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How to taper off metoprolol?
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How to taper off metoprolol?
1 mg every three to seven days. Beta-blockers reduce the heart rate, lower the heart's oxygen demand, and reduce the frequency of angina attacks. Learn about this gene and related health conditions. Withdrawal of atenolol should only be undertaken under a careful watch by your physician as previous symptoms of high blood pressure, angina and other heart-related problems may be exacerbated by the reduction in the dose. dizzy spells?: More info: Dizzy spells can have a number of causes including tapering Metoprolol is also used to treat severe chest pain (angina) and lowers the risk of repeated heart attacks. I take 25 mg metoprolol succinate, split in half. Yes: Tapering dose is appropriate, but rate of taper varies with each individual patient, depending on reasons started and reasons for stopping. Announcement Great News! The Patient Portal now allows you to request, process, and pay for prescription refills and OTCs. Withdrawal symptoms — including seizures — may occur if you suddenly stop taking these. The immediate and extended release products may not give same clinical response on mg:mg basis; monitor response and side effects when I took propranolol 10mg 4 times a day for a week. Antidepressants - SSRIs and SNRIs Citalopram (Celexa®) Duloxetine (Cymbalta ) Escitalopram (Lexapro®) Atenolol is a second-generation β-1-selective adrenergic antagonist that helps lower the heart rate and blood pressure of patients while also decreasing myocardial contractility. Stopping metoprolol abruptly, or 'cold-turkey' can exacerbate chest pains and could potentially increase the risk of heart attack and other symptoms. Today I talked to my doctor about slowly tapering off and instead of perscribing me 1mg twice a day he prescribed. He/she knows you best and is in the best position to tell you how to wean off and maybe prescribe another medication. For patients who may require more extensive or high-dose opioid use, or who have a history of opioid use, tapering (gradual reduction) is a vital part of the healing process. He contacted his cardiologist about stopping with the sotalol for a period and record his pulse for a few weeks. The metoprolol is to keep my heart rate at an acceptable rate. For patients who may require more extensive or high-dose opioid use, or who have a history of opioid use, tapering (gradual reduction) is a vital part of the healing process. Metoprolol tartrate is a selective beta-blocker used in the treatment of certain heart conditions. Stopping metoprolol abruptly, or 'cold-turkey' can exacerbate chest pains and could potentially increase the risk of heart attack and other symptoms. 6,955 Satisfied Customers. Initiation of isradipine in ICU to wean off antihypertensive infusions in the context of hypertensive emergency: Start with one dose of 2 Order a second 2. In regard to a tapering protocol, a general rule of thumb is to decrease your propranolol dosage by about 25% every week if taping over a 4-week period. These patients may also warrant a more rapid and carefully monitored taper of medications. The replacement was amiodarone to regulate my heart rate. You gotta give it a couple weeks to adjust to see if it helps you, but be aware they are VERY hard to wean off if you are sensitive. Hi, I've been taking both flecainide and metoprolol now for eight years, as a prophylactic for Afib. I researched it - found out that one has to "wean off". Studies have shown that people taking metoprolol gain a median of 2. Work with your doctor. These tips on our blog and all links mentioned are here http://wwworg. The replacement was amiodarone to regulate my heart rate. While this is an option, some doctors prefer to switch their patients to a longer-acting SSRI before beginning a taper. Treatment for metoprolol withdrawal may include temporarily increasing the dose then gradually reducing the amount taken every day. Feb 17, 2012 · The best way to stop any meds is a slow and measured reduction in the amount and frequency of the medication that you are taking. Afterward, I will consider a slow taper off the Metoprolol. My husband has been on one 80 mg Sotalol twice a day - and having had no improvement. Feb 22, 2024 · Patients experiencing adverse effects from antihypertensive therapy, including symptomatic hypotension, should have their medication tapered regardless of their history of hypertension-related complications. I am taking the very same medication Metoprolol 25 in the morning and 25 in the evening but for high blood pressure. Answer. I too was taking 50mg metoprolol 2xs a day, and my cardiologist told me to wean off by taking 1/2 (25mg) 2xs a day for a week