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

@glr702

Hello,
I took propranolol 10mg 4 times a day for a week. Had horrible side effects, was switched to metoprolol succinate 25mg once a day for 2 weeks, felt a little better but still many side effects, so I was on them for about 3 weeks only. I tapered down and took the last dose 6 days ago. The first day was horrible, then a little better the second, same on the third. However, I’m still having palpitations, dizziness, head feeling weird, some tachycardia (somewhat less today), weakness. I’m much better than when I was on the medication, that’s for sure. I had almost all of the side effects I could get and even ended up dehydrated in Urgent Care, also got anxiety for the first time in my life which has been horrible. So, my main question is: am I any close to the end of this road? I don’t know if I’ll ever be able to feel like myself again. I was put on this for occasional hypertension and tachycardia, which I believe was caused by stress. I would appreciate it so much if someone could help me with their experience. Thank you so much

I’m listing all the side effects I had with these medications, sorry for the long post:
✔️Blurred vision
✔️chest pain or discomfort
✔️like electrical current in head
✔️tingling, chills like on arms, back and head
✔️confusion
✔️palpitations
✔️dizziness, or lightheadedness when getting up suddenly from a lying or sitting position
✔️hair loss
✔️dry mouth
✔️hot flashes/heat intolerance
✔️sweating
✔️unusual tiredness or weakness
✔️insomnia, nightmares
✔️soft stools
✔️difficult or labored breathing
✔️difficulty with speaking
✔️extreme tiredness or weakness
✔️fast, pounding, or racing heartbeat or pulse
halos around lights
✔️headache
✔️overbright appearance of lights
✔️lose weight
✔️seeing, hearing, or feeling things that are not there
✔️tightness in the chest
✔️tingling of the hands or feet
✔️troubled breathing
✔️continuing loss of appetite that got to the point when only could eat liquids
✔️continuing abdominal pain
✔️continuing nausea
dark urine
✔️difficulty with moving
fever
✔️general tiredness and weakness
✔️hoarseness
✔️increased frequency of urination
✔️muscle pain
✔️sore throat
✔️sores, ulcers, or white spots on the lips or in the mouth-white tongue
✔️unpleasant breath odor
✔️weakness
✔️anxiety

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I have all of the same side effects

REPLY

@glr702 and @cardae19– Hello and Welcome to Mayo Clinic Connect. Thank you for posting.

@cardae19, are you also weaning off? if so, how far are you into the process? is there anything that you have noticed that helps to subside some of the symptoms that would be helpful to other members in the group?

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@glr702

Thank you for replying. Those are the symptoms I had while on the medication. Just wanted to list them in case it can help someone. Right now I still have some palpitations, some anxiety, some hand tremors, it seems like the tachycardia is getting better (at least today), some dizziness and weakness and some chest tightness. I feel much better than when I was on the medication, that’s for sure, so hopefully I will keep getting better. Just wanted to know if anyone had any input on how long it usually takes for the remaining side effects to go away.

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Thank you Both for listing your side effects. I am on Metropolol
50 mg now cut to 25 mg 1 day then stopped cold turkey as per my Dr. and I was having at least 3/4 of the symptoms you both mentioned. Plus low heart rate, crazy palpitations. It’s only been 2 days so at least I have hope these symptoms will slowly subside. Dr. Switched me over to calan sr 120 mg for my blood presure and to help with palpitations. Plus a small dose of Xanax as needed for anxiety.
I noticed
terrible gas,
loose stools,
nightmares,
Dizziness turning over in my sleep caused the room spinning,
Losing weight
Low heart rate 45
Bp low 100/65
Dry mouth
Difficult breathing
Fatigue
Heart palpitations
Anxiety
Depression
hair loss
I am so glad to hear that these will subside slowly.
Thank you for giving me insight and hope. This is terrifying to go through alone!
They should add all these symptoms to the RX pamphlet!

