Metoprolol and warfarin
Common Questions and Answers about Metoprolol and warfarin
toprol
t know Atelenol, but I do know Metoprolol and AFib. I am currently living with AFib and taking medications only to control, lower, my heart rate (HR). Metoprolol does the latter, as well as given unwanted lowering of my blood pressure (BP). So I am treating AFib as a condition that is treated for "rate control" and for "clot prevention", I also take warfarin.
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.
t know how warfarin is affecting your life style. I have been on warfarin for years and had no concerns about running and bike riding, and using power wood working tools. All of these activities puts one at an increased risk of a cut and bleeding, but I simply take the risk. On the other hand, I don't sky dive, or pick fights ....
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?
After 2 Afib hospitalizations 4 months apart, I went on Norpace XR, an anti-arrythmic, and Warfarin. I just retired and have much less stress in my life and he is going to take me off of the Norpace after 1 year of no AFib, and then the Warfarin. I hope some of this helps. Also, I take a 30 mg. dose of Prevacid and my vagus nerve issues are under control. You might want to check it out.
However, when I visited the Cardiologist for the first time last Wednesday he informed me that neither he nor any of the other Cardiologists wanted me to continue taking Warfarin, and that they wanted me to switch over to one 81 mg baby aspirin a day. Does this make any sense, and if so, what is their reasoning?
This discussion is related to <a href="/posts/Heart-Rhythm/How-long-to-stay-on-Tykosin-/show/514573">How long to stay on Tykosin </a>.
So you are seeing it through without Propa (Rythmol). That's brave and bold. I would like to know what your symptoms are when you get AFib?
I was in hospital to start the amio. It took six months to take effect. Then heart was steady with pulse about 64. Amio is effective but risky. It put up my TSH (thyroid) measure from 6.10 to 38. That's why I take Levothyroxine. And this is less effective is taken with Alprazolam which I take when needed for stress symptoms.
Dear Doctor,
My mother (66 years old) was diagnosed with Atrial Fibrillation that caused her stroke (luckily survived) 1.5 year ago. She have been on Metoprolol (25 mg) and Wafarin (2.5), but the medication became less effective and her blood pressure gets higher (up to 150/100 in the mornings and a little lower in the afternoons). Last week she was hospitalized in a foreign country. The doctors there said she is in critical condition.
My mother has a rapid irregular heartbeat (recently, sometimes even despite Metoprolol and Warfarin) and supposedly mild COPD with a possible touch of pneumonia and was hospitalized this weekend because she was saying she was having palpitations and was too tired to sit up and it was too hard for her to breath laying down.
There are two type of Metoprolol, Tartrate and Succinate. With Metoprolol Tartrate, you take it twice a day, usually 12 hours apart. Maximum plasma levels occur about an hour after taking in and it begins to be metabolized. Typically, the dose is reduced 50% every 4 to 5 hours. This is why it's taken twice a day. Metoprolol Succinate is the time release version. It's taken once a day and is slowly metabolized throughout a 24 hr. period.
I have not gone on either. I have AFib. I take both aspirin and warfarin for clot prevention and metoprolol for rate control.
I'm not a doctor, just a patient who has been on warfarin for the past eight years. I had a mechanical heart valve implanted in 2004. I'm medically literate, and I've tried to read as much as I can about warfarin along the way. I even went to a day-long CEU workshop for medical professionals on warfarin management and got the certificate. But I'm still not an expert.
His beta blocker, metoprolol, was at a dose of 50mg twice per day and this seemed to have brought his heart rate down to closer to normal, though still always faster than it was before surgery.
Over the past few months his heart rate has increased quite a bit - is now between 90-120 at rest.
His cardiologist doubled his metoprolol dose to 100mg twice per day (200mg total per day), this was about a week ago.
His heart rate has not decreased.
After a (small) stroke conjectured to have been caused by atrial febrillation (accompanied by a heart rate of 160 (3x her normal rate)), my wife had a pacemaker implanted and is now on coumidin, digoxin, and metoprolol. In a brief phone conversation with her doctor, she asked how long she'd be on the coumidin. He responded, "forever.
The good news I can offer, is I have been in and out of permanent AFib for 15 years and have been on Warfarin even when not known to be in AFib and I no blood clots have ever been detected. Some people have trouble with Warfarin, it takes a very regular diet to hold steady. Aspirin us usually, I believe, used if the patient can tolerate, taken with food I think most of us can. Warfarin requires reglar blood coagulation tests, aspirin doesn't.
warfarin(1.5mg), spironolactone, Capoten, metoprolol. Latest INR is 2.39.
The conclusions made by the local pediatricians and surgeons are:
1. LOVT is related to the replaced mitral valve extrusion.
2. Pulse pressure 84mmHg, may causes sudden death;
3. Since the patient is too young and her weight gain is not obvious, the valve ring size is estimated not to change since the MV replacement. No smaller valve available even if accepting surgery. Close observation is suggested.
Question:
1.
warfarin(1.5mg), spironolactone, Capoten, metoprolol. Latest INR is 2.39.
The conclusions made by the local pediatricians and surgeons are:
1. LOVT is related to the replaced mitral valve extrusion.
2. Pulse pressure 84mmHg, may causes sudden death;
3. Since the patient is too young and her weight gain is not obvious, the valve ring size is estimated not to change since the MV replacement. No smaller valve available even if accepting surgery. Close observation is suggested.
Question:
1.
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