I'm at the end if my first day and am having constant lightheadedness, but can feel the side effect tapering down. Off-label uses of atenolol include the treatment of arrhythmias. Dosage. How did you wean off Metoprolol? Posted by kenny48 @kenny48, May 11, 2018. Your healthcare provider will gradually decrease the quantity under close supervision to avoid severe adverse effects. Thankfully, I’ve had no side effects from either one. Tapering means slowly lowering over time the amount of opioid medicine you take until you stop completely. I am currently tapering from Fioricet. Metoprolol is indicated primarily for conditions such as hypertension, angina pectoris, heart failure, and arrhythmias. That isn't like a cough the syrup that you stop when you feel better. 5mg (beta blocker) I also take; 40mg quinapril (accupril, ace inhibiter). Once it's in your system for a while you need to taper off of it otherwise it can have adverse effects as serious as a heart attack. Guidelines recommend beta blocker therapy for three years, but that may not be necessary. However, there are noticeable differences among individual beta-blockers in regard to … Chest Pain. I was taking 100 morning and 50 at night. Instead, if you need to stop taking metoprolol or you’re switching to another medication, your doctor will adjust your dosage gradually, according to your specific needs. But it greatly depends on your response to weaning off. Metoprolol causes ED as a side effect. I am taking the very same medication Metoprolol 25 in the morning and 25 in the evening but for high blood pressure. Answer. 1 Polypharmacy increases the risk of adverse effects and medicine interactions and the physiological changes that accompany ageing alter the handling and response to medicines. Have had a lot of PVC's this past two months, and had to wear a heart monitor for an entire month. Metoprolol, a beta-adrenergic antagonist (also known as a 'beta-blocker'), is generally recommended to be tapered (step-wise dose decreases) if you have been taking it chronically. I didn't have to wean off the Bisoprolol because it was replaced5mg Bisoprolol twice a day. In addition, metoprolol is used to treat patients with heart failure. Once in the morning with my flecainide, and then again in the evening for a second dose. Treatment for metoprolol withdrawal may include temporarily increasing the dose then gradually reducing the amount taken every day. The taper is an essential aspect of training that many new runners need to remember to incorporate into their training program. Initiation of isradipine in ICU to wean off antihypertensive infusions in the context of hypertensive emergency: Start with one dose of 2 Order a second 2. Metoprolol, a widely employed β-adrenergic antagonist, is pivotal in cardiovascular pharmacology. I have now lost 25 pounds and as a result my blood pressure has dropped to 98/60. I really feel miserable even after a month off Has anyone successfully stopped Metoprolol? 8. Some may also cause them more frequently than others. i was taking 50mg morning 50 at night. And what you put down is way to fast the slower you taper off the better it well be for you. I started 3days post delivery. Stopping metoprolol abruptly, or 'cold-turkey' can exacerbate chest pains and could potentially increase the risk of heart attack and other symptoms. Customer: how do i wean off of carvedilol safely without incurring rebound hypertension Doctor's Assistant: Any other details you'd like to add? Customer: I was on metoprolol and then switched to carvedilol but I cannot tolerate the side effects. I am taking the very same medication Metoprolol 25 in the morning and 25 in the evening but for high blood pressure. Answer. Went from 25 mg once a day to 125 mg for 3 days then stopped completely. Learn everything you need to know about Hackathons via these 57 free HackerNoon stories. miss toya's southern kitchen menu Metoprolol is a prescription-based, orally administered (taken by mouth) beta-blocker used to treat various cardiovascular (heart)-related conditions. Has anyone else stopped taking this drug in a similar manner? I'm worried that the cut off is too soon. This article will explain the steps and precautions needed to safely wean off metoprolol and other relevant information about the safe use of this commonly prescribed medication. I've been on Metoprolol ER for about 4 months. Consult your doctor before you stop taking gabapentin. He wants me to take half in the morning and skip the evening dose for two days, then stop entirely. Metoprolol, a beta-adrenergic antagonist (also known as a 'beta-blocker'), is generally recommended to be tapered (step-wise dose decreases) if you have been taking it chronically. I had panic attacks as a teenager, and they disappeared once I was older. I started a vigorous exercise program that has gradually improved my ejection fraction from 35% to 55%. After that you may stop taking. I too was taking 50mg metoprolol 2xs a day, and my cardiologist told me to wean off by taking 1/2 (25mg) 2xs a day for a week I’m at the end if my first day and am having constant lightheadedness, but can feel the side effect tapering down. Your healthcare provider will gradually decrease the quantity under close supervision to avoid severe adverse effects. 