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Changing beta blockers

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Cactus52

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Hey all, just got done seeing my cardio and he wants to take me off my 50mg of Metoprolol and put me on 5 mg of Bystolic. I have had some weight gain with Metoprolol so I'm hoping this helps. Anybody else on this? What are your thoughts?......

Thanks
 

LondonAndy

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Can't comment on Bystolic, but I found Metoprolol made some sort of blood flow to the legs issue worse, and after trying a couple of others ended up on Nebivolol which has been much better. I think it is definitely worth an experiment - frankly I think even the medical profession sometimes resort to trial and error, and given how people can respond so differently that is probably a sensible approach.
 

DDT77

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Dec 9, 2017
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Hey all, just got done seeing my cardio and he wants to take me off my 50mg of Metoprolol and put me on 5 mg of Bystolic. I have had some weight gain with Metoprolol so I'm hoping this helps. Anybody else on this? What are your thoughts?......

Thanks
Metoprolol Succinate or Tartrate?
I was on 2x 25 mg of Tartrate and was sluggish (+ some extra lbs), the 50 mg Succinate seems less of a daily rollercoaster, and does not drop heart rate into low 30s, only high 30s. A few months ago, I had run out of Succinate, and fell back to taking Tartrate, I quickly refreshed my script of Succinate after being reminded of some of these effects.
 

mecretired

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Southeast Missouri, USA
I have been on 10mg Bystolic for about 8 yrs now. I had previously taken verapamil and metoprolol. I took them primarily for my rapid pulse. The other meds helped but didn’t lower my pulse to where it should be. The Bystolic works great. I haven’t ever noticed any side effects. The only problem for me is that there is no generic and it costs me quite a bit more.
 

Cactus52

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Oct 10, 2017
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Atlanta GA
Thanks, I've never had pulse or blood pressure issues. Right after replacement I had a high pulse rate when they put on Metoprolol 75mg slow release. I went down to 50 a few months later without any difference. Today my blood pressure is normal and pulse rate is 55-62. I started my Bystolic 5mg this morning. I'm hoping I won't need a beta blocker for too much longer....
 

Protimenow

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This stuff probably IS trial and error. It's up to the patient to report issues with medications.

I've had issues with many of the beta blockers.

After my bouts with rhythm issues in March, April and May, my elecrocardiologist switched me to verapamil. He started me on the expensive 180 mg daily extended release dose - very expensive, to 80 mg twice daily - and after this caused dizziness, dropped it to what he calls a minimum dose (he may have said 'baby dose') of 40 mg twice daily (I cut 80 mg pills in half).

My heartrate dropped into the high 30s - maybe not related to the beta blocker -- a pacemaker took care of this -- and my blood pressure is pretty normal.

Back to the original issue - prescribing beta blocker must be trial and error because none are without possible side issues, and it's probably not possible to know, with absolute certainty, how a person will react with a particular beta blocker. If there WAS a beta blocker with no negative effects, wouldn't that be the ONLY one that is, ultimately, available?
 

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