of Benicar and it's Hell. It's like I read in a previous post I read. I could not do this without God's help. I wish the doctors told me that I could only take both for a short period because after extensive research these meds are not meant for long term use.
Does anyone know if weaning off taking half doses for two weeks at a time is going too fast? Thanks

Jump to this post

It sounds like you have been through the mill, Always hope. And it all started with a fall. Terrible!
As we see on TV ads, drugs come with an alarming list of side effects. Resorting to drugs for one's health problems should be a last resort. Lifestyle changes are still best in dealing with health issues but doctors will reach for the prescription pad…which covers their &%$#@ if anything were to happen to the 'unmedicated' patient. So many health issues including high blood pressure, tachycardia, diabetes etc…can be CURED with dietary and physical activity changes that have as an added bonus; weight loss. There is no magic pill. We have to do the work ourselves…and I am one who admits that I am in the same boat.
As for how to manage weaning off any medication, I would ask the pharmacist. They are your go-to drug specialists. They know how drugs interact with each other and how they affect the body.
This is an aside concerning the Dutch approach to good health: I have been on holiday in the Netherlands for the past 2 weeks. I have never seen a healthier population of people. ALL are very healthy looking and slim. You do not see ANY overweight people. None! The children have rosy cheeks and are also ALL slim; not normal weight but slim. All teenagers are what we would consider skinny and very lanky. I can see why. ALL the Dutch ride bikes everywhere. The streets are crowded with bikes. Even mothers with 2 babies just put them in carriers on the bikes and off they go. The elderly ride everywhere as well. The Dutch eat much less than we do. In grocery stores, packages and jars of food are small. There are no fast food places anywhere although I did see a few McDonalds on the edge of a couple of cities but there are no other fast food chains here. If you get off at a town, there may be one proper, sit down, white table cloth restaurant. If we followed the Dutch model of eating less and exercising more, I am sure most of us would be slim, drug free and healthy.

REPLY
Please login or register to post a reply.