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Combining two beta blockers

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  • Combining two beta blockers

    Hi all, long time no see

    Everything well, have been referred to a HCM specialist in NL, he changed my prescription from propranolol 'when needed' to metaprolol (lopressor). I take one a day, 50mg, with regulated admission (so as to keep beta blocker levels constant).

    While it seems to work well, i notice more side effects (lively dreams, never went so much to the theater at night ), more tiredness and still some palpitations getting through. The latter could mean a higher dose in the future. Never having to see a film again

    Lately, i stopped some palpitations (not really AF or VT, but close) by adding 20mg propranolol. This worked well (without me fainting or the like ) but i'am wondering if this is advisable in the long run. Anyone having experiences with using two beta blockers combined?

    As far as i know, propranolol is non-selective while metaprolol is selective. Is this true and would it make a difference (ie advisable or not?).

    Oh, my doc's gonna put me on a treadmill (bike) to test my exertion limit. Anyone knows the minimum record time :P :P :P ?

    Ad.
    \"Hope is disappointment postponed\"

    Dx in 2004, first symptoms 20 years ago? Obstructed, A-fib, family history!

    Combined Morrow and (left atrial) Maze procedures & PVI at St. Antonius Hospital, Netherlands, March 28, 2013.

    Meds (past) propranolol, metoprolol, disopyramide, sotalol, amiodaron, aspirin, dabigatran, acenocoumarol.

    Meds (current) sotalol, dabigatran, furosemide.

  • #2
    You're too funny. To answer your questions, some people do need to be on 2 beta blockers to control symptoms. You have to do what works best for you. And as far as the least amount of time on a treadmill, you'll have to research that one!

    Reenie
    Reenie

    ****************
    Husband has HCM.
    3 kids - ages 23, 21, & 19. All presently clear of HCM.

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    • #3
      Ad,
      Did you do this combining with or without your doctor's knowledge? If he doesn't know about it, definitely discuss it with him. Tell him what happened, what you did, and how it helped/made a difference. Inderal is sometimes used "as needed", but you want your doctor to know what's going on. If you "need" to use the inderal occaisionally, he may want to make some other med adjustments. Let us know how things are going - Linda

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      • #4
        Ad,

        I take Toprol XL in the morning, and Metoprolol at night. My understanding is that they are one in the same, though, one being extended release, and the other, not. (So I may not be in the same category as you....?) I was just on Atenolol in the A.M., and then Metoprolol as needed at night, until I had Afib. Then I was switched to the current mix.

        I do understand about the vivid dreams, though. I just told my husband at dinner tonight that I went skiing last night. It was a long dream, we skied several runs, I could feel the cold, feel when the chair picked me up, and feel when I fell.

        I feel like I really did go skiing again. Good thing, since we have pretty much decided my skiing days are over.

        Anyway, good luck to you. May you enjoy your dreams, and congrats on finding that HCM specialist.

        Debbie

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        • #5
          Well,

          Thanks for the replys. After only one week on metaprolol, i seem to notice a definite improvement in my exertion limits. I can do more without pain or palpitations, so this is quite an (honestly unexpected) improvement. If this keeps, i feel like 10 years younger or maybe what an active middle aged man should feel
          \"Hope is disappointment postponed\"

          Dx in 2004, first symptoms 20 years ago? Obstructed, A-fib, family history!

          Combined Morrow and (left atrial) Maze procedures & PVI at St. Antonius Hospital, Netherlands, March 28, 2013.

          Meds (past) propranolol, metoprolol, disopyramide, sotalol, amiodaron, aspirin, dabigatran, acenocoumarol.

          Meds (current) sotalol, dabigatran, furosemide.

          Comment

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