Metoprolol and propranolol

Common Questions and Answers about Metoprolol and propranolol

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I have been given propranolol to take as I have had continuous palpitations since monday and my heartrate has randomly shooting up in the 100's (not related to posture!!) These will also help with my bp, it has been creeping up. I have had these in the past but was more recently on bisoprolol. Which is more common for POTS symptoms? I was in A&E last night and back at my GP's this morning. I have been refered back to the cardiologist who is going to see me in november.
Just an error I'm sure. I never had this problem with my previous medication (metoprolol and lisinopril) but the propranolol was thought to be a more fitting beta blocker to assist with the portal hypertension. Is the 40mg ER twice daily worth a try? If so I will further pursue this route. Thank you very much for your time and everything you do to assist MedHelp!
Does anyone take propranolol for anxiety and panic attacks? I've had crippling anxiety for my whole life. Antidepressants increase it to the point where I'm in such a state I almost pass out from hypervenitlating. I've heard propranolol is good for this, and is effective.
I'm back on the metoprolol for now, I will monitor my blood pressure and pulse rate cause I want to see the difference between the Propranolol and Metoprolol. So far on the Metoprolol the only side-effect I feel who is different than the Propranolol is more facial muscles tension, jaw pain, neck pain... Also my blood pressure is a lot lower on the Metoprolol and pulse rate is also lower...
I have a beta blocker for use when needed, but that one is propranolol and not metoprolol (slow release). Propranolol works better towards anxiety, stress and other factors that may trigger a rapid heart rhythm. From time to time (generally stressful times) I can take 12,5 or 25 mg metoprolol in addition. But I guess this is something that your doctor should decide as we are all different.
And its not Metoprolol that helps anxiety. It's actually Propranolol that treats stage fright and performance anxiety, which is a b2, not a b1 blocker. Just some thoughts.
when I quit propranolol 2 months ago it got a little better. I tested my thyroid and its high. T4 is near the top of normal range and T3 is higher than normal however TSH is normal. Can you help please about this condition? if this is propranolol side effects how i can treat them? because I didnt eat propranolol for two months but except for the first week these symptoms didnt get better. which drug instead of propranolol I can use with less side efects?
I'm considering the minimum dose of propranolol as prescribed by my doc, but i'm very cautious and wanted to know what it is like and what any side effects and withdrawl might be like. what can i expect when taking this? i enjoy working out so i'm hoping it wouldn't affect my weight lifting and cardio that i like to do. thanks in advance!
My husband and I have three beautiful daughters and are thinking of trying for a fourth and final baby.But do to some blood pressure issues after my last pregancy my doc. says no pregancy with out taking meds for my BP. I'm a little nervous to try to concieve because of this. Have any other women here been on any blood pressure meds or had a similar problem and had a healthy pregnancy?
When they were trying to control rate with JUST beta blockers... I took 200 of propranolol and 300 of metoprolol and occasional 100 of labetalol here and there. It helped but it worked a LOT better when other classes of drugs were added. Since the point is to slow you down, it generally SLOWS you down. When I was on THAT much, I felt like I was nailed to the couch. Now, instead I take coreg as a beta blocker and diltiazem, and flecainide and lisinopril.
Research on the web says that Atenolol is much longer lasting than Metoprolol and suggests that Metoprolol Tartrate has to be taken twice a day... Atenolol only once ! Strangle, again, my Cardiologist who issued a prescription for Atenolol upon my request to be allowed to try it is for 25 mg twice a day.
Hi, Thanks for writing in. Both Propranolol and Metoprolol belong to the class of antihypertensives known as beta blockers so it is ok to switch from one to the other. While Propranolol is a non selective beta blocker, Metoprolol is a selective blocker and is specifically used for high BP. Metprolol will help control the BP better. Please get your BP checked regularly to make sure t is always under control. Take care!
Non-selective beta-blockers, such as propranolol act on both types of receptors, in both heart and lungs. Propranolol and other medicines in its class are capable of evoking bronchospasm in people with asthma. Metoprolol is selective, but not entirely so; thus, asthma worsens in some people given this “selective” medicine and you may be one of them. Your doctor may have prescribed the metoprolol for both relief of the syncope and treatment of your hypertension.
my resting heartrate used to always be about 110-125, but the bb's brought it down into about 80-90. other options considered safe during pregnancy are metoprolol and propranolol. propranolol is preferred because it has the highest reported cases of usage during pregnancy without complication. so I would ask to switch to that NOW...let your doctor know that you are trying to conceive. good luck in January! I hope you will keep coming back and update us with your progress!
