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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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Bisoprolol 5MG is a good substitute for metoprolol. It is less prone to reducing circulation in the extremities as with ones hands and feet.
Unless your condition greatly improves the meds are a part of life and better to determine which specific brands or types provide the least in terms of side effects. At least it is easy to find this information with the many Web sources.
This includes sites with detailed information on drug interactions as with a heart condition people are taking multiple drugs. In my case the question of which P2Y12 antiplatelet medication to take was important as I also take a statin.
With a stent implanted my risk factors increased five-fold and so I needed to review which medications and in which dosages to continue to take. I switched from clopidogrel to ticagrelor and reduced my statin dosage by 50%.
Despite the extra work to research drugs and protocols I am glad that there are so many more options than I would have had 10 years ago and so many drugs are now available in generic form. The regular ticagrelor sold for $450 in the USA and the generic form at Costco costs me only $8 per month.
I should add that to minimize the risks of rhabdomyolysis with a statin, I also take CoQ10 daily.
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