Carvedilol and metoprolol

Common Questions and Answers about Carvedilol and metoprolol

coreg

So, my cardio took me off of the ramipril and put me on 12.5 mg of metoprolol twice a day and in addition to my 12.5 of HCTZ. However, after a week of feeling exhausted, having a resting heart rate consistently in the low 50s, and not much higher otherwise, I complained during my follow up. My cardio gave me some samples of 10 mg coreg to take once a day and a prescription to fill if the side effects from the metoprolol do not get any better.
You can look on drug info sites and see that anxiety is an infrequent side effect of metoprolol and other BBs. Same with weight gain, and even a reference to increasing any pre-existing depression. When you have rare side effects, it can be difficult to convince anybody that the effect is real and does come from the drug. I'd identify what web sites he would consider to be as authoritative sources, then print web pages from those sources that list your symptoms as rare side effects.
I think some of the beta-blockers are still very good to prevent heart attack and heart damage especially the newer ones like the Bystolic, Bisoprolol, Carvedilol and the metoprolol XL... I did a full day on the Metoprolol yesterday...
Our bodies do tend to adjust to to medications and our organs do tend to get used to them and return to earlier patterns. Metoprolol is a pretty basic Beta Blocker, there are much stronger beta blockers that will indeed take your blood pressure lower, like Coreg, but drugs of that class are very difficult to take. It's possible that you need to evaluated for a different medication or perhaps a pacemaker. I'd suggest Occupant asked a very good question based on your inquiry.
I'm not even sure that this particular drug is appropriate for me, but I'm wondering about anyone's experiences with weight gain and Carvedilol vs Metoprolol, and also anyone who is being treated with Carvedilol for paroxysmal afib. I have an appointment with my cardiologist in 2 days and I'd really like to discuss this with him. ...Thanks for any help!
If intolerance to carvedilol has been proven d/t bronchoconstriction, it can be replaced with the more selective forms like metoprolol, bisoprolol and if out of the US, nebivolol. In the other hand, there are numerous publications that support the use of BB in heart failure patients in terms of increasing survival and quality of life, so BB should not be avoided in a patient only because of asthma. Good luck.
The two medications Nifedical XL and Carvedilol do have listed side effects of nausea, heartburn, abdominal pain, and insomnia however; Metoprolol has these same listed side effects. The fact that you have acid reflux could be contributing to both your inability to eat/weight loss and your difficulty sleeping.
Lisinopril and Metoprolol when I left the hospital, now Lisinopril and carvedilol (coreg). seems like a relatively common combination.
Your heart rate being slow is reflective of two of the medications that you are on that block the atrioventricular node (conduction system of the heart); diltiazem and metoprolol. Neither of those medications are good at controlling blood pressure. A better beta blocker to use rather than metoprolol is carvedilol as it acts to lower blood pressure through a different mechanism than metoprolol.
A better beta blocker to use rather than metoprolol is carvedilol as it acts to lower blood pressure through a different mechanism than metoprolol. A better calcium channel blocker to use in you would be amlodipine (rather than diltiazem) as it works to lower blood pressure much more effectively. The HCTZ (hydrochlorothiazide) is a good blood pressure medication and would certainly be reasonable to continue as long as your kidney function and lab tests for electrolytes are ok.
starting with Toprol XL and if this does not work, Carvedilol 6.25 . Has anyone been on either of these meds and what do you think? I do not have high blood pressure, just pvc'c which I had under control with the Propanolol (Inderal) for several years. don't know if the stress kicked them up? any feed back on the med's would be very helpful.
Yes Joe, You are correct, and I was wrong making that general statement on BB. However, as you can read here: http://www.cvpharmacology.com/cardioinhibitory/beta-blockers.
changing from propranolol to metoprolol and later to carvedilol did not take much of a transition. I didn't have to wean slowly because the beta blockage was still in effect and so not running away with the rhythms... at least no more than was already happening anyhow.
When I'm sitting quietly, my heartbeat actually makes my body rock! When I have PVC's and PAC's, it just about drives me nuts. I'm on 50 mg of metoprolol, which seems to help, but the one thing that I've found that keeps them away is to stay aerobically fit. If I put in 5 to 10 hours weekly on my road or mountain bike, at a good strong pace, then I rarely have PAC's/PVC's, my BP is under 100/70, my resting HR is about 50, and I sleep better.
I don't recognize the brand names, Toprolol is the only brand name I have taken, then it was to the low cost generic versions of Toprolol (Metoprolol) and later at my request to Atenolol. If you take a med only once a day it should be a slow release, even Atenolol has a half life of only 12 hours max. I may be digressing. I agree with your question: I believe less is more/better when it comes to medication. But, the change may have medical reasons you have not identified.
So, my cardio took me off of the 10 mg ramipril I was taking and put me on 12.5 mg of metoprolol twice a day and in addition to my 12.5 of HCTZ. However, after a week of feeling exhausted, having a resting heart rate consistently in the low 50s, and not much higher otherwise, I complained during my follow up. My cardio gave me some samples of 10 mg coreg to take once a day and a prescription to fill if the side effects from the metoprolol do not get any better.