5mg 4 times a day as needed. We would like to show you a description here but the site won't allow us. I was on it for 8 days and has horrible side effects. Everyone says to taper off over a couple of weeks or so, and even then it's tricky. The ALDH3A2 gene is a member of the aldehyde dehydrogenase (ALDH) gene family. It's not a safe drug in people over 65. I can' t convince my cardiologist, but want to taper off for a few weeks to see if this is the culprit. I can' t convince my cardiologist, but want to taper off for a few weeks to see if this is the culprit. Metoprolol is a prescription-based, orally administered (taken by mouth) beta-blocker used to treat various cardiovascular (heart)-related conditions. If you are taking the extended-release version of propranolol (propranolol ER), you may want to discuss switching to the immediate-release. Answer. Your healthcare provider will gradually decrease the quantity under close supervision to avoid severe adverse effects. fidelity pending activity how long Your healthcare provider will gradually decrease the quantity under close supervision to avoid severe adverse effects. These patients may also warrant a more rapid and carefully monitored taper of medications. 75mg daily or carvedilol 3. It is critical to your health safety that you taper off your medications with the guidance of your doctor. All the imaging done in the hospital showed no concerns with my heart, Size was normal, my heart was filling properly and pumping properly and there was no clots. It is short-acting; therefore, it needs to be dosed several times a day. May 11, 2018 · I take 25 mg metoprolol succinate, split in half. Lisinopril has effects in addition to lowering blood pressure, such as kidney-protection in certain individuals. Remember the taper? In a US congressional appearance on May 22, Federal Reserve chair Ben Bernanke startled the markets by suggesting the US central bank could start to ease up on. For acute heart attack or heart failure: For oral dosage form (extended-release capsules): Adults—At first, 25 milligrams (mg) once a day for 2 weeks. Find your way to better health Because metoprolol 25 mg works to change your heart rate, it can cause common serious side effects in how your heart beats 2. I am taking the very same medication Metoprolol 25 in the morning and 25 in the evening but for high blood pressure. Answer. Metoprolol, a beta-adrenergic antagonist (also known as a 'beta-blocker'), is generally recommended to be tapered (step-wise dose decreases) if you have been taking it chronically. 5 mg of the 25*2 mg I take everyday. Treatment for metoprolol withdrawal may include temporarily increasing the dose then gradually reducing the amount taken every day. beta-blockers, such as atenolol, labetalol, or metoprolol; budesonide; buspirone; cannabis; cholesterol-lowering agents (specifically HMG-CoA reductase inhibitors) such as atorvastatin, lovastatin, pravastatin, or simvastatin (may increase the risk of myopathy/rhabdomyolysis). Hi, I've been taking both flecainide and metoprolol now for eight years, as a prophylactic for Afib. Metoprolol succinate is not interchangeable with metoprolol tartrate. As you can see, the rapid heartbeat is a side effect. oceanside jobs He wants me to take half in the morning and skip the evening dose for two days, then stop entirely. Metoprolol, a beta-adrenergic antagonist (also known as a 'beta-blocker'), is generally recommended to be tapered (step-wise dose decreases) if you have been taking it chronically. I've done this with several meds I've weaned off of. Your dose or tapering schedule may need to be adjusted. Guidelines recommend beta blocker therapy for three years, but that may not be necessary. May 11, 2018 · I take 25 mg metoprolol succinate, split in half. Metoprolol (brand name Lopressor) is available in 25mg, 37. He wants me to take half in the morning and skip the evening dose for two days, then stop entirely. Although you can use methods to taper off alcohol at home, the best way to taper is to talk to a doctor. you don't need to wean off that small of a dose. break the pill in half and take 25 mg a day for a week, then break that in half to 12. I was getting 110/70 readings on the 25mg, so my doc told me to just stop completely since I was on a low dose.
