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How did you wean off Metoprolol?
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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Hi @jamison3, welcome to Mayo Clinic Connect. You'll notice that I moved your message to this existing discussion. @kenny48 asked the same question a while back and members like @kkwmp @maryrohrer1 @texas14 @soliloquized @exboater @hopeful33250 @jackj and more have shared their experiences. Click VIEW & REPLY in the email notification to scroll through past messages.
You'll read that others have advised weaning off Metoprolol gradually and under your doctor's guidance, which you're doing. I'm glad that your heart rate turned out not to be a cardiac issue. You may be interested in joining the discussions about PTSD and Zoloft in these groups:
- Depression & Anxiety https://connect.mayoclinic.org/group/depression-anxiety/
- Mental Health https://connect.mayoclinic.org/group/mental-health/
How is your heart rate today? How do you feel?
Hi, I had CABG surgery and 5 bypasses in March 2018. Since that time, I have been on 50 mg of metoprolol tartrate twice a day. About a month ago, was feeling lousy, some dizziness, fairly low pulse (low to mid 50’s). Did bunch of tests and stress test, and determined dose was too high, so initially cut dose in half. Went back and cut dose in half again, then went for ekg last week and cardiologist took me off it completely. Now noticing my resting pulse is now in the 70’s and 80’s (much higher if I do small exertions). Have to go back this week to wear holter monitor for a day. Just trying to get info on side effects of getting off this med. Feeling ok...not great. Thanks.
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1 ReactionHi , I’ve been on 25 mg metoprolol twice a day for years, along with ramipril and two others for palpitations, BP and my HR is in the low 50’s to 60 usually...it can make you sluggish, tired, but If I even miss a single dose, I’ll feel it before the next dose is due...it’s like all the horses breaking loose...so I’d stick close with your cardiologist and be cautious with any Beta Blocker cessation.....Good Luck
Wow... I can't believe this but I basically spent the past day or so going through every post in this thread. Thank you to all who have contributed and provided such amazing detail and insight.
44yo male here was at 240lbs but now at around 200lbs, aiming for 180lbs where I was in my 30s.
In my case, I started having high blood pressure readings at doctor appointments starting about 4 years ago, hypertensive around 130-140/85-90, with some readings going as high as 150 systolic. The problem I face is that I have an Omron wrist cuff here at home and it usually reads normal around 120-125/80-85. So I am not sure if there is some form of anxiety that occurs at the clinic, but that appears to be adding to my dilemma here.
Anyways, six months ago I wanted to have "insurance" on my weight loss regimen to help with my efforts in case I was unsuccessful. Part of my freakout was that I was starting to score high BP readings at home with my Omron wrist cuff. I was prescribed Metoprolol Succinate ER 25 MG for once in the morning. In hindsight, I made a mistake as I was able to lose weight and get into a good running routine with a treadmill that I purchased when the pandemic hit.
About 3 months in, my BP was fantastic with Omron measurements, hitting consistently 100-110/65-70. This was actually TOO good for me, so I decided to ween off the "insurance" (Metoprolol) and started at 12.5 for a few days and then stopped taking it altogether. I've had no side effects w/ Metoprolol btw, only that I feel it makes me tired if I do not get a good night's sleep and it makes me take additional naps during the day.
After weening off Metoprolol, I had no side effects and my BP stayed the same: 110/70 @ 45-55bpms. Unfortunately, I did strain a hamstring and that's where everything got a little crazy for me. I ended up not working out as much and I started to freak out and ended up starting Metoprolol again about 2 weeks ago to make sure my BP was controlled while I was not working out as much. Probably not necessary but again, see: freak out.
When I made the appointment six months ago for my "insurance," my doctor wanted me to return in six months to check back in with how I was doing with Metoprolol. For those paying attention, that makes this week that six-month point. I had that appointment on Tuesday and that's part of the reason why I am here even reading this thread. The appointment was shocking. I took my BP before I left home and it was 107/63 @ 70bpms (this is on Metoprolol). However, at the clinic, it was 160/82! They did a subsequent reading (after I had "settled in") that was 155/90.
I am not sure if it's that machine or what it is. I simply do not score well with these new fancy automated BP machines but with the wrist cuff at home, I am scoring what seems to be very healthy/normal. I would love to see how I do with the old-school cuff with a squish-pump at the clinic, but alas these new automated machines are all they have now. One thought I have about this is that I do not talk as much at home, where I work, and am mostly "in my head" as a software engineer. So, talking and describing things is "different" from my typical schedule and is a "stressful" event, for lack of a better expression, leading to high BP. Also, at the clinic, it seems that BP is taken after a long bout of talking about things, where I am usually animated (talking with hands, etc), and I can tell that I am a bit elevated.
Anyway, I am in a bind now. My doctor has me returning in a few weeks for a BP clinic with the nurse, where I will basically get a BP reading, hopefully without any sort of hand-waving and song+dance. I told her about stopping Metoprolol and then starting it up again, and she was not a fan of that. Basically, you can worsen or invoke afib, is what she said. To be sure, I do not have afib but do get PACs. Another interesting note is that she said that these are ER tabs and that by breaking them in half that ruins the "seal" around them that makes them ER. But, I don't get that as the pills themselves have a crease in the middle, basically asking to be broken.
