Can toprol xl be cut in half

Common Questions and Answers about Can toprol xl be cut in half

toprol

The operation was totally successful and I was prescribed 25 mg of Toprol XL to be taken twice daily. My local cardiologist (who has been treating me for the past 20 years) says my heart muscle has shrunk back towards normal size and that I'm "doing so well" I should cut my Toprol XL dosage by 50%. Do you concur? Would this reduced dosage have any negative impact whatsoever on the mean-time-to-failure of the replacement valve? Thank you very much. CCF is simply the BEST!
and try another medication - remember when on toprol xl or toprol beta blocker you have be weaned off it slow.. unless your on a low dose.. you Doctor will know how to do it.. if he or she is willing.. I for the life of me, cant figure why any good Doctor anywhere would prescibe this junk to anyone ! as it has so meny side effects to it.. thanks for posting.. take care and good luck ! boogernose..
00 am and the same 50 mg at bed time 9:00 pm. A riddle in of itself!!! I have approached my doctor's about this. One says that it is okay to still take my Toprol XL 50 mg. even though my BP is 99/56 and my pulse is 58. Another says that if I don't I will have breakthrough SVT's that are even tough for ER to get down sometimes (though it is not deadly so they say!). Who's right and who's wrong!!!
It also makes me more tired than usual and not able to exercise as I need to. The depression is lifted, when I cut the pill in half .. but after about 6 days, the symptoms begin to get much worse, and I'm unable to live with them. Sooo .. I feel like I'm caught in the middle. On the one hand, I'd love to get off the Toprol all together, so I can have more energy, exercise hard (need to lose weight) and get back to my old 'happy' self, but the symptoms are so BAD, when I attempt to ...
Ventricular tachycardia with structural heart disease or coronary heart disease as I understand can be dangerous, also V-tach related to ARVD, Brugada and long qt syndromes, also HCM can be dangerous. rapid ventricular response in WPW syndrome with a-fib can on rare occasions be dangerous also. Also any incessant tachycardia that last more than 12 hours a day can lead to cardiomyopathy, It is my understanding this can take months to years to manifest itself depending.
Unbelievable. I was on 25mg (mind you 25mg) of Toprol XL for several years until the cardiologist said: "That is bad stuff, get rid of it". Per his instructions, I cut the pills in half and took those for 10 days and then took the now 12.5 mg every other day for another 10 days. I had no ill effects. I can't, obviously, comment on your condition but 300mg of that stuff every day is frightening to me.
There are a lot of things that can cause symptoms in the chest that arent cardiac. The pain meds were probably not for your heart and if I had to guess it was for some type of musculoskeletal pain that your physician thought you had. Set up an appointment with your physician or even his/her nurse to help go over things. Also, work on identifying what caused your panic attack and triggers and coping mechanisms for dealing with it should it recur.
Tom's idea sounds like a good one to me and as I changed, at my own request, to Atenolol beta blocker, to get the longer half life at low cost I sometimes cut my morning dose in half to accomplish the same thing Tom mentions... burn off some of the buildup.
Given the average HR of 68, normal or high BP assumed, and the low dose level of Toprol XL I think you should be fine. Check you HR a few times a day until you feel comfortable. If you have an athletic history, a low HR, even in the 50s may be all you need due to a strong/athletic cardiovascular system.
I recently went off Monopril for high blood pressure and started Toprol XL, which makes my heart beat so hard, I called my dr and was advised to cut the dose in half to 25 mgs per day for at least a week to give my body time to adjust. Now I get the vibrating sensation almost every night. It used to only happen when I drank too much. (I hardly drink anymore.) I'm so glad to have found this site!
I had an episode of svt in June. Given adenosine to stop it. Then prescribed Toprol XL to keep heart rate low. It seems that I have pacs every day. Yesterday it was constant for about 9 hours. About one per minute. My chest feels like it is quaking, makes me fearfull, nauseous, generally weak. Saw cardiologist yesterday, we both wonder if Toprol is making situation worse. It's never been this constant before. I have another appointment in a month.
My blood sugar appears to be normal. I also take toprol xl for hypertension, which seems to be well controlled, and nitrotabs sl which work well. Do you know anything about this condition that they call "syndrome x"? Do you have any opinion on the error rate of cardiac caths?
i am taking toprol xl 25 mg (half in am and half in pm. it seems to be working on bp but when i am up on my feet heart rate goes to 100-115. why isn't it working on hr.
I wonder if it might be a reaction to the Toprol . I cut my dose in half as of yesterday to see if that helps. I am sensitive it medication I usally only need one reg tylenol to help me with a headache. I would appreciate it you have any information that would help me with this frustrating situation.
