Metoprolol NDR

Todd Duncan Tennyson

Todd Duncan Tennyson

Well-known member
any of you guys taking this stuff?

My MD Thinks I should.

If you are on it, did you feel just "dead ass beaten"

because i'd like to avoid a cva, but I don't want to feel like my engine room has been shut down either.

Maybe I should take up yoga?
 
I had it prescribed for migraines but it didn't work worth a darn. I prefer Bystolic but in order to get that "approved" by Blue Cross, I had to try two others and find that they didn't work.
Bystolic helps for migraines a bit and also has an added bonus of doing good things for blood pressure.
Lou
 
I've been taking one a day since I was 35, almost 10 years now. If you feel overly tired its because you are taking too high of a dose. At first my dose was too high and all I wanted to do was sleep. My doctor said it was because it had dropped my blood pressure too low. Other than that one time I havent had any issues what so ever.
 
That is the most common side effect with metoprolol. Over time it will get better, but most still report some type of fatigue.

Bystolic is a newer beta blocker (more expensive non generic) that works by a different mechanism of action at lower doses. It does not cause fatigue like metoprolol. As Lou mentioned, most insurance companies now practice medicine and tell physicians what they can and can't prescribe, but it is worth asking your MD.

Another generic alternative is carvedilol. Less fatigue, but the downside is you have to take it twice a day; makes it harder to remember the second dose.

Best,
Steve
 
Todd,

I've been on Metoprolol for about 8 years. In my case the symptoms that dictated it's use are rapid heart beats and irregular beating. It has totally calmed my heart down. I am prescribed two a day (50mg) but many days I only take one. I have never attributed tiredness to my prescription but now that you mention it - maybe yes. About a year ago I started supplimental Vit. D @ 4-5000 IU per day and that has totally reversed what ever tiredness I had from the metoprolol.
 
Todd, in addition to what Doc Steve said, I will add that if you have any asthma or asthma like tendencies that whole class of drugs may make breathing harder for you and therefore even more fatigued. They are good drugs that really help and we try not to make the cardiologist stop using these drugs unless it is a really good reason but you need to have a talk with your doc. Was is a primary care guy or a cardiologist that put you on the drug? What is the reason they put you on it? If you don't want to state all that on line, pm me or talk with your guy about it but sometimes there is a very easy substitution you can do, but it depends on WHY they put you on the drug.

As a whole, most beta blockers will give a healthy, active guy more issues than if you are more sedentary since it is designed to slow down your heart and thereby lowering your blood pressure.

Sometimes even changing to the XL forumulation helps with that fatigue.

Either way, good luck.
 
Todd
The question I would ask your doc is why do you want me to take this. There are many good reasons for it to be taken so I would ask why and go from there.
wis boz
 

Todd
The question I would ask your doc is why do you want me to take this. There are many good reasons for it to be taken so I would ask why and go from there.
wis boz

Wis,

I have to take a different medication that jacks my heart rate and my blood pressure up pretty high, I have been on it for a long time (off and on) and she was concerned that since it is consistently high and I am so active, that I could have a stroke.
 
I'm on metoprolol for high BP, and the only thing I notice is that it takes my body a while to get my heart rate up when my activity level increases. I get prettry out of breath if I stand up and start walking up hill in a hurry, and it seems like there is a lag time before my heart rate gets up where it should be.
 
Todd
I don't want to play doctor here but if the long time medicine you are presently taking cannot be cut down then proceed slowly. I take metoprolol because another med caused rapid pulse sending me to intensive care. You start playing one med against another and you get a see saw affect. You'll find that your pharmcist has as much if not more knowledge on meds than the doc that doesn't keep up--just a thought.
 
Some of that is just that your blood pressure is lower, and it will take a while for you to get used to it. However, you just shouldn't tolerate having your blood pressure too high. If you're taking it from BP, there are lots of other choices your doc can pick from if you don't get to feeling better after a while. If its for heart disease however other more expensive meds in the same class will likely make you feel the same way. If you have to be on a beta blocker like metoprolol and you still feel crummy after several weeks a possible alternative is Nadolol. Metoprolol crosses the blood brain barrier but Nadolol doesn't or at least not as much. You can't beat the price on Metoprolol though, $4 at Walmart. One thing I will warn you about Metoprolol is that it comes in two versions succinate and tartrate. If the bottle says tartrate, that's at least a twice a day drug. You shouldn't be taking tartrate once a day. The tartrate is the $4 version at Walmart. Docs are use to Rx'ing this drug simply as "Metoprolol" and frankly many of them don't know that tartrate has to be taken at least twice a day. I run into lots of problems with patients having withdrawal every day from once a day Rx'ed Metoprolol tartrate. If your bottle says Metoprolol tartrate and the directions are for you to take it once a day call your doctor (don't just start taking them twice a day; you'll be doubling the dose of course).

Ed.
 
Thanks all for the responses. It is the Tartrate 25mg and It is 2xdaily. I took a whole one at the time I took the other medicine in the A.M. and felt kind of boggy for a few hours. I split the other one in half and took it with 1/2 of the other medicine and felt much better.
then I took the other half of the other medicine with the remaaining half of the blood pressure stuff at 12 hours from first dose and still felt pretty good.

I did all my walks and regular activities and about to get the hounds out for their night time blind fetching in the big field. About all I notice is that If I am ramping up to hike over a big hill, it does take my body a little more time to build up a head of steam (probably because it is doing its job at giving my heart a break, so it takes longer to "pump up the volume"

But i seem to tolerate it ok so far.

Now if I could just get my boat back from the shop....
it is a drag having a good dog and a great boat and a busted motor.

best,

todd
 
Todd, get the dogs out more. That is the best medicine. Your Kaden is a twin to my Tazz. I just got my boat out of the shop yesterday. Lower unit exploded and then snapped drive shaft (150 hp). Quick warranty replacement and I'll be back out.
 
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