Advice for switching from metoprolol to Ivabradine
Hi!
I’ve happily been on Metoprolol 25mg twice a day for years for my palpitations etc. But this winter I started having very low blood pressure esp when standing (systolic in the 70’s) with pre-syncope symptoms. So my cardiologist recommended decreasing my metoprolol dose. I decided to start slow, as my body is very sensitive to changes in my meds. I decreased my PM dose by half, that helped my BP a bit the past month. But I’m still having low BP, so I just decreased my AM dose by half too. The plan is to switch to Ivabradine. But I’m very nervous about the side effects, I really liked the beta blocker. I’m also nervous about just stopping the Metoprolol cold turkey and switching to the Ivabradine, without weaning. For those that have also made the switch from a long term beta blocker to Ivabradine, how did you do it? Did you wean? Did you have withdrawal symptoms from stopping the metoprolol ? Doctors never think of weaning off any meds except the dangerous ones, but I always do because when I don’t I feel awful. Thank you for the advice!