I don't know if it was because of that list of problems or what, but he changed the metoprolol to Carvedilol. Then came heart rehab and began to feel perfectly normal. The next time I seen him was just after stopping the heart rehab workouts (no insurance and was/still am looking at a very large bill from the bypass surgery) and was walking up to 2 miles a day and felt like I could walk for miles more. I don't know if it was how I was now feeling or or what but he doubled the dose to 6.
I saw a cardiologist and went into the hospital overnight for observation, he removed Benicar and put me on Carvedilol and after a normal stress test I was released from the hospital. A couple of days later the chest pain got worse and my PCP removed the Carvedol and put me on Benicar HCT 40 mg. I became dehydrated very quickly (in 2 days) and he removed the HCT. I am now on plain old Benicar 40 mg. I also take Pantoprazole 40mg for GERD.
You named too many drugs for me to comment beyond my long term experience with Toprol and Metoprolol (generic) and trouble-mares every nigh for the several years I've been on the drug. Your sharing your return to peaceful sleep after going of Toprolol raises an interest in me to change drugs. What do you take instead of Toprol ? Thanks.
4) but I am also having asthma and using inhaler (budamet) for last 5-6 years. I tried beta blockers( carvedilol and metoprolol ) for my pvc but was not able to tolerate even the minimum dose of beta blockers. Please suggest what should I do to control PVC with many couplets and triplets. My Cardiologist now suggesting me to take amiadrone for my PVC and thyroxine for my hypothyroidism.
4) but I am also having asthma and using inhaler (budamet) for last 5-6 years. I tried beta blockers( carvedilol and metoprolol ) for my pvc but was not able to tolerate even the minimum dose of beta blockers. Please suggest what should I do to control PVC with many couplets and triplets. My Cardiologist now suggesting me to take amiadrone for my PVC and thyroxine for my hypothyroidism.
I am a 29 year old male who was recently diagnosed with a 65% blockage in my lad artery in my heart. They prescribed me metoprolol succ er 25 mg to take once a day, I was on that for about 20 days then I started having symptoms like depression, and a suffocating feeling. A few days ago they switched me to a different beta blocker carvedilol 3.125mg again to take once a day, it has been 3 days and now I am having the same symptoms plus random heart flutters.
Both betaxolol (brand name - Kerlone) and carvedilol (brand name -Coreg) belong to a class of medications called beta-blockers. This class includes the following other medications: generic (brand name), - propranolol (Inderal), atenolol (Tenormin), Labetalol (Normodyne, Trandate), metoprolol (Lopressor), pindolol (Viskin), Nadolol (Corgard), and sotalol (Betapace). These drugs work by binding to a receptor called the beta receptor.
Both betaxolol (brand name - Kerlone) and carvedilol (brand name -Coreg) belong to a class of medications called beta-blockers. This class includes the following other medications: generic (brand name), - propranolol (Inderal), atenolol (Tenormin), Labetalol (Normodyne, Trandate), metoprolol (Lopressor), pindolol (Viskin), Nadolol (Corgard), and sotalol (Betapace). These drugs work by binding to a receptor called the beta receptor.
Both betaxolol (brand name - Kerlone) and carvedilol (brand name -Coreg) belong to a class of medications called beta-blockers. This class includes the following other medications: generic (brand name), - propranolol (Inderal), atenolol (Tenormin), Labetalol (Normodyne, Trandate), metoprolol (Lopressor), pindolol (Viskin), Nadolol (Corgard), and sotalol (Betapace). These drugs work by binding to a receptor called the beta receptor.
Ask your doctor about switching from carvedilol to Bystolic. I was on metoprolol (another BB) for 5 years and experienced exactly the same symptoms as you with regard to leg pain and exhaustion. I am a former competitive cyclist. Carvedilol is a non-specific BB, acting strongly on both beta-1 and beta-2 receptors, and also acting on the alpha-1 receptor. Most of the benefits of BB's come from their beta-1 selectivity, and most of the side effects are due to the beta-2 selectivity.
There are a few beta blockers with evidence in heart failure -- they are carvedilol, metoprolol XL, and bisoprolol (not really used in the US). Atenolol does not have any data to support its use in heart failure, so I would recommend a different agent (one of the above). Which one to choose depends on your blood pressure and ability to take twice daily dosing vs once daily. Chlorthalidone is a perfectly fine diuretic, if you have blood pressure room to tolerate it.
I do think it is due to the Metroprol to Metoprolol Tartrate issue or the combination or both Zoloft and Metoprolol. Both medication's class are known to give a metallic taste in the mouth. If the metallic taste was not present prior switching from Metroprol to Metoprolol Tartrate then i think we can rule out Zoloft as giving the symptoms. I'm not a doctor but if the symptoms persist try switching back to Metroprol. If it goes away then we have a winner.
I am a 72 year old female being seen at Stanford by a "heart failure" physician. Emergency visit with ATF and shortness of breath in Jan. Chest X-ray & EKG found enlarged heart, hypertension, ATF; injections to reduce hypertension and stabilize ATF; given diltiazem. Overall health is good, take nutricianal supplements consistantly. Take no medications, LDL too high, HDL 85 and triglycerides within range; risk ratio is about 3.5+/-. Stanford doc started me on carvedilol 12.
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