Hi, I believe that short run VT (essentially several PVC's in a row) can be indicative of potential heart disease. I know that when my doctor and I recorded a short string of VT (several PVC's in a row) on a holter, an angio quickly followed. In my case, no heart disease thankfully, hopefully just a bad case of "ectopics" created or unmasked by ablation. It did take a bit of overexercise to bring about the VT --- before that all we had on tape were simple ectopics, both PVC and PAC.
Re: cutting down on Toprol dosages: If you can monitor your BP, your doctor may approve reduced dosages. A self-reading cuff could be a very good investment. I recently experienced fatigue and a sense of "disconnectedness" from taking 50mg of Toprol XL daily. The pills are scored and can be split, so I tried taking a half-pill and found that my BP readings (morning and evening) were not significantly affected, but the light-headedness went away and my fatigue decreased.
The best option might be to switch to a long-acting version of metoprolol called Toprol XL. This is a once a day medicine. Good luck.
Me too. Toprol XL, 25 mg every day. Doc said if 25 mg doesn't do it, I can take 25 in the a.m. and 25 in the p.m., too (and sometimes I might if my heart is beating really hard). I've been on a betablocker for about two decades. Started out with Inderal 10 mg 3 times a day (took it for probably 10 or 12 years). Have been on Toprol now for probably close to 7 years. Definitely, don't just run out of the Inderal and then stop. You cannot do that with a betablocker.
I don't have allergies of any kind and I'm in excellent health and I can learn to live with the smell of fresh baked bread in my nostrils.. I mean it could be owrse.. still I think I should get someone to check this out especially as I read about Phantom smells being a possible side efect of brain tumors...
Hi, I'm a 32 year old woman, normal weight, don't smoke, exercise daily, in good health except that I have very mild MVP with trace regurgitation. I started taking Toprol XL last October because I was waking up in the night with tachycardia (probably anxiety-related). Since I've gotten my anxiety under control, I have decided to get off the beta blocker. I take Xanax, .25 mg 3X/day, Celexa (anti-depressant) 10 mg/day and was taking Toprol XL, approximately 12.
It is cardiac selective and doesn't mess with the lungs or my asthma at all. I cut it in half and take 25ml and make it last 2 months. Insurance usually does not cover it and this may be why its not prescribed as much, but it isnt bad - about $25-30 for a 30 day supply. If you cut in half, then you get 2 months out of it. SO its smart if the Dr wants you to take 50mg, to ask for the 100mg pill so you can make it go 2 months. (tricky eh?
I was wondering how well toprol xl is tolerated in the general population. My doctor (regular doctor not cardiologist) wants me to try metoprolol (toprol xl) he gave me a very low dose of 25 mg and told me to break it in half for the first four days then take the whole pill there after. First off I do not like taking medications at all and second of all im so afaid of the side effects.
just total dread I told my doctor that I had to get off of them, so I began reducing my dosage in half. The pill are scored and I broke it in half, I took .25 for 10 days and then got a prescription for .25XL and starting breaking those in half. I took the .12.5mg for 10 days and then I stopped. Had a few uncomfortable moments but I was fine and now, I have a palpitation every now and then, but I'm much better off of them.
My pulse drops too low sometimes so my doctor says to cut back...like cut a 25 mg pill in half and my heart notices the difference right away and then my pulse is too high. I don't think that you can get off of BB once you start them...that is my experience anyway. My pulse is either too low on them or two high...seems to be a fine line in how much to take. I have even had to break the pills off the score line to get to where my heart tis happy.
I went back to 25mg Toprol and am trying to wean off of it slowly (cut the dose in half to start) and am having horrible anxiety, sleeplessness, jitters and actual tremors. My heart feels like it is pounding out of my chest and my pulse is 105. Any suggestions from anyone?
I called the cardiologist, and he left a message for me, to cut my Toprol in half. He said that should solve the problem. I hope he is right. It is the Flecainide I have been worried about. He seems to think it is safe to take, even with the negative stress results.
I have asthma already and absolutely cannot breath, which I now find out can be a side effect of Toprol. I literally can't walk 50 feet without having to rest and heave and ho and huff and puff on an inhaler to breath. While the Toprol is pretty much controlling my blood pressure, it does not last the full 24 hours. After about 20 hours, my BP shoots up, my breathing gets even WORSE and I feel like hell until I take the pill and it kicks in.
During this time they take my breath away, sometimes accompanied by fast pain in left arm elbow area and quick pain in the jaw. Dr. did prescribe Toprol XL, but was leary because my heart rate is fine. He also did cardiac blood work that turned out to be normal. Like you, I just want to get some sleep. I do take an antidepressant at night, it was prescribed for sleep due to shoulder pain, not depression as this anti depressant is something that could knock you out for a week.
The cardiologist told me to stop it, I had shortness of breath and terrible night sweats. I cut them in half and did that for 10 days, then I took those half pills every other day for 10 more days and then I stopped. No ill effects.
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