Diltiazem and metoprolol

Common Questions and Answers about Diltiazem and metoprolol

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Avatar m tn I have suffered with taking diltiazem(180 mg ER) AND metoprolol (50 mg ER) for atril fibrillation for the past two and a half years. The side effects have been debilitating.. Both drugs have the same side effects and together and one or the other or both create what I can only describe as chaotic turbulence in my chest and pain in my left arm when the second drug kicks in.. My cardiolgist now wants me to add a blood thinner (xarelto) to my meds menu.
672586 tn?1280933658 My friend Flycaster is right. Why the switch at all? The Metoprolol is a beta bocker and the Diltiazem is a calcium channel blocker, so I would have to wonder why the switch. The beta blocker would improve blood flow, while the calcium channel blocker helps the heart ryhthm and/or heart rate.
Avatar f tn I have been taking metoprolol and diltiazem for sixteen months and initially the medications brought the SVTs under control. Fourteen months ago I started coughing blood and experiencing chest congestion. This took my attention off any heart issues and sent me on a long search for the cause of the bleeding. After many tests and visits with various specialists I never did get the answer. The bleeding resolved itself after 10 months (last October) and has not reappeared.
Avatar m tn I found out through experimentation years ago that none of the generics worked - it used to be Toprol XL - except when I found them actually made by the original manufacturer and sold as Metoprolol.
Avatar f tn I had an episode of afib and was in the hospital is Sept. They took me off the beta blocker and put me on diltiazem. It didn't control my heart rate like the beta blocker. My resting heart rate went from upper 60s to the low 80s. After a few days without my beta blocker, I ended up in the ER, in sinus tachycardia with a rate of about 120. Long story short, it did not do a good job of keeping my heart rate down.
Avatar f tn The first in two years landed me in the Hospital. My meds were changed from Metoprolol to Diltiazem 360 mg per day and Fleconade 50 mg 2x per day plus Warfarin. The Metoprolol 25mcg 1 x daily has been making me wheeze for the past four years, but no one ever thought to change the meds. I have been on this new med protocol for 1.5 weeks. I just started the Fleconide and Warfarin three days ago. My question is I need to loose 45 pounds asap.
Avatar m tn I had a brief bout of A-Fib, and the ER put me on 15mg Diltiazem every 6 hrs. My physician a couple of days later bumped that up to 30mg/6hrs. Around a week into taking the drug, I lost most of the sense of taste; sweet, sour, salt. Initially I just had a tiny sense of "savory" as the only thing I could taste. I began to not be able to eat, because everything made me sick to my stomach. I read in the Diltiazem side-effects that this is called "taste perversion".
Avatar m tn That is a serious antiarrhythmic, and after taking it, I had a very bad episode of SVT that was extremely had to convert. So I went back on Metoprolol and began examining the electrophysiology procedure with ablation as an alternate treatment.
Avatar m tn t take care of the high HR. I take both Metoprolol and Diltiazem, 50 mg and 240 mg respectively. They seem to work well together. Maybe you can take a lower dose of Metoprolol along with the Diltiazem, perhaps at a higher dose. Your post implies you nightmares are gone now that you are off of the BB... the CCB may also have that side effect.
1622431 tn?1299070442 I've taken Diltiazem and it works quite well. I have PAC's, PVC's and PSVT (a type of atrial tachy). Years ago they gave me Verapamil (similar to Diltiazem) and it did not agree with me at all. I can't take beta blockers because I have asthma. But the Diltiazem helped with the chest pain, slowed down my heart rate and lower my BP a bit, helped with my Raynauds (where my blood vessels spasm and my hands and feet turn a yucky blue/gray color).
Avatar f tn You take metoprolol, diltiazem, enalapril and telmisartan. The first two agents address primarily heart rate (HR) but are not great blood pressure (BP) drugs. Speaking of HR, what is the reason that you see an electrophysiologist? Atrial fibrillation? and are you feeling poorly when your heart rate is 40s?
Avatar m tn I think you have to weigh the significant risks involving ablation and the location of your accessory pathway vs. drug therapy and living with your condition. How often do your events occur? Are you able to convert them yourself by some means; Valsalva, etc.? At 30 years old, time is on your side. Perhaps a new technique in the next decade will make your particular situation less risky. Verapamil is a serious, Class IV anti arrhythmic that is indicated for SVT.
Avatar f tn Everything came back normal, but they took me off the diltiazem and put me on metoprolol 25 mg. They also gave me some klonopin. The next 3 days were pure bliss. ALL THE PVCS JUST STOPPED. I was taking the metoprolol and 1 mg klonopin at bedtime and I could SLEEP. And sleep WELL. I was happy again. Then, they came back. Not as badly as before, but they are there. A good chunk of the day. I am not having the pressure feeling though, so that is good.