As I mentioned, I do get PACs, they started a little before the time that I started getting my high BP readings, about five years ago I want to say. I've noticed that Metoprolol makes them less frequent, and when they do occur they are less intense.
Regardless, I would like not to be on a daily chemical if I can help it. My plan right now is to lose another 20lbs to get me to 180lbs and see how things are then. After this BP clinic in two weeks, I have another follow up in 3 months with my doctor discuss. I plan on taking Metoprolol during this time, but would like to ween off of it if I do not need the "insurance." Having wild, inconsistent BP readings through all of this does not help with my stress! I am almost wanting to purchase another wrist cuff to confirm any sanity present.
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1 ReactionHello mdm123
Your problem is 99% WHITE COAT HYPERTENSION. at home your BP is normal, but at doctor office it spikes. Your doctor should know better. Your situation is very, very common.
Your Rx is a very strong medicine and is generally used for cardiac problems. AFIB In particular.
The score line in pills is meant to cut a pill in half. Ask any reliable pharmacist.
Also worrying about bps will make bp go up.
I’m retired from the hospital setting, and med school, and on a daily basis saw people with normal bp have a spike because of pure anxiety.
I suggest another doctors opinion.
Take care, that is great you are losing weight. The trick is to keep it off.
Funcountess
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3 ReactionsFunny enough, I am aware of that phenomenon @funcountess. Shame on me for not bringing it up with the doctor when I had a chance. They stated to bring in my cuff for the BP clinic meeting, so I am sure they are aware of it. I am wondering if Metoprolol is a viable prescription for BP? It sounds like it's mostly for afib/serious conditions as you state. I do have those PACs, which is probably a consideration here for the prescription. Also, I do have migraines, but it seems Metoprolol is prescribed for migraines at a higher dosage.
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1 Reaction@mdm123. I have the same issue as you. My bp at home could be good and when I'm at the doctor's office, it seems to spike up. It's often called white coat hypertension
. I know it's anxiety. However, getting off medication without consulting a doctor is not a good idea. Have you thought of bringing your wrist bp monitor to the doctor's office and use it there to compare the reading with their monitor? May I suggest you write down your bp numbers for a few weeks and show it to your doctor? I use an arm monitor rather than a wrist monitor as I have very small wrist. Have you thought of getting an arm monitor?
Lifestyle changes can often help with medical conditions...losing weight would help. Diet (I mean what you eat everyday) , and stress level are important too. Maybe you can discuss these with your doctor.
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1 ReactionHi,
Game 3 tonight, don’t get your BP up if the Rays take tonight. I’ve already done my walking in this A.M.going back and forth from clothes hamper to lower level garage to do laundry. Doing this multiple times a day must count as a walk.
That's good advice @mayofeb2020, thank you. I do have a wrist monitor and it has been providing the numbers I mentioned earlier. Here at home when exercising I score 110/70. While on Metoprolol I score lower than that. For instance, this morning was 102/67. I see in the White Coat Hypertension article on Wikipedia that high results are usually due to smaller cuffs, or cuffs too small. In my case on Tuesday, that's exactly what it was. There's a red one and blue one, the blue one is the smaller one and it is what both the nurse and the doctor used on me. I usually request the red one but was for sure certain my BP was not a problem based on my home scores. Seeing 160/82 on the machine TOTALLY shocked -- bamboozled, even -- me, to the point that I didn't know if asking for the red would make a difference.
To me the BP issue wasn't even an issue. I was actually there to talk about another issue (I've created a thread on this forum about it entitied "Feeling Like Heart is Kicking Me When Sitting"), but the 160/82 reading fully sidetracked my whole morning -- and week, for that matter.
Also, I got into a discussion with my doctor with regards to cuff vs. arm. Apparently, wrist measurements aren't as accurate as the (upper) arm. I am aware of this nuance, but to me, if one is scoring 110/70 on the wrist, that has got to be good for a 120/80 for an arm cuff. Regardless, I took to Amazon to find a highly rated arm cuff for a good price ($26), so I am going to try that out and add that to my metrics. I'm sort of miffed with this battle! Tired of these automated machines!
Not sure if links can be posted, but this is the one I got: amazon.com/dp/B07JN1DF1D
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2 Reactions@mdm123
Hi, I am on metoprolol 25mg twice a day for PVCs, some PACs and HBP...I get PVCs quite a lot....my episode started Sep 10th and it depends on the day or night....random....but, BP definitely can be affected by stress, anything that gets you nervous or unsure...I even get high strung when I’m setting up a new device....technology is very stressful to me....but I can tell you that without taking the metoprolol, it wouldn’t be long before my HR would go from a resting 50 to in the hundred +....also, when I eat less, because of Reflux disease, I lose a few pounds and that helps the BP....but anxiety when even taking blood pressure can really run mine up, especially the top number......good luck to you...try not to worry....easy for me to say....
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