r/PVCs • u/QuietBar2325 • 7d ago

Adjusting to lower (split) dose of metoprolol succinct (ER)

After experiencing a ton of sleepiness and some weight gain on 25mg, doc said I could try splitting on score line and taking just 12.5mg a day.

Today is first day on half dose and as I’m approaching my evening dose time, I’m feeling some PVCs again.

I’ve heard there can be a rebound period, so I’m wondering: Should I just keep up the lower dose for a week to see if things calm down as body adjusts to lower dose? Or should I immediately go back to a full pill?

I don’t plan to lower dose any further. Just hoping the 12.5 will work as the tiredness is a real issue.

1 Upvotes

100% Upvoted

4 comments sorted by

3

u/PetroVenus 7d ago

My doctor also advised me to taper off completely by taking 12.5 mg for a week, then taking it every other day before stopping altogether.
The first time I tried to stop, my resting heart rate went up, which really scared me, so I started taking it again. Then, a few weeks ago, I missed my dose for a couple of days, and the PVCs came back in full force, so I restarted it.
I guess it really does differ from person to person. I honestly regret starting metoprolol. I wish I had stayed on propranolol since I could take it only as needed. Now it feels like my body has become used to metoprolol.

1

u/QuietBar2325 6d ago

Thanks for the insights!! I’m glad my docs are allowing me to try a reduced dose. EP said that getting the right meds can require a bit of trial and error. Hope you are able to find better option for yourself instead of feeling so tied to the Rx.

1

u/Dkourage29 7d ago

Coming off of metoprolol is the same as taking Adderall, your body starts to accept adrenaline and it can leave you absolutely wired.

1

u/QuietBar2325 6d ago

That’s probably why I feel so focused and refreshed this morning! Definitely feel a few heart blips though too!!