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Hi I am sakota. Was just reading about metropolol. Which I have been on for years. I take 100 mg twice a day. should I be worried

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@colleenyoung

Hi @glr702, you'll notice that I moved your message to this existing discussion about weaning off metoprolol. I did this to connect you with others talking about side effects and managing them. You mentioned that you tapered off the drug and have now been off it for 6 days. That is a lot of remaining side effects. Have you talked to your cardiologist about the persistent adverse effects?

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If I may add a few points here. The significance of doses may depend on the mass of the patient, as well as interactions with other medications in the sense that the other medications may caused increased or decreased levels of the desired medication. Of course other factors may come into play.

For migraine prophylaxis, I've taken Inderal LA 240 mg once per day. I discontinued it without side effects when another solution was found for the migraines (They were strictly visual symptoms, no pain).

Years of taking Acebutolol (a Beta Blocker with weak ISA effects) at 200mg three times a day, I recently transitioned to less than 100 mg Metroprolol Tartrate (Divided Doses) in a hospital with no side effects, other than 100 mg being to low, after being discharged, I was put on 200 mg Metroprolol Succinate in the morning, and 100 mg Metroprolol Succinate in the evening.

I've been on Atenolol as well in the past, that was replaced by the aforementioned Acebutolol.

I'm confident that people experience side effects while discontinuing Beta Blockers, but not all people. That's the point I wanted to emphasize. In addition, no one should discontinue without their doctor's advice, and sudden Beta Blocker discontinuation can aggravate certain heart conditions, that's why tapering is advised. Yet the lower the dose, generally, the shorter the tapering period would be.

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@sakota

Hi I am sakota. Was just reading about metropolol. Which I have been on for years. I take 100 mg twice a day. should I be worried

Jump to this post

Keep in touch with your doctor. My wife worked for a cardiologist, patients would see stories in the news, or online, and questions would pour in, something they've been taking for years suddenly concerns them. But he said that if they'd introduce aspirin to the market now, many wouldn't take it because of the possible side effects. I'm not seeing Metoprolol as a big concern, from my vantage, I've been on several other beta blockers with no side effects.

I take 200 mg in the morning, and 100 mg at night, of Metoprolol Succinate, the extended release version of it. There's Metoprolol Tartrate which is a short acting version some people take a few times a day. If you're having no problems, don't worry. It's unlikely that I'll be without Beta Blockers of one form or another, I've taken them well over 25 years. Hope this helps.

REPLY
@soliloquized

Keep in touch with your doctor. My wife worked for a cardiologist, patients would see stories in the news, or online, and questions would pour in, something they've been taking for years suddenly concerns them. But he said that if they'd introduce aspirin to the market now, many wouldn't take it because of the possible side effects. I'm not seeing Metoprolol as a big concern, from my vantage, I've been on several other beta blockers with no side effects.

I take 200 mg in the morning, and 100 mg at night, of Metoprolol Succinate, the extended release version of it. There's Metoprolol Tartrate which is a short acting version some people take a few times a day. If you're having no problems, don't worry. It's unlikely that I'll be without Beta Blockers of one form or another, I've taken them well over 25 years. Hope this helps.

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@yes it does and thanks for the info

Liked by Soliloquized

REPLY
@colleenyoung

Hi @glr702, you'll notice that I moved your message to this existing discussion about weaning off metoprolol. I did this to connect you with others talking about side effects and managing them. You mentioned that you tapered off the drug and have now been off it for 6 days. That is a lot of remaining side effects. Have you talked to your cardiologist about the persistent adverse effects?

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it may take tow weeks for you to feel normal after you stopped taking this meds.

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I weaned off Metroprolol last week. Went from 25 mg once a day to 12.5, took 12.5 mg for 3 days then stopped completely. I am on day 5 of being off and am just starting to feel normal again. I had every side effect everyone else is listing, I couldn't get out of bed, very skaky, felt faint even walking 10 feet, and Terrible anxiety (on the medication). Symptoms Slowly started to subside after day 1 off of Metro. I am so glad to be off this. Worst thing I have ever put in my body.

