Good morning all
My cardiologist changed my medication last week as still having regular high heart rate. He’s put me on 40mg Sotalol twice a day and going to be doubling it next week. My problem is I’ve been having a low heart rate of 41/43 every night on and off during the night and I’m exhausted and waking up with a headache. It seems fine during the day. As any one had a similar problem. Thanks
Hi Bertie
You need to let your cardiologist and GP know about this. Try and contact them now. I would no way take a higher dose of Sotalol when your heart rate is going as low as it is.
Jean
If low heart rate is ever symptomatic, I was told to report this, as Jean says. I doubled my dose of bisoprolol last week (to 2.5mg) and have had some bradycardia readings on my watch which showed a daily reading yesterday of 46-130, but 39-95 the day before with 50-107 the day before that.
I am taking the extra as my palpitations and AF have increased this year but so far, the extra bisoprolol has done little. If it doesn't improve, I'm going to ask to go back to 1.25mg.
Steve
Even the 1.25mg was too much for me to take and it only lowers the heart rate not the irregularity which is the problem with atrial fibrillation- fast and irregular. That’s why I take Flecainide - at first as a PIP and now regularly, and I haven’t had an episode now for well over a year!
That's encouraging - thanks. My AF seems to occur every month or two and isn't too symptomatic, so far, although I prefer to be in bed or sitting down when it's on. The main issue for me is daily and often very noticeable palpitations (PACs and PVCs) which are very much worse when I am tired out, as happens so often these days as on top of insomnia, I now often have to get up for visits to the bathroom, thanks to prostate enlargement.
I have long thought that I wasn't able to take flecainide owing to having. long QT interval, but when I saw the specialist last week, he said it wasn't that but because of the atrial flutter I had then, which thanks to him, is more no more. He's put me down for an MRI before prescribing it to be sure it's safe to take, he said, which pleased but surprised me.
Steve
I have always had to urinate at least once during the night and I’m a woman. My husband has been much the same since we met over 40 years ago and only in the last few years has he been prescribed medication for his prostrate. Hope you get what suits your heart (and prostate)!
I take 1.25mg of bisoprolol as well and my resting heartrate is 50-55bpm. No symptoms though some mild chest pain if it drops to 45=48ish. Thinking of stopping the bisop altogether.
I get this, too. I’m sure you won’t, but don’t stop without medical approval.
Steve
Hi
Bisoprolol did little to control heart rate 154. Metoprolol 186.
Heart rate night average 47.
I now take Diltiazem 120mg AM slow release and it affects day but not night. And I take 2.5mg Bisoprolol PM.
Now day heart rate at rest came down to 88-96 Day but when I lost 6kg now 60s day and 47avge night.
Cheri JOY. 75. (NZ)
But might your heart rate get to be high (and irregular) if you stopped though I don’t think it’s good to be in the 40s, especially if that has nasty effects.
Hi
My heart rate is 47avg at night. Not waking up
But taken off Metoprolol because of pauses night and 185 H/Rate Day.
2 years 3 months when Bisoprolol only controlled my BP, CCB Diltiazem 120mg intrduced. Bingo solved Heart rate to 88-96 but lost 6kg and H/Rate day 60s.
cheri jOY. 75. (NZ)
Low heart rate while resting
What constitutes low heart rate?
Any suggestions about low heart rate
Low Heart rate, should I be worried? 
low heart rate
