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.
Hello folks,
New here, but hoping for some help... Recently had a long bout of a-fib so severe was hospitalized with shortness of breath and heartrate near 200. 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.
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.
to 300 mg. For a whole week I had some terrible side effects. I blacked out once while sitting at my computer and then I came close to blacking out on a daily basis. I also felt off balance. I ended up going to my primary doctor, not for this, but for something else. I guess it was a follow up appointment. Anyway, he said that I was over medicated so he lowered my dosage back down to 240 mg. of Diltiazem CD and he also put me on Enalapril 2.5 mg.
I take Metoprolol for a thick heart muscel & pvc, which it doesn't help much with the pvc's, Diltiazem was just added 120mg once a day. My doctor seemed somewhat reluctant to add the Diltiazem but said lets try it. My Blood pressure has been around 155/95. His reluctance just seems to scare me. Should I try it or should I not? If I do start taking it should I take it with the metoprolol or at different times?
Sounds like the Metoprolol did the job with bad side effects, what does were you taking. The Calcium Channel Blocker should help, but seems it doesn't take care of the high HR. I take both Metoprolol and Diltiazem, 50 mg and 240 mg respectively. They seem to work well together. Maybe you can take a lower dose of Metoprolol along with the Diltiazem, perhaps at a higher dose.
Your post implies you nightmares are gone now that you are off of the BB...
I'm taking Cardizem and have serious side effects (constipation, ankle swelling, etc.) Is there a comparable drug that does not cause such sever symptoms?
He prescribed Zarelto, Diltiazem and Amodarone. I asked that the gastro dr and cardio doctor consult and supposedly they did....but I don't feel real confident since they are in opposing hospitals. My husband and I are not real keen on these added drugs when the real problem is the harsh side effects from the Incivek. Do any of you have any insight into this. The cardio guy wants to see him in FOUR weeks....hell that is a long time to take extra medicines that might not be needed..
I was on it for a week but my side effects were not very pleasant, a bit out of the norm. They took me off of it. Now I take Diltiazem (another CCB) without much trouble. A heart rate of 86 at night is still pretty brisk. Mine is normally 60 at rest, in the low 70's when I'm up moving around. And that was before Diltiazem. No, I'm not athletic. I'm an old pudgy lady.
Hi, I'm a 33 year old male, not overweight, not diabetic, I've been dealing with tachycardia for some time now. It comes and goes. I found that 50mg of Metoprolol twice a day would mostly control it, but as a 33 year old man, I began to notice major erection issues since being on it. Talked to my doctor, they want me to start 120mg a day of Diltiazem. I'm a little nervous about it, but they assured me it's no more potent a medication.
ve taken a ccb since i was 18(21 now) and i had some side effects during the initial phase but i no longer have side effects and its helped control tachy and HB for me.
I to have asthma but was put on a BB and had a hard time with a cough for awhile and i also experienced severe fatigue and low BP, i had to get off of it asap.
And my research shows slow heart rate as a common side effect. She said I could switch back to the metoprolol and diltiazem regimen I had been on. But that was when I was experiencing very rapid heart rates that felt awful. So is this what life is going to be from now on? Or will I develop tolerance to the sotalol?
It is an individualized treatment plan, but there are only a few options available to help slow down heart rates. If people have side effects to the medications, sometimes the best option is to place a pacemaker and do a simple procedure (AV node ablation) that makes you pacemaker dependent. That why the pacemaker is in full control of the heart rate and the medication doses can be decreased.
If a doc wanted to start an ACE or a beta-blocker.. it is not a really big deal. Very common, lots of data available, fairly few side effects... There are other meds which you don't go into so lightly. Flecainide, sotolal, tikosyn, amiodarone... When I see some of these on my pt list of meds, it screams there is a problem- that simpler solutions couldn't fix. If you haven't tried the simpler ones yet, it is definitely a better place to start.
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