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I HAVE PAROXYSMAL AFIB ABOUT 1 TO 2 TIMES A

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Posted on Fri, 15 Feb 2019
Question: I HAVE PAROXYSMAL AFIB ABOUT 1 TO 2 TIMES A MONTH WITH AN AVERAGE TIME OF 2-3 HOURS. IF I WANT TO BACK OFF METOPOLOL 25XL WHAT IS THE PROCEDURE? I AM ON ELIQUIS AND ALSO SEEM TO HAVE DIGESTIVE PROBLEMS DO TO THIS DRUG. I'M ALSO ON OMEPRAZOLE FOR THE STOMACH ISSUES AND METFORMIN 500 2 TIMES A DAY FOR TYPE 2 DIBETES.
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Answered by Dr. Ilir Sharka (27 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I understand your concern and would explain that if your heart rate is 70-90bpm, it is safe to start Metoprolol XL 25mg once daily.

Its main adverse effect is bradycardia (bradycardia).

You can increase the dose up to 50mg daily, based on your heart rate.

Regarding Metformine, it does not interact with Metoprolo XL. So, it is safe to take these drugs concomitantly.

Hope you will find this answer helpful!

I remain at your disposal for any further questions whenever you need!

Kind regards,

Dr. Ilir Sharka, Cardiologist




Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ilir Sharka (9 hours later)
I GUESS YOU DIDNT UNDERSTAND MY QUESTION. MY HEART BEAT IS BETWEEN 56 AND 65 RESTING. I WOULD LIKE TO GO OFF METOPOLOL. I TAKE A 25XL DAILY. WHAT IS THE PROPER PROCEDURE TO STOP THIS MEDICATION.
SINCE I STARTED ELIQUIS 1/3/19 I HAVE GAS AND BLOATING THAT MY OMEPRAZOLE ISN'T HELPING
doctor
Answered by Dr. Ilir Sharka (11 hours later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

I am sorry for misunderstanding the question!

I would recommend a gradual reduce in the dose of Metoprolol until stopping it, in order to avoid possible rebound tachycardia.

For this reason, I would recommend reducing the dose to half a tablet for a week and then a quarter of a tablet for another week and then stop it.

Regarding the gas and bloating, I would recommend increasing the dose of omeprazole to 40mg twice daily, in order to help manage these symptoms.

Hope you will find this answer helpful!

Wishing all the best,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 7506 Questions

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I HAVE PAROXYSMAL AFIB ABOUT 1 TO 2 TIMES A

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome to Ask a Doctor service! I understand your concern and would explain that if your heart rate is 70-90bpm, it is safe to start Metoprolol XL 25mg once daily. Its main adverse effect is bradycardia (bradycardia). You can increase the dose up to 50mg daily, based on your heart rate. Regarding Metformine, it does not interact with Metoprolo XL. So, it is safe to take these drugs concomitantly. Hope you will find this answer helpful! I remain at your disposal for any further questions whenever you need! Kind regards, Dr. Ilir Sharka, Cardiologist