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.

@suzanne2019

Omg. So many people have the same symptoms I had. I stopped taking it all together.my right foot had a rash on it and I couldn't figure out what it was. I put all kinds of stuff on it thinking maybe it was a fu gus because it was so itchy. My chest was tight all the time
As soon as I weaned myself off during g a week period my rash went away! My chest tightness gone!. That stuff is horrible. My anxiety was through the roof. Now I have to take herbs for my anxiety until I retrain my brain!! Good luck!

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What r u going to do about ur afib.

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I’ve been taking 12.5 mg metoprolol succ Er once a day for only the past 3 days. Totally messing me up mentally. Constantly crying, depression, my head feels weird, panicking. I’m done with this prescription. Prescribed for when my heart rate gets very high when in stressful situation.

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@nancynana4

I’ve been taking 12.5 mg metoprolol succ Er once a day for only the past 3 days. Totally messing me up mentally. Constantly crying, depression, my head feels weird, panicking. I’m done with this prescription. Prescribed for when my heart rate gets very high when in stressful situation.

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Y p.o ur dose is low but that is reported the #1 worse beta blocker on the market! I did a lot of research and weaned myself off due to my extreme side effects just like yours. I have heard so many similar stories on this site from this drug. Dont take it anymore!!! So happy I stopped taking it!!!

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@nancynana4

I’ve been taking 12.5 mg metoprolol succ Er once a day for only the past 3 days. Totally messing me up mentally. Constantly crying, depression, my head feels weird, panicking. I’m done with this prescription. Prescribed for when my heart rate gets very high when in stressful situation.

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@nancynana4maybe you should stay on it a little longer: three days isn't enough to decide. Maybe your body will adjust. I have been on the metoprolol tartrate for over three years to control an arrythmia. I had different side effects for 10 months! but I liked how all my pounding and fluttering and racing sensations vanished. My doctor tried me on bisoprolol , atenolol, metoprolol and I chose the one which at the time was the least offensive in terms of side effects. And eventually my body gave up rebelling against the drug. Let your doctor know, and know that there are other meds within the betablocker family to try.

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@nancynana4

I’ve been taking 12.5 mg metoprolol succ Er once a day for only the past 3 days. Totally messing me up mentally. Constantly crying, depression, my head feels weird, panicking. I’m done with this prescription. Prescribed for when my heart rate gets very high when in stressful situation.

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Hi @nancynana4, welcome to Mayo Clinic Connect. It sounds like you're having a very rough time. Might I suggest that you call your doctor first thing in the morning? You'll want to let him/her know how you are feeling and that you suspect these symptoms are because of the medication. @sue225's right that 3 days isn't very long to judge. @suzanne2019 is also right that drugs can cause side effects. Everyone is different. And no one can tell you what you should or shouldn't do. That's between you and your doctor. Your doctor uses medical knowledge and evidence to make a recommendation. Only you can tell the medical professional how it effects you. There are choices. I hope you'll call in the morning and report back what you learned.

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I had this a few years ago and I had the same side effects. My doctor prescribed it because sometimes my heart rate goes very high, but I just couldn't tolerate it. My son in law had this too and had to give it up.

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@soliloquized

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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Hi, so how are you now without metoprolol? Did everything work out fine?

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@nancynana4

I’ve been taking 12.5 mg metoprolol succ Er once a day for only the past 3 days. Totally messing me up mentally. Constantly crying, depression, my head feels weird, panicking. I’m done with this prescription. Prescribed for when my heart rate gets very high when in stressful situation.

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I take 200 mg Metoprolol Succinate in the morning, 25 mg of Metoprolol Tartrate at 2:00 PM, and 150 mg of Metoprolol Succinate in the evening. That's a total of 350 mg Metoprolol Succinate AND 25 mg Metoprolol Tartrate. Plus I take Coumadin, Phenytoin, Zocor, and Singulair, and that's the short list.

Beta Blockers are known to calm people down, they've been safely used where people experience effects of Adrenaline, such as performers might have before going on stage. I'm not dismissing the symptoms you have, medications can produce idiosyncratic reactions in a small number of patients, but if you were prescribed Metoprolol to tame a fast heart rate, you likely will need to be taking something. My heart, I feel every irregularity in the rhythm, well, practically every one, but many people don't feel anything, despite how fast, or irregular, their heart rate is.

