Diltiazem vs metoprolol
Common Questions and Answers about Diltiazem vs metoprolol
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t able to sustain the svt long enough to ablate and discovered that my accesorry pathway is up against my SA node so I run the risk of needing a pacemaker if the svt is ablated. I was on metoprolol up until a week ago but was having frequent dose increases due to my svt breakthroughs on the med. I was up to 150 mg bid. I was also getting severe fatigue from the med. My cardio changed my med to verapamil 240 mg qday. I have noticed I'm still tachy 120's at times and up into the 150s.
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.
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.
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".
I just started taking Diltiazem for my PSVT rapid heart beat. It is a little early to know if it is doing any good, although I had an episode after starting. What has been your experience with this drug as a treatment for PSVT (my blood pressure is normal)? What other drugs worked better for you? [I am a 76 year old male in otherwise good health.
he sent me back to my regular doctor who at first put me on metoprolol but I had a bit of chest pain with that drug as well as nightmares. Now he has me on diltiazem but since I've been on that my heart rate has gone back up (the metoprolol was keeping my heart rate down).
What do you all think I should do??? This is completely debilitating - I have not worked in 2 weeks. I can't go for walks, can't hang out socially. I feel "off" all the time.
I would say that if your HR needed to be a little faster than 40s, then adjust metoprolol or diltiazem as your had done, but then increase the enalapril and/or telmisartan to treat the blood pressure. IF labile blood pressure is an issue, I would take enalapril twice a day (even though commonly it is a once a day med, some people metabolize it faster). Also, adding another long-acting BP medication such as amlodipine might be helpful if HR is ideal but BP still too high.
So I'm starting Cialis 5mg a day as needed for erectile dysfunction due to side effects from Metoprolol. I've cut down my dose of Metoprolol to about 37.5mg a day. I have no lack of interest, just my penis goes soft without manual stimulation. If I stroke it, fine, but if I'm having sex, for the last year or so, since I started the meds, it will periodically go soft without constant stroking which is highly annoying.
I'm only 33 too.
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.
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.
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.
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...
Last September I was switched from metoprolol to diltiazem after suffering a seizure. I am extremely sensitive to drugs and adverse reactions have occurred before. There are many drugs which I cannot take.
In addition to the diltiazem I was given keppra. I was seen by a well known neurologist and given every test possible with negative results. He encouraged going off the keppra which I did and was fine for 5 months.
Then I drank a glass of wine and experienced another seizure.
Recently had a long bout of a-fib so severe was hospitalized with shortness of breath and heartrate near 200. Was put on Metoprolol (beta-blocker) and Xarelto (anticoag), and heartrate still was high, so beta-blocker was doubled to 100mg day (50 am, 50 pm). After about a month, had the cardioversion procedure, which stabilized heartrate. Beta-blocker reduced to 50 mg a day. About a month later, had Echo-cardio test and things had "returned to normal.
I have taken Toprol xl 25 mg for about 5 years. My doctor switched me to metoprolol several months ago. When I filled my prescription this time, it was from a different mfg and I think I may be having problems with it as I just don't feel right. Could changing the mfg make a difference? ALSO, my doctor prescribed 50 mg to be cut in half for my prescribed 25 mg dose. Does cutting this tablet in half compromise the time release?
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?
Thanks, I just had my check up on Tuesday, everything looked ok. I am taking metoprolol 50mg, it could be side effects from this drug? I had blood tests done yesterday and they are find...I feel very weak, not hungry at all, in the mornings until mid afternoon and then I recover a bit until the next day that I feel the same again...do not know what to do...the doctor cut the dose to 25mg, but I still feel weak. Any help is highly appreciated.
Lately I am getting worse tachycardia even with the 50mg metoprolol twice a day. It seems to come and go in bouts. Overall the metoprolol has helped my tachycardia a lot in the several months I've been on it, but I wonder if it's run its course since the tachycardia seems to be coming back somewhat.
I'm only 33, in decent shape, about 178 pounds, 5'11, a bit out of shape but not terribly. I tend to not tolerate exercise too well in that it triggers my tachycardia at times.
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