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Metoprolol or verapamil
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Metoprolol or verapamil


I have inappropriate sinus tachycardia and uni- focal pvcs. I am a  35 year old female.
The tach is induced by simply standing up or putting on my clothes. The pvcs occur at nearly 20,000 a day, I am incredibly symptomatic and I feel every one. I have been on atenolol, it helped the tachycardia but not the pvcs. I am currently taking nothing to treat my issues.
I have been told I have PCOS and POTS.
I do notice some (very) short term alleviation of symptoms with magnesium, B12, even sodium.

My doctor thinks the pvcs originate from the right outflow tract near the pulmonary branch and suggested I take either verapamil or metoprolol (the doctor says it is hit or miss and told me to take what I want.)
I am terrified to take anything that could make things worse as I can barely handle my symptoms now.
Verapamil can apparently cause asystole, heart block, proarrhythmias. I am also concerned because sitting down induces pvcs so an even slower heart rate as a result of medication could be an issue.
According to echo and monitoring I have a healthy heart but I am terrified to act on this with meds at this point. I was prescribed pindolol and ended up in the emergency room with a fast  heart rate coupled with bigeminy.
Any advice would be appreciated.
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2 Comments Post a Comment
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116881 tn?1189759423
I feel for you.  I have about 4000 per day and to have 5 times as many would be debilitating.  Try the metoprolol.  I was afraid to take it too and decided I would take a 1/2 of one to see how I did.  I did fine so I upped to he whole.  I really dont notice any side effects at all and Im one of those freaks that monitors for every little side effect.  this reallyhad none.  I actually look forward to taking it because it does slow your heart rate down a little -- not a lot to where it would bother you -- and it does actuallyhelp with anxiety because it eats up the adrenaline surge you get with the scary skipping.  Try a low dose to start.  It hink youll be fine.  
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771913 tn?1343334788
I just had open heart surgery to remove a myxoma and they sent my home taking 25mg of Metoprolol (half in the morning and half in the evening) I had some problems with afib and they have upped it to 100mg a day 50 in the morning and 50 at night. For the first few days I was very tired and didn't want to do anyting but now I am getting better. I stayed out for almost 6 hours running around with my wife and kids yesterday. Although it was not very taxing I was still out of the house and off the couch for a few hours. I have not notices any side effects with it other than the tiredness the first few days. Hope this helps.
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