I am presently on metoprolol 50mg twice a day for bp.,and ran out of script(am on vacation) can I take propranolol 50 mg in place of the metoprolol until I get it refilled?
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.
My heart rate remains a little high and i want to take propranolol in a very small dose like 8 mg a day in divoded doses. I am scared that my bp would lower and cause probs. Can i take it???
My experience with BB is limited to Metoprolol and I have moved up and down in dose levels and the only affect I clearly see/feel is a change in my HR. Seems there is a non-zero BB level for me if I am to keep resting HR below 90. For me that is a pretty stiff dose, 50 mg once a day. I have never felt any stiffness, well none I don't ascribe to age...it could be related to BB dose changes, but I don't think so. I do understand that abrupt changes in BB dose levels is not recommended.
Currently I am not on any treatment for my Graves (it has been about two weeks) and my heart rate is beginning to increase (90's) and my anxiety is coming back. I was told propranolol is not an option for me because when I occasionally get bronchitis, I have mild reactive airway disease with it. My doctor is recommending radioablation, but I would like to use that as an absolute last resort. Is there any other medication that would be safe to try such as PTU or anything else?
We often use medications called beta-blockers (metoprolol, propranolol, atenolol are examples) to help in such situations.
Thanks for the response. The fact that I am now returned to having signs again (clenching teeth, sweating, feeling of impending doom, panic)which I have not had for almost 5 yrs since taking my 25 mg of Atenolol- could that mean that I need to have my med increased? Or possibly change to a different medication? THe swelling in my feet has subsided, although the foot pain and other muscle/joint pain comes and goes. I appreciate your comments!
Yes, you are right, there are interactions between metoprolol and most SSRIs. They inhibit an enzyme used to metabolise metoprolol. I'm not sure if your doctor is aware of this, you could mention it to him. Alternatives are choosing an SSRI that do not inhibit this enzyme (I don't think Zoloft does more than mildly) or choose another beta blocker (like Atenolol or propranolol). You should ask your doctor.
I'm taking 25 mg metoprolol and occationally 10-20 mg of propranolol because of anxiety, sinus tachycardia and PACs. I've got a stress test done, lots of EKG's (one of them uploaded on my profile), Holter, echo x 2, troponine after having a rapid heart rate, and a lot of other blood tests. Everything is completely normal except for the rare PACs and some sinus tachycardia.
The EP md changed me from being on propranolol and metoprolol to coreg this spring. I was glad to change 2 drugs for 1. I'm still on the ACE, CCB, beta-blockers and flecainide. Sometimes I don't actually know if I feel bad because of all them meds or because my heart is not in great shape. It is very hard to separate them. I'm hoping maybe there is a pill or two that I can scale down to from the 20+ a day I take. I would even consider a maze procedure if they thought it could work.
Sleepiness and depression are rare side effects of Atenolol, as this beta blocker (opposite to Metoprolol and Propranolol) doesn't pass through the brain barrier in any high amount. But of course, a low blood pressure and slow heart rate may produce such symptoms, especially the first. Yes, you are right that a slow heart rate can make PVCs worse. You should ask your doctor what his opinion is. Anyone can try magnesium, it may help and it may not, it's impossible to say.
When beta blockers have been used in pregnancy, metoprolol and propranolol have been used more often than atenolol. These beta blockers have been used successfully during pregnancy, though your child should be monitored closely around the time of delivery. The beta blockers can have adverse affects on the fetus in terms of development in some animal studies. Pindolol and acebutalol are considered by the FDA to be even safer, but this is all on the basis of animal studies.
i have also sinus tachycardia and before i was taking propranolol and that seems not help much therefore my Dr changed to verapamil 40mg twice a day and i took for a year and again changed to metoprolol. i did not face any prob with verapamil therefore do whatever your Dr provide you.any way i am better than before but still i have tachycardia sometime and my puls running more than 100.
You should discuss with a psychiatrist how to better address anxiety with behavioral and medical therapy. 2. Metoprolol is also short-acting so I would consider using either metoprolol succinate (toprol XL) daily or propranolol for supression of PVCs. 3. I have heard from patients that magnesium tablet, available OTC, are good for suppressing PVCs and palpitations.
I am a small woman and even a tiny, tiny dose of Metoprolol (a quarter of a 25 mg pill) caused my HR to go down in the 40s resting and my BP to be about 80/50 and I was on Xanax at the time, too. I now take another beta (propranolol) and the HR isn't so low, and it doesn't drop my blood pressure like metoprolol did.
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