Metoprolol

[Samazeuilh2]

I have a CT angiogram tomorrow at 0830 and have been given two tablets of Metoprolol (50mg) to take 12 hrs and then 2hrs before the procedure. This is apparently to slow the heart down (to below 60bpm). I rang the hospital and told them that I already take Sotalol and my heart rate is generally slow at about 46-50 bpm at night. They said that I should still take the Metoprolol and that a doctor had checked my medications. I wondered if anyone had had any experience of Metoprolol or had any side effects from it?

[jeanjeannie50]

I once collapsed one morning in hospital after being given 100mg of Metoprolol the night before. On me it was a really potent drug and I was advised never to take more than 25mg in one go. I find it very odd that you've been advised to take a high dose alongside of Sotalol. I think I'd run this past your GP, or anyone other than the person who advised taking both.

Jean

[Samazeuilh2 in reply to jeanjeannie50]

Unfortunately, it’s too late to speak to my GP. I’ve just taken the first dose about 10mins ago! In view of what you’ve said, I’ll wait for a couple of hours, see how I am and take a Kardia reading. If anything seems out of place, I’ll ask to speak to an out of hours GP on 111. Many thanks for the info.

[Cassag in reply to Samazeuilh2]

I had a bad experience , metoprolol 1 hr before. I told anaesthetist my blood pressure would drop and it did. Then had fluids to get BP up which lead to other complications . I don't think it is a good idea to take beta blockers prior cardioversion.

[Samazeuilh2 in reply to Cassag]

Thanks for your reply.

[DawnTX in reply to jeanjeannie50]

I agree about the dose. I am on 25 mg two times a day now. If you are over 64 according to my doctor they are much more cautious one reason is because our bodies may not process it as fast as other people so it is a bit like an overdose. Doctors do miss things and sometimes it could be their assistant or nurse. Please try to check with them again. Before I changed doctors his nurse took me off my metropolol and put me on Multaq. I had been on both of them prior to my last surgery. Long story short my new cardiologist was baffled at this. He told me that multitask will only work if you are in rhythm. I have been on it since my cardioversion and taken off of it yesterday again because it will not do anything for me again because I am out of rhythm. I did not notice the amount they put you on. See how easy it is to miss something? Ask them ask them ask them if your body

[meadfoot]

When I had my CT scan I was told to take my normal beta blocker dose two hours before the scan. I assume due to the stress of having a CT scan my heart rate would not go low enough. They gave me two separate IV doses of some beta blocker or other and I was still border line. However they managed to do the scan.

I was concerned I would be poorly with the extra doses but I was absolutely fine. They will ensure you are ok. Its concerning I know.

[Samazeuilh2 in reply to meadfoot]

Thanks for the reply. I had the scan a few hours ago and they told me they got good images. Now I have to wait for the result!

[meadfoot in reply to Samazeuilh2]

Thats good. Hope it all went easily enough for you and having to slow heart rate hasnt caused you too much hassle. Trust results come through quickly and all is ok. Best wishes.

[Samazeuilh2 in reply to meadfoot]

Thanks. My heart rate is usually slow anyway as I take Sotalol. I was mostly concerned that using Metropol on top of Sotalol would slow things down too much. However my heart was beating at around 54bpm which they said was ideal for the test.

[meadfoot in reply to Samazeuilh2]

so pleased itcall worked out for you.

[DawnTX]

I am on metropolol lol and have been off and on since diagnosed two years ago. I was just put on the XR one of it Metropolol XR. Just yesterday my cardiologist mentioned that I am on top of the line drugs for this. I think you should be OK but I’m not a doctor. It takes about two weeks to fully kick in if you are not already on it. It only dropped my heart rate about four points from yesterday nothing drastic. When you go for your cardioversion they are going to check all your vitals. I had already been on metropolol again for a month. Can you give a call to your doctor to double check? Best of luck with your CV. I could not believe how wonderful I felt when I woke up.

[Samazeuilh2 in reply to DawnTX]

It was for a CT scan. I had it a few hours ago and it went well. They will look at the images today but unless there is something which is an emergency, I won’t get the result for a week or so.

[DawnTX in reply to Samazeuilh2]

I am so glad that it went well. I just had one the morning of my cardioversion. The doctor decided it had gone so well he would do the cardioversion that morning as well

[JOY2THEWORLD49]

Hi

YUK

Metroprolol is banned and I should never have had it. It makes me breathless.

What a high dose.

But Night rate is totally different from day.

Now controlled day @ 77-88 H/R my Night has always stayed @ 47.

It is recommended for those who have AF that Bisoprolol is a better option.

cheri. JOY 73. (NZ)

I couldn't get my breath with 47.95 x2. In 2010

but given 3 x 23.75 after stroke too much.

[momist]

I was admitted to A&E for observations last time I had AF/Tachycardia. I had a large dose of metoprolol intravenously there that had no effect, and this was followed an hour later by another one, also with no effect. I don't know what the dose was. I'm taking bisoprolol 2.5mg twice daily already. No ill effects from the metoprolol, and I reverted to NSR naturally some hours later.