Metoprolol and bradycardia
Common Questions and Answers about Metoprolol and bradycardia
toprol
I am on 100 mg of Metoprolol (and 5 mg of Amlodipine) for high blood pressure. My pulse gets down to 44-48 but I do not feel faint. Should my Amlodipine be increased and my Metoprolol reduced since beta blockers reduce pulse rate?
Lately, I have been having bradycardia issues, specifically in the evening time. My pulse is usually between 48 and 52 beats per minute... which is a bit low for me. I am taking the medicine for hypertension... but since heart disease runs in my family and fish oil has some pretty good evidence behind it, I thought I would take it 2. Any comments, suggestions?
This as well as bradycardia are the two common side effects of Metoprolol. I was actually put on it to slow my pulse, and not to lower my blood pressure, or to quell PVC's or SVT's. But being that I had the latter two problems, I was kept on it once they found out that my quickening pulse at night was from sleep apnea. What dose are you on?
My currently cardiologist put me on metoprolol 12.5 mg as I am very bradycardic, sitting up and talking at 48 BPM and do not have BP issues, and says that this medication is more for my symptoms and not my extra beats...and that these are not harmful, no matter how I am feeling and they are completely begnin and are not going away, and just continue to reassure my self that I have been "checked" out.
during second stage my BP rost to 170/100 from 140/90 and My HR went to 117. I had a flip in my heart and the doc stopped tread mill and said I have VT and refer me to a cardiologist. Did Angio and Echo all being normal. Had an event monitor for one week: The summary of Event monitor is HR varies from 40 to 140 with a sinus pause of 1.37 secs. No VT,VF with one or two pvcs. The events trigred by me or the machine finds possible VT or SVT, sinus tachy, or sinus brady.
Yes, Metoprolol Succinate is the timed release. It is also way more expensive than Metoprolol Tartrate. I switched long ago to the latter and saved a lot of money. A dose costs literally pennies. You have to remember to take it twice a day though. I take it at "5 and 5"; at rising, and at dinner, and it's easy to remember.
Metoprolol has the same bradycardia effect as Atenolol, so that has to be watched.
If you are experiencing those symptoms again, I would ressume the metoprolol and discuss this with your doctor again. Sometimes it takes some trial and error before we can get it all right. My heart spasms took some time to get better, and I had to try a few meds before I got it right. I have taken 150mg daily of this drug without any adverse reactions for 6 years now.
I also had tachycardia and high bp being treated by meds. At that time was on 3 bp meds one being cardizem which had controlled the tachycardia but wasn't anymore. I was diagnosed by an electrophysilogist who added metropral. Now heartrate is anywhere from low 40s to 70. It has helped some with pvcs and is better in most ways then tachycardia but having it that low concerns me. My Dr says its ok.
http://www.drugs.com/drug-interactions/celexa-with-inderal-679-335-1956-1266.html
As both Metoprolol Tartrate and Citaprolam are metabolized in the liver, the Citaprolam can increase the effects of the Metoprolol Tartrate causing "bradycardia, hypotension, and complete heart block following the addition of a SSRI, subsequently requiring discontinuation of one or both agents and/or institution of a permanent pacemaker.
I have mild high blood pressure and take metoprolol, this medicine also keeps pulse down. I feel much better and don't get exhausted any more. Think about it, when heart races, mind races! Took me years to find this out, just got right doctor.
This discussion is related to <a href='/posts/show/250279'>What is a normal pulse rate ?</a>.
ve had slightly elevated blood pressure (in the 145/85 range) for the last year and have been taking Metoprolol for the last six wks with some benefit blood-pressure-wise (now 137/70). Episodes in last five nights have been increasing in frequency to average five. They wake me up but only seem to last 8 to 35 seconds (mostly, I'd guess, around 12 seconds).I'm guessing my pulse rate goes up to around 140 bpm. Daytimes, I feel and act just fine.
Underwent 5-bypass heart surgery 14 years ago. Now, after all these years, a low heart rate reading (49) and "pauses" detected by a Holter monitor two days ago prompted my cardiologist to take me off metroprolol succ er (50 mg. tablet once a day) cold turkey, pending further evaluation. What withdrawal symptoms, if any, might I experience in the coming days?
They did try to stop the metoprolol and the psvt started again along with the palps and still had off and on bradycardia without it so then I was adviced to keep taking it at lowest dose but most of my lows are after i do any activity and it has been getting worse i can barely walk through the store now without about calspsing the only reason they did my ablation was because i was in the cardiac unit for 3weeks with them trying all kinds of medicine to try to keep my heart rate down because the
ve been on it for 6 years on doses ranging from 25mg to 200mg. and aside from the bradycardia side effect, I experienced none of the side effect your describing. While I realize that we all react diffferently to a particular drug. Consider that something else might be coming into play here rather than than than the Metoprolol, or perhaps it's a reaction to another prescribed medication reacting with the Metoprolol.
Several years ago I went in for a bunch of testing on my heart- EKG, stress echo, event monitor for a month, and a tilt table test. I was scheduled for a sleep study next, but I moved and lost my medical insurance. I was troubled to find out recently that the 'vasodepressor syncope' I was diagnosed with is typically associated with people who pass out in relation to stress.
Can anybodgy decypher this for me and tell me what it means, Im not stupid but I dont understand all the medical jargon.
Thank you in advance
Travis Lee
CONCLUSIONS:
24 Hour Holter Monitor:
Predominant Rhythm: Sinus bradycardia to Sinus rhythm to Sinus tachycardia with occasional sinus arrhythmia.
Predominant QRS Morphology: Narrow QRS
Rare Premature atrial complexes , 3 PAC couplets.
I had a bad experience with metoprolol. (even at just 12.5 mg). It made me dizzy and lethargic and then at night I had a vivid night terror.
Could anyone recommend another one that is working for them? I have prehypertension as well so the BB would be killing two birds with one stone (BP and HR).
Thanks in advance for your responses!
of BB, but I can say Toprol (Metoprolol), which is taken at a much higher does, usually 50 mg or higher, can produce the side effects you describe. Some of us adjust to them over time. I take Metoprolol at a 100 mg per day level, and may go higher. In the beginning it cause a too low BP and caused some dizziness when I stood up too quickly (or just didn't take time to stand up). These side effects have passed, my BP in now near normal.
Generic : Escitalopram oxalate
PPD Drug Class: Central Nervous System Drugs (CNS)/ Psychotropic Drugs/ Antidepressants/ Selective Serotonin Reuptake Inhibitors (SSRI)
Needs a Prescription: Yes
Indications: Listed in Dosage.
Recommended Dosage: For dosage information of prescription medicine, please consult with your doctor.
Contraindication: MAOIs, pimozide. Patients in manic phase. Pregnancy.
Precaution: Monitor patients for risk of suicidality.
Then 7-8 months ago, I had a PM inplant due to bradycardia. The PM became inflamed, and had to be removed, and a new one implanted on the opposite side. It too became inflamed, and removed, so I now have no PM.
The good news is, after the first implant, my PVC's lessened in frequency and severity. Instead of having say 1000+ per day, I have maybe 50. Instead of thumping hard and making me catch my breath, they can barely be felt.
), and i have slow heart beat (asymptomatic bradycardia) when resting, i knew it, i monitored it myself over months and that developed during my long fitness training (half a year now) that includes 25-40 km and sometimes more bicycle riding on day. I TOLD HIM that i did everyday training and i am fit...still there remains diagnosis of Sick Sinus Syndrome i had never felt or suspected...
Whats going on?! Should i be afraid, should i be question diagnosis, should i get another cardiologist...
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