Avatar n tn I am currently on 50 mg of metoprolol for troublesome PVCs. It's not really alleviating my symptoms, which are bothersome enough to disrupt my life. I went to a new cardiologist today who suggested I switch to a calcium channel blocker, diltiazem, 120 mg. He said I will not have to taper the beta blocker first, just switch them out. I know he's the Dr, but he's new to me. I'm worried about just stopping one and starting another like this.
Avatar f tn i am 24 and am now on diltiazem lowest dose. i am very symptomatic to meds. i was on metoprolol and i had bad asthma with it. so recently i was switched. well i am a nursing student ready to graduate and am pretty fond of the heart and conduction, so i am affraid of things like clot formations and the fact that the medicine isnt stopping the flutters. if i up my dose i get very dizzy and feel like i have motion sickness like the floor is moving from under me. its really odd, anywho...
612551 tn?1450022175 s Physician Assistant (PA) concerning my change about 3 weeks ago from 100 (or more) Metoprolol a day to taking 50 mg Metoprolol and 240 mg Diltiazem XR (Diltia XT) a day. The former is Beta Blocker (BB) and the latter a Calcium Channel Blocker (CCB). Both are long/extended/slow (whatever) release and are often prescribed for taking once every 24 hours.
Avatar f tn t have high blood pressure, just tachycardia and the metoprolol really helps keep that in check. Should I just stay on metoprolol and try the cialis and see how it works or should I try the cardizem?
5617263 tn?1374501466 The third atrial fib was last Friday night. The doctor in the ER put me on Cardizem (diltiazem) and changed my simvastatin to Lipitor. They instructed me to cut back on the metropolol to 25 mg. twice daily and to quit taking it if my blood pressure dipped below systolic fell below 100 or my diastolic below 60. My question is how to I gradually stop the metaprolol? I read that I should wean myself off of it in a week or two but no one seems to know how to go about it.
Avatar n tn I was on a daily dose of the beta blocker (Metoprolol) for near lifetime SVT.  My GP doc said to carry a small supply, and chew an extra 50mg when my SVT occurred (generally 4 to 5 times per month) as it MIGHT help.  When I saw my cardiologist I mentioned this to him.  His comment was (with a slight roll of the eyes) "It doesn't work that way".
1480441 tn?1287706112 I am a 34 year old woman who was diagnosed with PSVT (paroxysmal supraventricular tachycardia). I have had the symptoms of psvt since I was 16 but only got diagnosed with it about 7 years ago. I've been taking Diltiazem 120mg on a daily basis ever since and recently started taking Metoprolol 25mg also on a daily basis( diltiazem in the a.m., metoprolol in the p.m.). I went to the dentist today for an abcess wisdom tooth, and they suggested I get dentures on the top.
Avatar m tn Any ideas how I can control the A-Fib without all these bad side-effects? Am tempted to dump the Diltiazem and go back to low dose of beta-blocker and hope the nasty side-effects won't be so severe with only 25 mg/day. Feeling like a guinea-pig with an out-of-control heart at this point. Also, is it OK to take 1/2 - 1 mg of Lorazepam during an A-fib episode? It seems to help slow down the racing. Any suggestions/advice very welcome. Thanks!
Avatar m tn Atenolol can and often does have an additive affect when taken along with other beta blocking meds. In my case, even though the Atenolol was only 25 mg, it was enough to cause several heart pauses (flatlines) of 3 to 4 second durations detected via an event recorder. Regarding the interaction between Diltiazem and Tambocor, this is from drugs.com: "Using diltiazem together with flecainide can increase the effects of either medication.
Avatar f tn And my research shows slow heart rate as a common side effect. She said I could switch back to the metoprolol and diltiazem regimen I had been on. But that was when I was experiencing very rapid heart rates that felt awful. So is this what life is going to be from now on? Or will I develop tolerance to the sotalol?
177337 tn?1310059899 I just got back from my internist. She is truly a wonderful compasionate doctor that really wants to help keep me as healthy as possible. Of course all my blood tests came back perfect except that I was low in Vitamin D. I was actualy hoping something was off so that I had a reason for the increase in these damn episodic pvc's that have been lasting for hours at a time. She wants me to try a channel blocker called diltiazem on an "as needed" basis.
Avatar n tn It seems heart meds are notorious for causing fatigue. They say it gets better in time. I took my Diltiazem for 3 months (it's a CCB) and although I did get over the headaches and dizziness, the brain fog and general "I don't care" feeling was still there. Wish my hunger had gone away :-) See if you can feel some improvement in a week or so.
Avatar f tn t be afraid of Metoprolol. It is widely prescribed and is well tolerated by most. After 5 years free of SVT, I'm beginning to show signs of it coming back, or perhaps early stages of A-fib. My cardiologist increased my dosage to 150mg. per day as I seem to be resistant to its effects.