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Stopping metoprolol before ablation

Mbing210 profile image
8 Replies

For those of you who have had to stop your beta blockers before your procedure, did you taper off or just stop? I’m terrified of not being on my beta blockers even for a few days even though my EP reassured me I will be ok just uncomfortable. (The ablation if for tachycardia and frequent PVCs)

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Mbing210 profile image
Mbing210
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8 Replies

Just stopped 2 days before. It wasn't nice but trust your EP

Mbing210 profile image
Mbing210 in reply to

Ok cool

Dawsonmackay profile image
Dawsonmackay

I take Metropolol and have been taking it since 2007. My EP said to take it the night before the ablation and then the night after the ablation, the hospital nurse gave me my usual dose. About 29 hours had transpired between doses. About an hour before the nurse gave me my dose, she asked if I feeling okay. When I enquired, she said that telemetrics could see that my HR was going up. I told her I needed my dose of metropolol. She doubted my suggestion but when she gave me the dose, within 20 minutes, my HR decreased! So just let them know that you need to take it once out of ablation and when taken to your room.

KipperJohn profile image
KipperJohn in reply toDawsonmackay

I’ve been taking metoprolol 3 x 25mg daily since about 2013. I don’t recall any change in dosage when I had ablations for PAF in 2015 and 2016. The only drug that was stopped was my morning dose of Apixaban the day of the procedure.

Of course we’re all different, as is the advice of EP’s, based on their clinical assessment of the patient and their own experience and expertise.

Best wishes.

Wightbaby profile image
Wightbaby in reply toKipperJohn

Hello Kipper John!

Was thinking about you the other day, as had not seen a post from you for AGES........I will PM you in a bit

Dawsonmackay profile image
Dawsonmackay in reply toKipperJohn

I take it at night regardless. But the reason why he wanted me to take it earlier is because he did not want me eating anything after 12 midnight.

baylady007 profile image
baylady007

I would suggest that you taper off very slowly if possible. I tapered off very slowly and now not taking any metropolol. My blood pressure is good and I am having hardly any pvc's. I have no ablations. I feel better than I have for a long time. I would also suggest that you eat plenty of fresh fruit and vegies and walk regularly.

Beck2018 profile image
Beck2018

My ablation team said me i need to stop taking Metoprolol one week before. My dose was 50 mg and it was slow stop: 3 days 50 mg, 3 days 25 mg and 3 days 12,5 mg.

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