Metoprolol (aka Lopressor, Toprol XL) Side Effects

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Am somewhat confused as to why most recovering OHS patients would remain on a beta blocker for many months or even years following surgery:confused2:

If the purpose of a beta blocker is to keep the pulse down, this seems to me truly understandable for a certain number of months while the heart tissue is healing. Once the tissue healing is complete, why would it be important to keep the pulse down? If the heart is designed to deliver 130 beats in an active state when healthy, why would you want to put a cap of 105 BPM?Gil
You're not wrong. There should be a reason for continuing metoprolol. I have high blood pressure. Also, even though my resting heart rate is now in the high 40s due to metoprolol (historically it was 60 prior to surgery), I can still mount a vigorous response to exercise. So, I don't mind it at all. Others aren't so tolerant of that.
 
Am I the only one here taking the beta-blocker propranolol?
No, it's still a big seller. However, doctors seem to have really latched onto the "selective" agents. Metoprolol and labetolol do not affect beta receptors in the lung, which can be a problem for asthmatics, and do not affect lipid metabolism like propranolol. But as far as affect on heart rate, high blood pressure, cardiac protection post-MI, migraine prohylaxis, etc, these drugs are essentially the same. Propranolol is shorter-acting, but all these drugs have once a day dosage forms.
 
I believe my cardio wanted to keep me on the Metoprolol for an extended time due to the "heart fluttery", or irregular heartbeat, which I still ocasionally experience. I am finishing my second week and will be completely off the med after that. I have noticed I do not feel so lethargic, if anything I feel almost hyper! Not sure I like this either. Time will tell.
 
I believe my cardio wanted to keep me on the Metoprolol for an extended time due to the "heart fluttery", or irregular heartbeat, which I still ocasionally experience. I am finishing my second week and will be completely off the med after that. I have noticed I do not feel so lethargic, if anything I feel almost hyper! Not sure I like this either. Time will tell.

Kathy, should be a couple of weeks behind you, in terms of goodbye to my 5mg bisporolol, am still capping at 104 BPM in workout no matter what i do.

Returning to work Monday and getting up in the early AM has become an issue (really tough), must be the beta blocker as am normally an early bird. Funny 1st couple of weeks post surgery sleeping was an issue and now getting out of bed is an issue, geez gotta find the middle ground.

Am reconciled that my 6.5 sleep night pre op, will likely be more like an 8 hour sleep night post op and for some time, life's little adjustments to OHS.

We'll compare notes in a few weeks ok, as am really looking forward to getting druig free and soon.

Gil
 
Sounds good Gil. I have one more dose to take this Sunday. I will be completely of the Metoprolol then. The first week taking every other day, I could feel my pulse. I don't seem to have that problem as much now. My BP is still low. (as always) Pulse is up slightly, but not a probem.

I'm going to give it about three wks. Let me know how you are doing.
 
Wow, I haven't had any side effects like that. It just makes it impossible for me to go one more than a ten minute car ride without sleeping.
 
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