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.

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@sanman

I was on metoprolol 200mg .The reason for this high dose was never discussed with me and I no longer see this Dr .However due to recent episodes of fatigue and sob I thought maybe it could be related to metoprolol so I decided to wean . I started three days ago at 100mg . No side effects except slight headache .Am I weaning to fast ? I have had my heart checked out 3 months ago EKG,ECHO AND CARDIAC CATH,

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Good idea to check with family doc. Length of time that you have been on Metoprolol makes a difference. Should find out why it was prescribed. (e.g. arrythmia, high blood pressure).

Liked by Soliloquized

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If you have Afib, without a beta blocker and/or blood thinner, you could be at risk of a blood clot…which can lead to a stroke or heart attack. I just checked and here is a cut and paste from a site on metoprolol:

'Heart rate slowing, depression, diarrhea, skin rash and shortness of breath. Stopping metoprolol (both tartrate and succinate) suddenly can exacerbate angina and may increase the risk of a heart attack.

Maybe with your doctor's guidance you can lower the dose and see if your heart stays steady. But never stop suddenly and be sure to get your doctor's ok.

Liked by Soliloquized

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Was shortness of breath one side effect you experienced with metropolol?? Tired constantly and can't breathe with slightest exercise. Told was from afib. But med makes it worse.

Liked by maddox

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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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@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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I'm on metoprolol for a ventricular arrythmia. Yes, the fast heart beat is most likely from the lower dosage. Since you've been on this drug for 15 years, I would see the doctor now for advice before doing any more lowering. You can have serious heart side effects

Liked by AFRobin

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I've been on metoprolol for more than 10 years but it has always been made clear to me why. Metoprolol is a beta blocker and can be prescribed for high blood pressure so it is a surprise to learn that it can actually raise BP for some? For the most part though it is quite often used for rate control when your heart rate is on the high side and you are prone to PVCs — extra beats etc. That said I am not a medical professional and probably not explaining this well or thoroughly. Taking metoprolol has not been an issue for me as I am very sensitive to it and take an extremely low dose. I started out at only 12.5 mg daily and only recently went up to 25 mg. At those doses it is probably not causing the usual problems like sluggishness, low energy, brain fog… I would never adjust my dosage either way without consulting with the doctor who prescribed it or the EP who is managing my care. However, I would definitely be concerned if I was taking a high dose (that is subjective of course) and was experiencing symptoms. Even so, do discuss with the doctor as it is never a good idea to suddenly increase or decrease medication on your own.

Liked by AFRobin

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@sayaboleh

I've been on metoprolol for more than 10 years but it has always been made clear to me why. Metoprolol is a beta blocker and can be prescribed for high blood pressure so it is a surprise to learn that it can actually raise BP for some? For the most part though it is quite often used for rate control when your heart rate is on the high side and you are prone to PVCs — extra beats etc. That said I am not a medical professional and probably not explaining this well or thoroughly. Taking metoprolol has not been an issue for me as I am very sensitive to it and take an extremely low dose. I started out at only 12.5 mg daily and only recently went up to 25 mg. At those doses it is probably not causing the usual problems like sluggishness, low energy, brain fog… I would never adjust my dosage either way without consulting with the doctor who prescribed it or the EP who is managing my care. However, I would definitely be concerned if I was taking a high dose (that is subjective of course) and was experiencing symptoms. Even so, do discuss with the doctor as it is never a good idea to suddenly increase or decrease medication on your own.

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I am on a low dose of metoprolol (12.5mg x2). When I first started taking it, (for an arrythmia) I experienced sleepiness, low b.p. and a slow pulse. I felt like a hibernating bear. Eventually that all disappeared and I dont notice anything anymore.

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@sayaboleh

I've been on metoprolol for more than 10 years but it has always been made clear to me why. Metoprolol is a beta blocker and can be prescribed for high blood pressure so it is a surprise to learn that it can actually raise BP for some? For the most part though it is quite often used for rate control when your heart rate is on the high side and you are prone to PVCs — extra beats etc. That said I am not a medical professional and probably not explaining this well or thoroughly. Taking metoprolol has not been an issue for me as I am very sensitive to it and take an extremely low dose. I started out at only 12.5 mg daily and only recently went up to 25 mg. At those doses it is probably not causing the usual problems like sluggishness, low energy, brain fog… I would never adjust my dosage either way without consulting with the doctor who prescribed it or the EP who is managing my care. However, I would definitely be concerned if I was taking a high dose (that is subjective of course) and was experiencing symptoms. Even so, do discuss with the doctor as it is never a good idea to suddenly increase or decrease medication on your own.

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I'm on Metoprolol Succinate 200 mg in the morning, Metoprolol Tartrate 25 mg in the afternoon, and Metoprolol Succinate 150 mg at night. I'm not experiencing these symptoms that others profess. I'm also on Coumadin, Phenytoin, Zocor, Xyzal, Singulair, Ranitidine, Maxzide, and Vitamin D3.

Yes, certain drugs can, by themselves, or in combination with other drugs, cause some people to experience symptoms that others don't., including tiredness, but so can the issues we're taking the drugs for.

I'm concerned that many read this thread and think Metoprolol cessation is the answer for tiredness, that may not be the case, and those of us taking it should not be discontinuing it without our doctor's advice and supervision.

I get tired from Ibuprofin, significantly, but if I took it every day (not a good idea, but for example) eventually I'd expect that tiredness to subside. The same may happen with Metoprolol, and that noticeable tiredness that some may feel when first put on it should largely subside.

Liked by AFRobin

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@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.

Liked by AFRobin

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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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@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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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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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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@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.

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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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@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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