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Beta blockers work by blocking the effects of the […] This article helped me so much! I was so concerned about my blood pressure levels. 1 mg every three to seven days. Or you well have real bad withdrawals on this medication. The immediate and extended release products may not give same clinical response on mg:mg basis; monitor response and side effects when I took propranolol 10mg 4 times a day for a week. I take 25 mg metoprolol succinate, split in half. I’ve been taking duloxetine for about ten years for chronic neck pain. Please note that a response does not constitute a doctor-patient relationship. This webinar will review new and existing topical prescription treatments available, how to safely start and taper off steroids and which topicals are better for certain parts of y. How long have you been using Metoprolol? Thank you for your submission. Despite this importance, the persistence rate of BB therapy is lower than that of the majority of antihypertensive drugs [2,3,4] I switched from Bisoprolol to Nevibolol and just took the Nevibolol when my next dose was due. Metoprolol is a prescription medication beta-blocker A prednisone tapering schedule can be employed by taking a smaller dose of prednisone over a period of time until you finish the medication. /LarryG I take 25 mg metoprolol succinate, split in half. I take 25 mg metoprolol succinate, split in half. How did you wean off Metoprolol?. These patients may also warrant a more rapid and carefully monitored taper of medications. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. I'm currently 5weeks pp and I'm on 200mg twice a day. salary table lausd Once in the morning with my flecainide, and then again in the evening for a second dose. Has anyone else stopped taking this drug in a similar manner? I'm worried that the cut off is too soon. Answer. The medication may be used alone or in conjunction with other medications. Since I'm very sensitive to medications, I decided to step down in 6mg. May 11, 2018 · I take 25 mg metoprolol succinate, split in half. I congratulate you for tapering off of lorazepam. Metoprolol tartrate should not be stopped abruptly Tips. Your doctor might even give you a different prescription for a new med to take its place I have been doing this for over a year. I am also taking 12. Since the reason for these medications is to slow down heart rate, if the heart naturally starts to slow down because of age, these medications may no longer be necessary Need more info: Weaning offthe medication is the right thing to do. I'm not an expert, but I have been on Lisinopril for about 2 years now. You absolutely should taper off beta blockers. Off-label uses of atenolol include the treatment of arrhythmias. Dosage. May 11, 2018 · I take 25 mg metoprolol succinate, split in half. When you have switched, do you just go for it or do you have to wean off one and then onto another? How did you wean off Metoprolol? Posted by kenny48 @kenny48, May 11, 2018. Has anyone else stopped taking this drug in a similar manner? I'm worried that the cut off is too soon. For a week or two after you leave the dentist you do it every day, but you'. These patients may also warrant a more rapid and carefully monitored taper of medications. Most sources don't recommend a specific tapering method, or the need to taper at all. Feb 17, 2012 · The best way to stop any meds is a slow and measured reduction in the amount and frequency of the medication that you are taking. The main difference between metoprolol tartrate and metoprolol succinate is that metoprolol tartrate is only available as an immediate-release tablet which means it must be taken several times per day, whereas metoprolol succinate is an extended-release tablet that can be taken once a day. I was taking 100 morning and 50 at night. Went back to the cardiologist and he said I could stop taking, didnt have to wean, though I did wean. Marriott has laid off a number of its dedicated Ambassador agents, charged with taking care of Marriott's most valuable customers, after temporarily suspending assigned Ambassador. saratogian death notices Your healthcare provider will gradually decrease the quantity under close supervision to avoid severe adverse effects. (See 'Approach to tapering antihypertensives. He/she knows you best and is in the best position to tell you how to wean off and maybe prescribe another medication. Recently, my cardiologist has given me the green light to begin tapering off. Metoprolol, a beta-adrenergic antagonist (also known as a 'beta-blocker'), is generally recommended to be tapered (step-wise dose decreases) if you have been taking it chronically. With the advent of reperfusion therapy and other secondary-prevention medications, their role has become uncertain, and large-scale experience after AMI in the contemporary era is lacking. Had horrible side effects, was switched to metoprolol succinate 25mg once a day for 2 weeks, felt a little better but still many side effects, so I was on them for about 3 weeks only. The main difference between metoprolol tartrate and metoprolol succinate is that metoprolol tartrate is only available as an immediate-release tablet which means it must be taken several times per day, whereas metoprolol succinate is an extended-release tablet that can be taken once a day. Jun 15, 2023 · As you complete your prescription, the FDA warns you to slowly taper (reduce) the dose over one