Metoprolol

[Gain]

Hello everyone, I am feeling rather low and not very well. I have to take Ciprofloxacin antibiotic for a chest infection which has pseudomonas aeruginosa bacteria in my lungs. I can’t take Flecainide as my pill in the pocket if I have an AF episode. The doctor has told me to take 25mgs of metoprolol beta blocker wait an hour and then take another 25mgto get back to sinus rhythm. Has anyone taken this as a way of stoping AF and does it work? I would be grateful for any info on this. Many thanks and stay well.

[Padayn01]

Hi i take Metraprole 2.5 mg in the morning and if bad in the evening take another 2.5mg as metraprole only has a few hours use thats why you need to take 2 or 3 during the day to get the full usage from the beta blocker

[Gain in reply to Padayn01]

Thank you! All the very best.

[Ppiman]

I had read that beta-blockers weren’t very effective at restoring heart rhythm but they certainly can do it as I found last June when I went into afib after my flutter ablation. I was fine within an hour.

Steve

[Gain in reply to Ppiman]

Thank you, do you know how much you took please?

[Ppiman in reply to Gain]

Hi - I was given 5mg bisoprolol which, I have read, is equivalent to 50mg metoprolol.

Steve

[Gain in reply to Ppiman]

Thank you very much. That is very reassuring. Take care and best wishes.

[Padayn01]

Sorry yes 25mg

[PlanetaryKim]

That is exactly my pill-in-the-pocket instructions - metroprol 25 mg, with another 25 mg in an hour if i am still in Afib. It does NOT work to convert me to normal rhythm. I am usually in afib for 4 days. However the metoprolol does at least slow my heart rate, so my heart is not getting so overworked while in afib. in theory the heart can convert itself to normal rhythm more easily if it is beating slower. so the metoprolol helps in that way. But metoprolol does NOT give me a quick conversion. I would like to know what does.

kim

[Gain in reply to PlanetaryKim]

Thank You Kim, I certainly hope it works for me. I live alone and I usually take Felcainide and 100mgs converts me back to normal within 2 hours. Why do you take it if it doesn’t work for you. I would ask to be changed to an anti arrhythmia if I were you.

Anyway, thank you for your reply and wish me luck. Take care of yourself . All the best Angelique

[PlanetaryKim in reply to Gain]

I need a cardiologist I can have a conversation with. Am trying to get a 2nd opinion for reasons like this. Good luck to you. Flecainide sounds good and effective, but risky even for single use in a way metoprolol isn't. Although metoprolol has side effects I don't like.

[Equish]

Sorry I can’t help with the medication but hang in there I’m sure things will get much better soon. Chin up x

[Crystalbowl]

I take a beta blocker and have now tried several. I was on Bisoprolol 10mg for a few years but this was changed to Carvedilol and then to Nebivolol. Can’t remember why they have been changed but probably due to breathlessness and circulation issues - cold extremities. I was recently changed on to Metoprolol 100mg 2x daily. After only one dose last weekend (Saturday) I was more breathless and felt like I was walking through treacle. On Sunday, after 3 doses, I felt really weird so on Monday I phoned my GP practice. Their pharmacist rang me later then said he would speak to a GP. He rang me again the following day to say stop taking it and revert to Nebivolol which I have done and I am more or less back to how I was but still breathless with poor circulation. Not sure how the Metropolol affected my heart. I am in moderate HF and have permanent AF and have a CRT Pacemaker implanted.

[fairgo45]

Hi

I take metoprolol 120 mg in the morning and have no problems with it and It works to help regulate the A/F in within the hour.

I.hope all goes well for you

Janet

[Gain in reply to fairgo45]

Thank you very much for your very helpful info and kind thoughts.

All the very best to you too.

[fairgo45]

So sorry the dose I take is 47.5 mg it used to be 100mg but I didn't need it to be that high so half it as someone said it lasts about 6 to 8 hours but if I have any further problems I take 120mg of diltiazem at night between them they sort me out

Janet

[Gain in reply to fairgo45]

Thank you Janet. Best wishes

[Gain in reply to fairgo45]

Thanks Janet.