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Are you sure that your Afib did not return? Apparently some people are not aware that their hearts are out of rhythm. I don't get how that can be because it's like a huge thumping in the chest and needing to take extra breaths to get enough O2 in the system etc.. In any case, be careful. How are you going to keep your Afib at bay? You can't just expect it not to return. Something has to change. You need to be proactive. The cardiologist advised me to avoid ALL stimulants; alcohol, chocolate, Coke, any drugs or supplement with ephedrine in them, too many carbs especially sugar, being around cigarette smoke and avoiding very stressful situations. But what cured me of my serious case of Afib was exercise; pushing my heart. A walk didn't work. It had to be where I was working up a sweat. I suggest you really research and learn about your condition. My aim is to know as much as my doctor, if not more. I also cured myself of bladder infections..no thanks to my urologist. I had 28 in a row inside a 2 year period. Now gone! Become ultra informed about how your body works, reacts to meds and food and exercise etc… Good luck to you. Keep well!

REPLY
@glr702

Hello,
I took propranolol 10mg 4 times a day for a week. Had horrible side effects, was switched to metoprolol succinate 25mg once a day for 2 weeks, felt a little better but still many side effects, so I was on them for about 3 weeks only. I tapered down and took the last dose 6 days ago. The first day was horrible, then a little better the second, same on the third. However, I’m still having palpitations, dizziness, head feeling weird, some tachycardia (somewhat less today), weakness. I’m much better than when I was on the medication, that’s for sure. I had almost all of the side effects I could get and even ended up dehydrated in Urgent Care, also got anxiety for the first time in my life which has been horrible. So, my main question is: am I any close to the end of this road? I don’t know if I’ll ever be able to feel like myself again. I was put on this for occasional hypertension and tachycardia, which I believe was caused by stress. I would appreciate it so much if someone could help me with their experience. Thank you so much

I’m listing all the side effects I had with these medications, sorry for the long post:
✔️Blurred vision
✔️chest pain or discomfort
✔️like electrical current in head
✔️tingling, chills like on arms, back and head
✔️confusion
✔️palpitations
✔️dizziness, or lightheadedness when getting up suddenly from a lying or sitting position
✔️hair loss
✔️dry mouth
✔️hot flashes/heat intolerance
✔️sweating
✔️unusual tiredness or weakness
✔️insomnia, nightmares
✔️soft stools
✔️difficult or labored breathing
✔️difficulty with speaking
✔️extreme tiredness or weakness
✔️fast, pounding, or racing heartbeat or pulse
halos around lights
✔️headache
✔️overbright appearance of lights
✔️lose weight
✔️seeing, hearing, or feeling things that are not there
✔️tightness in the chest
✔️tingling of the hands or feet
✔️troubled breathing
✔️continuing loss of appetite that got to the point when only could eat liquids
✔️continuing abdominal pain
✔️continuing nausea
dark urine
✔️difficulty with moving
fever
✔️general tiredness and weakness
✔️hoarseness
✔️increased frequency of urination
✔️muscle pain
✔️sore throat
✔️sores, ulcers, or white spots on the lips or in the mouth-white tongue
✔️unpleasant breath odor
✔️weakness
✔️anxiety

Jump to this post

Wow!! Ive been on Metropolol 50mg XL for over a year and have gone through some nasty anxiety. But my cardiologist won't admit that it may be the cause of everything. After 3 bouts of A Fib the cardiologist put me on this stuff. Just curious have you been put on any new med since you stopped Metropolol? If so any better? Thanks