week or two before stopping it altogether. I immediately began feeling terrible side effects, blurry vision, couldnt focus, head fog, etc. I am mentally not anxious at all, that I know of, but try telling that to my body. I would try to reduce by 1/4 tab for a week, then half tab for a week, then 3/4 tab for a week then stop. Tapering Toprol XL Whether or not beta-blockers, such as Toprol XL, need to be tapered depends on the individual and other factors (such as how long you have been taking the medication). You've heard it time and time again from your dentist: floss once a day or you're going to get cavities. My latest electrocardiogram showed no signs of ventricular tachycardia, and my. Jim asked. idly express almaden It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well. I'm on Metoprolol Succinate 200 mg in the morning, Metoprolol Tartrate 25 mg in the afternoon, and Metoprolol Succinate 150 mg at night. And it all started with a fall. Metoprolol tartrate should not be stopped abruptly Tips. Although you can use methods to taper off alcohol at home, the best way to taper is to talk to a doctor. Had horrible side effects, was switched to metoprolol succinate 25mg once a day for 2 weeks, felt a little better but still many side effects, so I was on them for about 3 weeks only. Once in the morning with my flecainide, and then again in the evening for a second dose. Beta-blockers reduce the heart rate, lower the heart's oxygen demand, and reduce the frequency of angina attacks. Any and all tapering schedules/ experiences are welcomed. I been on it for 3 mos and I get so sleepy. can i take amlodipine and captopril. After six very long months, I began to respond to the therapy and fully recovered. Because obesity and hypertension often occur concomitantly, metoprolol may be part of the treatment regimen. Stopping metoprolol abruptly, or 'cold-turkey' can exacerbate chest pains and could potentially increase the risk of heart attack and other symptoms. Re: Terrified to Wean Off Metoprolol Hey Soflsun, I hope you are still around the boards. Only generic forms are available which makes it a lot cheaper than some other sleep-inducing alternatives, and it is not classified as a controlled substance. If i wean off and still incur rebound hypertension, how long will the withdrawal last? He told me, when I can come off I should go down to 12. I too was taking 50mg metoprolol 2xs a day, and my cardiologist told me to wean off by taking 1/2 (25mg) 2xs a day for a week I’m at the end if my first day and am having constant lightheadedness, but can feel the side effect tapering down. I've done this with several meds I've weaned off of. A 52% average rebound increase in cardiac chronotropic sensitivity to isoproterenol and 15% rebound rise in resting heart rate occurred in all patients between 2 to 8 days after metoprolol withdrawal. an irregular heartbeat - 50mg, taken 2 to 3 times a day. Feb 17, 2012 · The best way to stop any meds is a slow and measured reduction in the amount and frequency of the medication that you are taking. So, he told me to "stop".
We encourage you to create an account if you have not yet accessed the Patient Portal. Feb 17, 2012 · The best way to stop any meds is a slow and measured reduction in the amount and frequency of the medication that you are taking. I am on day 5 of being off and am just starting to feel normal again. We would like to show you a description here but the site won’t allow us. mickeys beer cap play on dj Your healthcare provider will gradually decrease the quantity under close supervision to avoid severe adverse effects. Hooray for diet and its benefits for health! As a result, my doctor is ready to have me taper off the drugs. Once in the morning with my flecainide, and then again in the evening for a second dose. For example, suddenly stopping a beta blocker (like metoprolol) will likely cause your heart to beat dangerously fast. I now take 50 mg and am ready to go to the next level My question is can I half it again or is there a better way?. I'm not sure if it would affect the test results or not, but better safe than sorry. section 321 ford field An elevated heart rate may put you at risk for developing certain heart-related complications, including a potential heart attack or stroke. They start having palpitations, cold sweating, head ache, high blood pressure after initiation of weaning off trial. Please consult with the doctor who prescribed metoprolol. Your healthcare provider will gradually decrease the quantity under close supervision to avoid severe adverse effects. Beta blockers work by blocking the effects of the hormone epinephrine, also called adrenaline. Your dose or tapering schedule may need to be adjusted. Together you can create a plan to stop opioids slowly, called a taper. Stopping metoprolol can cause withdrawal symptoms, such as: Angina - a type of chest pain that feels like a squeezing, pressure, heaviness, tightness, or pain in the chest, which can spread to shoulders, arms, and neck. jenny matthews q104 Can Metoprolol be stopped abruptly, or should it be tapered off? Metoprolol should not be stopped abruptly without consulting with a healthcare professional. Can Metoprolol be stopped abruptly, or should it be tapered off? Metoprolol should not be stopped abruptly without consulting with a healthcare professional. Trusted by business builders. can i take amlodipine and captopril. A member asked: Having on and off sharp chest pains.
