Hi,I am Dr. Prabhakar Koregol (Cardiologist). I will be looking into your question and guiding you through the process. Please write your question below.
I have been on metoprolol t. 25 mg bid for 9 months. Originally on because 1 episode of sinus tachy (152). Never problems before w tachy, or. since. Thought it was going to be temporary. My problem is where before I HAD HTN (now under control (av 126/76) Now taking spironolactone 25 BID (DX hperaldosteronism). My renal/adrenal dr. Has me on clonidine .1 mg. For last 9 months if B/p sustains over 160. Have NOT HAD TO TAKE IT..not 1X!! My question ... is there a PRN to replace the metoprolol ? Am going to wean from... as I have NOW dev. 1st degree ht bloc, , elevated A-1/C, & Extreme wt gain.. close to 20# s in last 9 months. NOT acceptable..Would like a PRN to use IF I have Tachy again. I HAD NO OTHER SX except the 1X tachy. Oh this was an almost simultaneous DX.. the same month. Suggestions? Going family DR. To discuss tomorrow AM ...Lyn
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
Yes, there are multiple alternative for Metoprolol. If you need any medicines to control hear rate then you may use Ivabradine. And alternative for its antihypertensive effects are Amlodipine or Cilnidipine, Telmisartan, Prazosin, Hydrochlorothiazide etc. So there are multiple alternatives and you may discuss with your local doctor.
Hope this helps you and get back if you have any doubts.
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Suggest An Effective Alternative To Metoprolol
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, there are multiple alternative for Metoprolol. If you need any medicines to control hear rate then you may use Ivabradine. And alternative for its antihypertensive effects are Amlodipine or Cilnidipine, Telmisartan, Prazosin, Hydrochlorothiazide etc. So there are multiple alternatives and you may discuss with your local doctor. Hope this helps you and get back if you have any doubts.