Diltiazem vs metoprolol

Common Questions and Answers about Diltiazem vs metoprolol

tiazac

Following are my observations on day two of substituting Atenolol 25 mg twice a day for Me<span style = 'background-color: #dae8f4'>to</span>prolol 25 mg twice a day.. both are regular, for Me<span style = 'background-color: #dae8f4'>to</span>prolol it is called Tartrate, I think the Atenolol comes in only one normally longer lasting form. today in the early afternoon, following my third 25 mg dose of Atenolol at about 9 AM, I noticed some dizziness when I rose from a time sitting.
I have a wonderful (and high profile) cardiologist in Boston (who performed the ablation). He put me on flecainide (worked up to 75mg/day) and 50mg/day me<span style = 'background-color: #dae8f4'>to</span>prolol. It worked at first - not a blip. But then I started having frightening episodes of SVT, which brought me to the ER, and eventually hospitalization. He took me off the flecainide which seemed to be the cause of the SVT. I also have atrial flutter now.
They weren'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 me<span style = 'background-color: #dae8f4'>to</span>prolol 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 am sitting here with newly filled prescription of verapimil (sp) The one a day kind that realeases med automatically thruought the day... (COVERA-HS). I too looked at the side effects and cringed. I put the covera aside n took my usual dose of diltiazem er.... At least heart attack wasnt listed on the diltiazem as a side effect. Or if it was i missed it.... I was put on metoprolol & after 1 dose went to the rythm i ever experienced, and have had that rytm off & on ever since.
My cardiologist said he will not take me off the Me<span style = 'background-color: #dae8f4'>to</span>prolol 50 mg and Flecanide 100mg until he sees me in six months, August. I experience a few sharp sticking type pains around the heart area, usually to the lower left under the breast area now and then. I do still experience skipped beats occassionally. My Doc says that is the SVT. Will have them, but not life threatening.
Last month I had to be taken to the ER for what the EKG said was another SVT. With 3 doses of Adenosine and a <span style = 'background-color: #dae8f4'>diltiazem</span> push and drip the doctor could not get my heart to stay slowed down. The Adenosine slowed it for a matter of seconds and it shot right back up again. The ER doctor was ready to shock my heart to cardio-convert me but I was too scared to get that done by a non-cardiologist. I was transferred to another hospital and the cardiologist told me I was also going into atrial flutter.
My experience with a beta blocker (Me<span style = 'background-color: #dae8f4'>to</span>prolol) found it did squat to prevent them. It did make then easier to convert. I got 3-5 episodes per month. Will it be successful? Well that depends a lot on what kind of SVT it is, and where it's exactly located. But the odds are in your favor. Stick around and let us know how you make out. It's a piece of cake, very little pain, and you're up and around the next day.
I was truly not attempting to be negative or non-supportive of anyone's 'choice' -- I too believe it is a very very personal thing as to treatment options, meds vs. procedures, etc -- faith in doctors, second opinions, research.......... I am not judging anyone. I was just trying to make the point of 'listening' to your heart/body and react as needed.
It may not cure it but it can help slow them down or make them less frequent. I'm on <span style = 'background-color: #dae8f4'>diltiazem</span> right now because I'm under so much stress (my Dad is dying) and as you know, stress can trigger more SVT. Take care of yourself the best you can.
Keep an eye on what upsets you or look up on line about food combining and check PH foods vs acidic foods. Do some walking or light excercising and do not eat atleast 4-5 hours before bed. If your hungry have only a light protein snack. This even now is still a work in progress for me but I feel a lot better. I am trying to figure out whether getting this has caused what I suspect to be a succeptible area or pocket somewhere that may or may not heal with time?
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