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@afrobin

Are you sure that your Afib did not return? Apparently some people are not aware that their hearts are out of rhythm. I don't get how that can be because it's like a huge thumping in the chest and needing to take extra breaths to get enough O2 in the system etc.. In any case, be careful. How are you going to keep your Afib at bay? You can't just expect it not to return. Something has to change. You need to be proactive. The cardiologist advised me to avoid ALL stimulants; alcohol, chocolate, Coke, any drugs or supplement with ephedrine in them, too many carbs especially sugar, being around cigarette smoke and avoiding very stressful situations. But what cured me of my serious case of Afib was exercise; pushing my heart. A walk didn't work. It had to be where I was working up a sweat. I suggest you really research and learn about your condition. My aim is to know as much as my doctor, if not more. I also cured myself of bladder infections..no thanks to my urologist. I had 28 in a row inside a 2 year period. Now gone! Become ultra informed about how your body works, reacts to meds and food and exercise etc… Good luck to you. Keep well!

Jump to this post

I'm new onset afib with a lifetime of PVCs that come and go. The worst PVC rate I've had is 5 per minute, the entire time I was awake, and probably when I was sleeping, 7 days a week, for a few months. Anyone experiencing PVCs for the first time should consult a doctor for advice, as should anyone that gets PVCs that suddenly have a significant increase in frequency or symptoms. I've been to the ER on several occasions over the years, better safe than sorry.

A premature ventricular contraction (PVC) occurs and almost assuredly is not felt, but there is a compensatory pause – "These pauses are long enough to balance an incomplete or premature extrasystole, thereby the short cycle and the pause together equals two regular cycles". The heart filling for an extra amount of time produces the "Thump" we feel as the extra volume is discharged.

Although with Afib I have more than my share of PVCs, most of the Afib activity initially felt like the entire top of my heart was quivering. Some of the things I thought were PVCs by the feeling in my chest are not reflected in my pulse, i.e. taking my pulse when the feeling occurs, no change in the pulse is felt, it must be occurring in the Atrium. My symptoms have gone now principally to the left atrium, or more correctly are felt in the left side only, a strong quivering. This is where 4 pulmonary veins return to the left atrium, and these pulmonary veins are often the source of the Afib. I am otherwise, at this time, asymptotic, no shortness of breath, dizziness, etc. I do get short runs of relatively fast heart beats on occasion, at rest, despite being on 200 mg Metoprolol Succinate TWICE per day, but overall the rate is fairly well controlled.

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I would like to know how to reduce Toprol XL from 25 mg to 1/2 of the tablet. Toprol XL is reducing my heart beat to the low 50's and one day it was 48. I also take Losartan Potassium that my doctor increased to 50 mg a day, but can go up to 100 mg a day if needed. Even taking 1/2 tablet of Toprol XL speeds up my heart and increases my blood pressure even when I take other blood pressure pills. I feel trapped by this drug.

Liked by Soliloquized

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@joma7862

I would like to know how to reduce Toprol XL from 25 mg to 1/2 of the tablet. Toprol XL is reducing my heart beat to the low 50's and one day it was 48. I also take Losartan Potassium that my doctor increased to 50 mg a day, but can go up to 100 mg a day if needed. Even taking 1/2 tablet of Toprol XL speeds up my heart and increases my blood pressure even when I take other blood pressure pills. I feel trapped by this drug.

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Before reducing, you should consult your doctor. He or she should have advice on weaning to 12.5 mg if an issue exists. Consulting Google for a Toprol XL 25 mg pill, it shows it as white, oval tablet scored in the middle, so breaking it in half with your doctor's awareness should be easily done. Why are you taking it, I'm taking it because I'm in afib and otherwise develop fast rhythms.

I'm currently on 400 mg Metoprolol Succinate (Long Acting) taken as 200 mg twice per day. I may be put on Sotalol in the hospital and monitored for 2+ days. My point in relating this to you is that although Sotalol is a special kind of combination beta blocker and anti-arrhythmic, I'll be stopped from my 400 mg Metoprolol overnight, no taper.

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I don't have Afib, but did have some palpations years ago, but wore heart monitors for different length of times and I don't. Toprol XL was precribed for blood pressure.

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