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How To Wean Off Toprol?

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Posted on Fri, 8 Aug 2014
Question: My cardiologist I am seeing now thinks I should stop taking my toprol 25 mg ER. I want to get off it as well. He is not the doctor who prescribed it. I have been on it for about 2 years for palpitations. But I still get them anyway. So the dr. I see now suggested getting off the med to see if the palpitations are the same when off the meds and if so, why take them. I agree. However, he told me I could stop the meds right away because my heart is healthy and I'm taking them for palpitations not high blood pressure or anything else more serious. I want to wean off them. He said that was fine and to do it as I saw fit. However, I want some guidance on this. I don't trust myself to decide how to go about this. Can you give me a schedule to wean myself off this medication. Thank you.
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Answered by Dr. Dr.Albana Sejdini (3 hours later)
Brief Answer:
Following suggestions....

Detailed Answer:
Hi my dear,

The dose of 25 mg for Toprol is the lowest one if you take it once daily (25 mg/day). So, you can stop taking it whenever you want. Or, you can reduce to 12.5 (half dose/day) for about 1 week, and then, stop using it.

If you take it twice daily (2 x 25 mg = (total) 50 mg); then, you can reduce to 25 mg /day for around 1 week. Then, another week with half dose (12.5 mg/day) until you stop using it.

Toprol is not affecting your blood pressure; it is used to treat palpitations (or rhythm disorders).

During this time, can observe for signs of palpitations (racing heart). If you notice them, should reconsider taking the drug again.

Dr.Albana
Let me know if anything unclear.
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr.Albana Sejdini

General & Family Physician

Practicing since :2006

Answered : 7300 Questions

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How To Wean Off Toprol?

Brief Answer: Following suggestions.... Detailed Answer: Hi my dear, The dose of 25 mg for Toprol is the lowest one if you take it once daily (25 mg/day). So, you can stop taking it whenever you want. Or, you can reduce to 12.5 (half dose/day) for about 1 week, and then, stop using it. If you take it twice daily (2 x 25 mg = (total) 50 mg); then, you can reduce to 25 mg /day for around 1 week. Then, another week with half dose (12.5 mg/day) until you stop using it. Toprol is not affecting your blood pressure; it is used to treat palpitations (or rhythm disorders). During this time, can observe for signs of palpitations (racing heart). If you notice them, should reconsider taking the drug again. Dr.Albana Let me know if anything unclear.