[KipperJohn]

I have been on metoprolol for 10 years now, even after two ablations which have substantially reduced my PAF. As I understand it, metoprolol is a rate control and bp beta blocker, In my experience it helps reduce the heart rate when in AF and keeps the heart rate stable otherwise. I take 25mg x3 daily. For me it does make dieting and exercise a bit harder - although that perhaps is a perception rather than an actual reality.

[Gain in reply to KipperJohn]

Thank you, that is very helpful to know. Best wishes

[Auriculaire]

Frankly I am disturbed that you have been prescribed Cipro at all. The entire class of Fluoroquinolone antibiotics have prolongation of QT interval as a possible side effect which can lead to a very serious condition called Torsade de pointes. You must also watch out for any side effects such as neuropathy ( pins and needles /burning / electrical zapping sensations), tendonitis especially in the Achilles tendons or muscle weakness. If experienced the Cipro should be stopped immediately . Has your doctor warned you about reactions to Fluoroquinolones? I had my first afib attack after being given Cipro.

[ral4 in reply to Auriculaire]

Hi Auriculaire

You seem to have some knowledge of antibiotics and afib. I knew there was a problem with Cipro and tendons. Did not know about the afib issue. I was aware there is a problem with the Zpac antibiotic and afib is that correct?

Being the issues with the 2 antibiotics mentioned above, what are safe antibiotics for people with afib. Of course safe is a relative term.

I just had an abscessed tooth and then extraction. I was given amoxicillin both times because I told the Dr.'s that Zpak and Cipro were not a good idea.

Any thoughts would be appreciated.

Thanks

Robert

[Auriculaire in reply to ral4]

The only antibiotic I am comfortable taking is Augmentin. I have read lots of floxie's reports about arrythmias after taking Fluoroquinolones. I don't know much about Zpac but I have read that it can cause arrythmia . Fluoroquinolones have so many nasty side effects some of which can turn out to be very long term if not permanent. There are other safer antibiotics that should be tried first - this is now the recommendation of the EMA after an investigation into the problems they could cause.

[ral4 in reply to Auriculaire]

Hi again

I had never heard of Augmentin. I am in the US maybe thats why I have never heard of Augmentin. So I looked it up. Now I know.

This is what I found. Amoxicillin and Augmentin are similar beta-lactam antibiotics that can treat similar infections. However, Augmentin is usually reserved for harder to treat infections compared to amoxicillin. These harder to treat infections may include kidney infections or severe skin abscesses.Jan 24, 2019

Robert

[Gain in reply to Auriculaire]

Thank you, I am well aware of the potential adverse effects. My lung specialist is one of the top lung people in the country and does not prescribe these antibiotics lightly. I need it to deal with a very nasty bacteria in my lungs. we have discussed the pros and cons in some detail.

All the very best.

[Auriculaire in reply to Gain]

Good luck. I hope you do not get an adverse reaction. Please be aware that adverse reactions can be delayed and are more likely to be provoked by concurrent or subsequent use of steroids or NSAIDs. Tendon ruptures can occur many months after treatment is finished.

[dmjtanner in reply to Gain]

That is why he took you off the flecainide during the time while you are on Cipro, so you should be okay. It’s the combination of both drugs that can be harmful prolonging the QT. My sister had one episode of A-fib, was put on metoprolol 25mg twice a day and within a day or so she converted to NSR and has remained so after 2 years. She stays on the metoprolol and is on Eliquis. May your lungs quickly improve. ❤️

[Gain in reply to dmjtanner]

Thank you very much for helpful and kind response. I am most grateful. My very best wishes to you.

[indy64]

Yes. My PIP is to start with .5 xanax, If I don't convert I go 12.5 metoprolol tartrate (works faster than met succinate) and then another 12.5 an hour later if not in rhythm yet. If all that fails, I take a 60 mg cardia.

[Gain in reply to indy64]

Very helpful thank you very much. Fingers crossed! All the best.

[Joekham]

After ablation I was put on two Mets per day taken together. I am good and no problem. This in addition to losartan Which I was already taking for hbp and eliquis as blood thinner.

[Gain in reply to Joekham]

Many thanks.