Your doctor, and you, must make decisions on what medication you should be taking. Don't rely on Forum Discussions, they can help, but you need to tell your doctor the problems you're having, and if necessary, try something else under his guidance.

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@suzanne2019

Y p.o ur dose is low but that is reported the #1 worse beta blocker on the market! I did a lot of research and weaned myself off due to my extreme side effects just like yours. I have heard so many similar stories on this site from this drug. Dont take it anymore!!! So happy I stopped taking it!!!

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Could you list a link to an article about Metoprolol being the worst beta blocker on the market, I simply don't see that. My Cardiologist doesn't prefer it, at least the Succinate Version, but I'm fine on it, succinate and all. The hospital put me on it and my family doctor keeps me on it. But I had taken Inderal LA for years, and when I went into afib was on Acebutolol (rather than Inderal, which later was switched to Atenolol, then switched to Acebutolol, this over a period of many years) in a large dose, but I didn't notice any problems with Metoprolol Succinate, save before they raised the dose high enough. I left the hospital on 200 mg Tartrate, I asked my family doctor to prescribe the Succinate, and technically, my Cardiologist told me to take 400 mg Succinate as 200 mg in the morning, and 200 mg in the evening. But I take, with my family doctors guidance, 200 mg Metoprolol Succinate in the morning, 25 mg Metoprolol Tartrate at 2:00 PM, it gets me through the afternoon more smoothly, and the pharmacy spoke with the doctor, most people don't take most forms. I then take 150 mg Metoprolol Succinate in the evening.

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@nancynana4

I’ve been taking 12.5 mg metoprolol succ Er once a day for only the past 3 days. Totally messing me up mentally. Constantly crying, depression, my head feels weird, panicking. I’m done with this prescription. Prescribed for when my heart rate gets very high when in stressful situation.

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Hello @nancynana4,

I am sorry to hear that you are having so many problems with the Metorporlol. Have you talked with your doctor about your desire to change meds? It is very important not to go off a med without first consulting your prescribing doctor.

I had problems with Metorporlol as well several years ago. Not quite the same as your side effects, however, when I called my cardiologist he substituted an older beta blocker called Atenolol. It works quite well without the side effects.

Will you call your doctor today?

Liked by Soliloquized

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I also take the Metropolol and I am weaning myself off of it slowly. I now take 1/2 of the 25 mg pill in morning and 1/2 of the 25 mg pill in the evening.

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@sue225

@nancynana4maybe you should stay on it a little longer: three days isn't enough to decide. Maybe your body will adjust. I have been on the metoprolol tartrate for over three years to control an arrythmia. I had different side effects for 10 months! but I liked how all my pounding and fluttering and racing sensations vanished. My doctor tried me on bisoprolol , atenolol, metoprolol and I chose the one which at the time was the least offensive in terms of side effects. And eventually my body gave up rebelling against the drug. Let your doctor know, and know that there are other meds within the betablocker family to try.

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I have had a really tough time trying to find a blood pressure pill without side effects. First I developed a cough from Lisinopril, then he put me on Losartan then Olmesartan, etc. After two years on those, my joints were in excruciating pain. My sister said to look at side effects when I told her the Orthopedics couldn't really find a cause. Sure enough, on not as common side effects was joint pain. He changes me to Toporol XL (same as generic Metoprolol), and within a month, all the joint pain is gone. After being on Toporol for a couple of months, I start getting this really bad pain in my side. They did CT scans and there is no reason I should have this pain. Then I look up side effects and there it is, on rare side effects or less common was "side pain". I'm just beside myself! So I go back to the Doctor and he has now changed me to a Thiazide diuretic (Maxzide) while weaning me off Toporol, but my blood pressure is now really high. Although I did sometimes have heart fluttering at rest (usually middle of the night), the Toporol did help with that. After reading this group, I wish I had never been on the Toporol because I have since found that going off can cause your BP to spike higher than before. What used to be 135/85 HBP with no medication is now 150/100 on the diuretic. He is now adding a calcium blocker and I'm worried that has it's own set of problems. I'm only 58 and I'm just wondering if any of you had any of these same problems with the pain in the side. Or has anyone been on the calcium blockers and any problems I should be aware of. I think I'm just overly sensitive to medication and am working on my weight (220) so maybe one day I won't have this problem.

