Aa
Aa
A
A
A
Close
Avatar universal

tapering beta blocker

I have PAC's that the beta blocker metoprolol at 25mg twice a day seems to be controlling- after the 2nd week, I almost never have an episode. I also take Magnesium which could also be helping. And the cause of the PAC's could be thyroiditis. I'm scheduled to get another thyroid blood test in a couple of weeks. Is it too soon to try to taper off the metoprolol? Could I just take half the dose twice a day and see what happens for about a week? If the PAC's come back, can I just go back to the regular dose? If they don't, can I then stop or should I go to every other day or to once a day? How do I taper off?
7 Responses
Sort by: Helpful Oldest Newest
Avatar universal
As Deedle '76 posted, I had excellent PVC control with 25mg Atenolol for four years...I then tapered and had a REALLY BAD four months...its possible some of it might have been psychological but I don't know...but if something is working and not adversley affecting your life I would strongly advise to LEAVE IT ALONE.

Helpful - 0
255722 tn?1452546541
Geez!!! I'm sorry.  My computer froze and when it finally "woke up" the mouse was "stuck."  Thus, three identical posts.

Good day everyone!!
Helpful - 0
255722 tn?1452546541
One of the interesting things about medication is that, when it works, we stop taking it.  Then the problem returns and we find ourselves frustrated.  I am sure that you are tempted to wean yourself off the meds to determine if it is them, or other methods that are controlling your PAC's but, please discuss any changes in your intake with your doctor.  

There is a good chance your cardio will tell you to go ahead and adjust your meds within a certain range at your discretion, but it's so early in your treatment, he/she may want you to wait a bit before "playing" with the dose.  

At the same time, I would be hesitant to play with the dose.   You know that old saying, "If it ain't broke don't fix it?"  Well, "if it's fixed don't break it...."

Whatever happens, good luck and be well.  
Helpful - 0
255722 tn?1452546541
One of the interesting things about medication is that, when it works, we stop taking it.  Then the problem returns and we find ourselves frustrated.  I am sure that you are tempted to wean yourself off the meds to determine if it is them, or other methods that are controlling your PAC's but, please discuss any changes in your intake with your doctor.  

There is a good chance your cardio will tell you to go ahead and adjust your meds within a certain range at your discretion, but it's so early in your treatment, he/she may want you to wait a bit before "playing" with the dose.  

At the same time, I would be hesitant to play with the dose.   You know that old saying, "If it ain't broke don't fix it?"  Well, "if it's fixed don't break it...."

Whatever happens, good luck and be well.  
Helpful - 0
255722 tn?1452546541
One of the interesting things about medication is that, when it works, we stop taking it.  Then the problem returns and we find ourselves frustrated.  I am sure that you are tempted to wean yourself off the meds to determine if it is them, or other methods that are controlling your PAC's but, please discuss any changes in your intake with your doctor.  

There is a good chance your cardio will tell you to go ahead and adjust your meds within a certain range at your discretion, but it's so early in your treatment, he/she may want you to wait a bit before "playing" with the dose.  

At the same time, I would be hesitant to play with the dose.   You know that old saying, "If it ain't broke don't fix it?"  Well, "if it's fixed don't break it...."

Whatever happens, good luck and be well.  
Helpful - 0
Avatar universal
Hi,
I was tempted to do this too after my PVCs went away on acebutolol. However there is a guy on here called PVCman who had great control for years on a betablocker and tried tapering off but now they PVCs have come back. He then tried upping the dose again but it's not working anymore.

I'm sure he'll reply to this post.
Helpful - 0
Avatar universal
My cardiologist just started me on metoprolol 25mg almost a week ago.  Too soon for me to tell if it is helping yet.  The only thing for me is I haven't been able to sleep since taking it which is a possible side effect.  The doctor said after about 2 wks the side effects should lessen...I sure hope so.  But I only take 1 pill at bedtime.  I know you can't stop the medicine abruptly.  I'd check with your doctor.  I thought I'd be on this for life if it works.
Helpful - 0
Have an Answer?

You are reading content posted in the Heart Rhythm Community

Top Arrhythmias Answerers
1807132 tn?1318743597
Chicago, IL
1423357 tn?1511085442
Central, MA
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Are there grounds to recommend coffee consumption? Recent studies perk interest.
Salt in food can hurt your heart.
Get answers to your top questions about this common — but scary — symptom
How to know when chest pain may be a sign of something else
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.