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.

@amandaburnett

@jankanrite, I would say it depends on the size of the hospital and the population of the area you are in. Statistically, about 1,500 patients undergo ablations at Mayo Clinic and we have quite a few cardiologists, so I would say that 300 for one physician is not a bad number at all. Are you considering the surgery?

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Yes….I am a bit concerned going into hospital for a procedure during Covid. I have a consult with the doctor today.. thank you..will stay in touch..:)

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@respier

I’ve had 3 catheter ablations. I was started on 50mg, then to 75mg. Now, I’m on 150mg daily…and my cardiologist is adamant on about the dosage.

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I am on metoprolol succ.150/twice daily. I have HCM w/obstruction. I am 67 & too scared to have the surgery. After reading comments here, I’m seriously reconsidering.

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@lynnecb

I am on metoprolol succ.150/twice daily. I have HCM w/obstruction. I am 67 & too scared to have the surgery. After reading comments here, I’m seriously reconsidering.

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Good luck with your issues. Hard time to be ill.

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Since met lowers your heart rate, makes sense to leave it.

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@scottij

I took metoprolol for a very short period before and after mitral valve surgery (subsequent heart transplant alleviated the need for a beta blocker). I hated the metoprolol and quit cold turkey though I was not on it more than two months total. No issues for me in stopping.
Good luck and…
Best always,
s!

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I took it too, but was suffering from rashes. My doc changed it to carvedelol. which seems to be okay.

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I was told by both a pharmacist and my cardiologist that you cant stop metoprolol cold turkey. You must be weaned off it. Can trigger serious heart problems just stopping.

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