Liked by Soliloquized

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@patidallas22

I have had a really tough time trying to find a blood pressure pill without side effects. First I developed a cough from Lisinopril, then he put me on Losartan then Olmesartan, etc. After two years on those, my joints were in excruciating pain. My sister said to look at side effects when I told her the Orthopedics couldn't really find a cause. Sure enough, on not as common side effects was joint pain. He changes me to Toporol XL (same as generic Metoprolol), and within a month, all the joint pain is gone. After being on Toporol for a couple of months, I start getting this really bad pain in my side. They did CT scans and there is no reason I should have this pain. Then I look up side effects and there it is, on rare side effects or less common was "side pain". I'm just beside myself! So I go back to the Doctor and he has now changed me to a Thiazide diuretic (Maxzide) while weaning me off Toporol, but my blood pressure is now really high. Although I did sometimes have heart fluttering at rest (usually middle of the night), the Toporol did help with that. After reading this group, I wish I had never been on the Toporol because I have since found that going off can cause your BP to spike higher than before. What used to be 135/85 HBP with no medication is now 150/100 on the diuretic. He is now adding a calcium blocker and I'm worried that has it's own set of problems. I'm only 58 and I'm just wondering if any of you had any of these same problems with the pain in the side. Or has anyone been on the calcium blockers and any problems I should be aware of. I think I'm just overly sensitive to medication and am working on my weight (220) so maybe one day I won't have this problem.

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Although one cannot rule-out that these pains and side effects weren't caused by medications, people that take Placebos, i.e. Sugar Pills that the patient think is medication, causes some patients to experience side effect when, in fact, there is nothing in the Placebo to cause it. I'm taking a ton of medication, seizures, Afib, Cholesterol, Blood Pressure (I lost weight, the pressure is down, but the diuretic effect reduces the volume of retained fluids, so I elected, with the Doctor's approval, to remain on it), etc. If I read the side effects, I'm sure I could correlate something I experience to the medication. But it doesn't mean it's actually from the medication.

Placebo Contrasted Side Effects is a good way to determine the side effects of a drug, yet I cannot find a handy example. But when a Drug compared to Placebo trials are done, it's interesting the things that people taking the Placebo report. Say 12% of the Drug Group experiences knee pain and 10% of the Placebo Group does as well. It's not likely that 12% of the eventual patients to receive Metoprolol will experience knee pain, maybe 2%, but even that is generalization since the Placebo Group didn't receive anything to cause it, just that 10% of the Placebo Group noted knee pain.

I'd always look for a wider variance in Drug to Placebo Groups to start to seriously believe that the effects may actually be caused by the Drug. If the Drug Group reported something at 15%, and the Placebo Group reported it at 7%, there's a good chance the Drug is causing the effect. Periodically, sometimes the Drug Group reports a lower percentage of Side Effects than the Placebo Group.

And there are Pre-Market and Post-Market Studies. Once released, Side Effects are reported, and sometimes, they are ludicrously silly, something that most people cannot possibly see a correlation between the Medication and the Effect, but they are, nevertheless, recorded as Side Effects.

At some point, many of us need to decide if the Side Effect or higher blood pressure, racing heart, tension, etc., is worse. Sometimes clearly the Side Effect must go, other times, one learns to live with it. In all cases, talk to your Doctor and consult your Pharmacist, sometimes the Pharmacist knows much more than the Doctor on the Medication.

Liked by sue225

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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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Hi.

I've been off of metoprolol Tartrate 25mg for ten days because of the long list of side effects that were effecting me including destroying my GI tract. Still feeling some side effects including tachycardia heart rate keeps bouncing between low 50s to mid 80s. I've lost 22 pounds in the past eight weeks due to the stomach problems and still getting the palpitations. Constantly feeling cold and have chills. I will continue to monitor. If it doesn't level out I will contact cardiologist. I hate this drug

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@jlbyrd975

I've been on metoprolol about 8 months for one bout of afib. I was prescribed 25mg twice daily. I took that for 2 days and my pulse was in the 40s so went down to once a day. It was still low 50s so I went to 12.5 and have been on that for most of the time. My resting pulse is mid 60s which is lower than it's been my whole life. I'm sensitive to most drugs and metoprolol I think is one of them. I'm having terrible back and hip pain to the point of it affecting how I walk. I've told my cardiologist and my pcp but they both say metoprolol isn't the cause especially at such a low dose. Tonight I started halving the 12.5 and will use that for a week and then stop. If after a few weeks if the pain goes away I'll know it was the drug and see what alternative drug is suggested by my cardiologist. Has anyone else had back and hip pain?

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Yes. I have along with about twenty other side effects

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