Diltiazem and beta blocker
Common Questions and Answers about Diltiazem and beta blocker
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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 had an episode of afib and was in the hospital is Sept. They took me off the beta blocker and put me on diltiazem. It didn't control my heart rate like the beta blocker. My resting heart rate went from upper 60s to the low 80s. After a few days without my beta blocker, I ended up in the ER, in sinus tachycardia with a rate of about 120. Long story short, it did not do a good job of keeping my heart rate down.
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." Because of bad side-effects from Metoprolol, doctor weaned me off it and said I could replace baby aspirin for the Xarelto.
It seems that the chest pains are less frequent, but I still get the tight in the chest and breathing issues I had on the beta blocker. Do calcium channel blockers cause lung thightness? My BP was still around 130/90 2 weeks into the Diltiazem. We are checking again when I finish the bottle. Meanwhile, lots of aches and flue like sypmtoms. I always feel sick and tired. I sleep 9 hours a night, but wake up with anxiety attacks around midnight. I think I want to try Cozar again.
back to back? I have been taking a calcium channel blocker-diltyeizem for my tachycardia and high blood pressure and it is not really lowering either. My tachycardia is sometimes 150/60 and I am suppossed to start taking a beta blocker-nadolol 40 mg. My question is: wouldn't the CCB still be in my system while starting the beta blocker? I have been on it over 2 months and will start the beta blocker tomorrow. What can I expect, is that safe? Thanks to anyone who can advise.
Since I live in Iowa (low of -24 degrees the other day), it was a side effects that really bothered me. Now I am on 240 mg of Diltiazem and no side effects but it is not controlling the rapid pulse rate very well. My husband, who has A-fib, saw a mention on one of the discussion boards he reads of Beta Blockers lowering the levels of Melatonin in some patients and causing sleep disturbances.
You would then be taking 220mg of a Beta-Blocker every day. The side effects are not easy to take sometimes, at least in my opinion. I gave up taking it because of those. However, I have been put on Metoprolol ER - 50mg - again four weeks ago and they just don't seem to work. I found out through experimentation years ago that none of the generics worked - it used to be Toprol XL - except when I found them actually made by the original manufacturer and sold as Metoprolol.
now my heart rate is between 80 and 92 . the last time i was but on a beta blocker and had a very bad reaction just after one tablet dr put me on proprananol heart all over the place so came off 2 days agow hospital changed my medication and put me on another beta blocker. i am back home havent taken it as am scared stiff its bisoprolol 1.
i think the atenolol is causing me some side effects and i have and allergies and it might be making it worse and also want to start taking allergy shots but heard its not a good idea while on beta blockers.
im looking for a list or names of a few calcium channel blockers that can also help my symptoms so i can talk to my dr about changing my meds..do calcium channel blockers have less side effects then beta blockers or are they safer?..
What exactly is Afib? my doc thinks i have mvp and im on beta blocker plus 2 blood pressure meds but im not better and my docs on vacation this week or would try to get in today anyways my heart feels like a little earthquake is going on in there kinda feels jumpy like and also some vibration to im wondering if i might have the Afib?
I was switched from Atenolol to Coreg in the hopes that it would help with triglycerides, insulin issues and some fatigue. The tachycardia got WORSE! Coreg is a beta blocker but with alpha blocking activity. It's a non-selective a/b blocker which is known to have the side effect of tachycardia. I am going back to my doctor today to ask to get off of this stuff!!
t get any responses here, but from googling around on the web I came to the conclusion that diltiazem, a calcium channel blocker, would be better for an athlete than atenolol, a beta blocker. So I called the doctor who agreed to change my medication. Yesterday on the treadmill, after having only taken one 25mg dose of atenolol my heart rate only showed a bit over 120 when I was doing a pace for which a 140 should have been called for.
I just had a cardiac ablation for AVNRT two days ago. (I also have inappropriate sinus tachycardia but there's not much to do about that.) Afterwards, my cardiologist took me off my Flecainide and Diltiazem and put me on 10mg of Nadolol which I can increase to 20mg after a week if I feel like doing so.
Your concern is valid in that being on both a calcium channel blocker and a beta blocker can have risks of reducing the heart rate too low or affecting other conducting regions of the heart. However, amlodipine is a dihydropyridine calcium-channel blocker whose primary effect is more peripherally acting rather (as compared to the non-dihydropyridine CCB, i.e. diltiazem or verapamil, which are more centrally acting).
I will ask my cardiologist for an echo, blood work for electrolytes and for BNP, a chest X-ray, to change to a beta blocker, or add a beta blocker... does anyone have any other suggestions for things to try or ask to be checked or done? I have my follow up appointment on August 30th. I was able to put the monitor back on after 3 days of cortison treatment on my blisters, and I was sent highly sensitive skin electrodes.
t do a thing to my heart rate while I am in afib or flutter (though the beta blocker does reduce my resting heart rate when not in tachycardia, the Ca blocker not so much.) But the beta blocker does seem to reduce the length of the episodes compared to how long they last if I just let it go, so this seems to be some sort of rhythm control. (And again, the Ca blocker does not seem to be effective at this either, which is why it is a former medication.
I think you hear the majority of people are on Metoprolol, followed by Atenolol, Propanolol, then Sotalol all beta blockers. Then comes Verapamil, which is a calcium channel blocker like Diltiazem. Perhaps is has something to do with the nature of how a Class IV anti-arrhythmic affects the cardiovascular system. It decreases or slows conduction through the AV node, and reduces the contractility of the heart, so it could be inappropriate in cases of heart failure.
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