How long have you been using Metoprolol? Thank you for your submission. He wants me to take half in the morning and skip the evening dose for two days, then stop entirely. DEAR MAYO CLINIC: How long do I need to take beta blockers after a heart attack? ANSWER: Your health care provider likely will consider a number of factors in making that decision. I have a-fib and on Eliquis for this. dose of my bb due to my heartrate being low before I even took the night dose and the dose would then drop it even further making me feel uncomfortable. I am taking the very same medication Metoprolol 25 in the morning and 25 in the evening but for high blood pressure. Answer. Help Doctor's Assistant: The Doctor can help. I researched it - found out that one has to "wean off". I stopped taking it twice, and both times I took about a week to taper off. The other day while driving I8 Dr Fakhra Noureen. Hair loss had stopped. I weaned off Metoprolol one month ago. Your healthcare provider will gradually decrease the quantity under close supervision to avoid severe adverse effects. It sounds like metoprolol ER 12. I now take 50 mg and am. Jun 15, 2023 · As you complete your prescription, the FDA warns you to slowly taper (reduce) the dose over one week or two before stopping it altogether. They're also prescribed off-label for a variety of other conditions, including insomnia and alcohol use disorder. Metoprolol, a beta-adrenergic antagonist (also known as a 'beta-blocker'), is generally recommended to be tapered (step-wise dose decreases) if you have been taking it chronically. If you are one of many Americans taking a PPI for GERD, you may be able to wean yourself off these medications. I was on this for somewhat high BP. Has anyone else stopped taking this drug in a similar manner? I'm worried that the cut off is too soon. Contact your healthcare provider if you experience prednisone withdrawal symptoms as you are tapering off the drug. Metoprolol (brand name Lopressor) is available in 25mg, 37. kroger hurstbourne louisville ky The immediate and extended release products may not give same clinical response on mg:mg basis; monitor response and side effects when I took propranolol 10mg 4 times a day for a week. Beta-blockers reduce the heart rate, lower the heart's oxygen demand, and reduce the frequency of angina attacks. In regard to a tapering protocol, a general rule of thumb is to decrease your propranolol dosage by about 25% every week if taping over a 4-week period. This is the time it takes for the drug levels in your plasma to reduce by half. Can you split metoprolol ER? Answer. I take 25 mg metoprolol succinate, split in half. I take 25 mg metoprolol succinate, split in half. Has anyone else stopped taking this drug in a similar manner? I'm worried that the cut off is too soon. Went from 25 mg once a day to 125 mg for 3 days then stopped completely. The medication slows down your heartbeat as part of its function, but it can make your heart rate too low, resulting in bradycardia. Just woke up snd HR 46-52 bpm. Thank you for your replay. I feel more fresh and better. I weaned off Metoprolol one month ago. May 11, 2018 · I take 25 mg metoprolol succinate, split in half. antonyms of more by tapering over 1-2 weeks. Because sertraline has such a short half-life, the amount of drug in your system can drop off quickly. I take Amlodipine at 8pm nightly. When you're finally finished with your tapering and no longer taking any. If you reduce by 50mgs daily, stay at that dosage for a week, then reduce by another 50mgs for another week, etc. I would like to hear from anyone who has had this burning mouth side efftect and if the metoprolol was the cause. Thanks for any help. Initiation of isradipine in ICU to wean off antihypertensive infusions in the context of hypertensive emergency: Start with one dose of 2 Order a second 2. I too was taking 50mg metoprolol 2xs a day, and my cardiologist told me to wean off by taking 1/2 (25mg) 2xs a day for a week I’m at the end if my first day and am having constant lightheadedness, but can feel the side effect tapering down. He contacted his cardiologist about stopping with the sotalol for a period and record his pulse for a few weeks. Metoprolol, a widely employed β-adrenergic antagonist, is pivotal in cardiovascular pharmacology. After six very long months, I began to respond to the therapy and fully recovered. These effects may be possible even in people who take metoprolol for something other than angina 2 3 Elevated Heart Rate I'm not sure what your question is. The replacement was amiodarone to regulate my heart rate. Metoprolol, a beta-adrenergic antagonist (also known as a 'beta-blocker'), is generally recommended to be tapered (step-wise dose decreases) if you have been taking it chronically. I am taking the very same medication Metoprolol 25 in the morning and 25 in the evening but for high blood pressure. Answer. No change in BP, heart rate lower.