Is low blood pressure a POTS thing? If so, how do you handle the Metoprolol? I was givin it for heart arrhythmia (super small dose) and couldn't get off my butt without feeling like I was going to fall over so never took a second one.

29 Answers

stephinesweatt
Answered 7 months ago    reply

Try a different beta blocker? I had that happen with atenolol but metoprolol doesn't do that for me.


deloras92
Answered 7 months ago    reply

Ha! I had the opposite experience: good w/ atenolol & bad w/ metropolol.


Million.omniscient
Answered 7 months ago    reply

Yes and I can't take beta blockers


C.Duff
Answered 7 months ago    reply

What was your dose of Metoprolol? I take 1/4 tablet every six hours, and it’s great. It was quite the adjustment period, though. Took about a month to get used to.

cami_vallejo
Answered 7 months ago    reply

I would take 12.5mg once a day (extended release kind). So maybe it would take awhile to get used to? I just felt like crap once and said NOPE LOL

C.Duff
Answered 7 months ago    reply

Cami It made me feel completely drained for about a month, but it got the HR under control.

cami_vallejo
Answered 7 months ago    reply

carole I'm already so tired I can't take something that makes it worse. I have a three year old to chase around all day.

C.Duff
Answered 7 months ago    reply

Unfortunately, any medicine that will help probably won’t be instant. As good as I feel most of the time, I can’t imagine having a toddler. I’d be in a coma, haha.

cami_vallejo
Answered 7 months ago    reply

carole yeah she is busy. I also have another illness where I don't have a good working immune system and get sick a lot so it's pretty tough keeping up with her and my oldest daughter's extracurricular schedule.

I see a cardiologist tomorrow and will hopefully get better guidance metoprolol was prescribed by my PCP after a holter monitor and I didn't get much of a chance to discuss it with him.

C.Duff
Answered 7 months ago    reply

Cami Good luck with everything tomorrow! Hope you find something that makes you feel better. There is such a range of POTS issues that no one thing seems to work for everyone.


guillotbuoyant
Answered 7 months ago    reply

I had the same thing happen to me on metoprolol. I asked to be switched off a beta blocker and be put on Corlanor instead. It's been my lifesaver.

B_Latashia73
Answered 7 months ago    reply

Corlanor is awesome for me as well.

Tomi_wary
Answered 7 months ago    reply

Has it taken away your symptoms or just Tachycardia?

B_Latashia73
Answered 7 months ago    reply

It helps the tachycardia .it does not stop mine as I have inappropriate sinus tachycardia as well .However it is a big help

guillotbuoyant
Answered 7 months ago    reply

For me, controlling the tachycardia greatly reduced a lot of the other symptoms.

cami_vallejo
Answered 7 months ago    reply

What does that med do that is different from a beta blocker?

guillotbuoyant
Answered 7 months ago    reply

Cami it only slows down your heart rate. It doesn’t, or at least shouldn’t, lower your blood pressure.

Tomi_wary
Answered 7 months ago    reply

Stephani I find I have way more pvcs from it. But my ep said if we are artificially slowing down the heart rate, expect more skip beats as the natural SA node try’s to over ride the meds . I guess that makes sense?

guillotbuoyant
Answered 7 months ago    reply

tomi that’s so interesting! I’ve been experiencing PVC’s for the past few months, and my cardiologist just wants me to take metoprolol again to stop them. Problem is, it drops my BP to a point that makes me feel horrible. So, what’s the option? Deal with PVC’s or low BP? Does your cardiologist seem concerned about the PVC’s?

Tomi_wary
Answered 7 months ago    reply

Stephani I think once we experience pvcs it is hard to get rid of them. We become sooooo hyper aware of our rhythm. I know it’s such a hard decision. But I’d rather have pvcs then low bp. pvcs make me feel crappy for 5 min tops. Low
Bp is an ongoing 24/7 issue with B.B. for me

guillotbuoyant
Answered 7 months ago    reply

tomi I agree! After my 24 hour monitor my cardiologist immediately tells me to restart the beta blocker because I had a whopping 160 PVC’s in 24 hours. Compared to others, that amount seems so small. I rarely even notice them, so I was confused why he’s pushing the BB. Although, he’s been pushing it from the get go. I had to ask for the Corlanor because I could barely function with a low BP, and that was only with half a pill twice a day. If the PVC’s are not harmful, I’d rather just deal with them. Your doctors explanation of why the PVC’s are coming makes so much sense!

Tomi_wary
Answered 7 months ago    reply

Stephani my doc said pvcs aren’t harmful as long as they are self terminating. So like if we have 3 pvcs back to back but our hr goes to normal rhythm then it’s not harmful. But let me tell you they have brought me to the ER plenty of times! Not very fun. They are frightening

guillotbuoyant
Answered 7 months ago    reply

tomi thank you for sharing all this info! I’ve learned so much! I have a cardio appointment tomorrow and I just know he’s going to push that dang BB again.

Tomi_wary
Answered 7 months ago    reply

Stephani ask if you can take midrodrine with the beta blocker then to raise up your bp!

guillotbuoyant
Answered 7 months ago    reply

tomi my PCP actually prescribed that for me. The problem is, my BP is about 120/72 sitting and like 98/65 standing. I’m scared it will make my sitting BP too high. I tend to get horrible side effects from medication. The metoprolol make me itch like crazy, with a rash all over my chest and my doctor refuses to acknowledge it came from the metoprolol.

Tomi_wary
Answered 7 months ago    reply

Stephani hmm! What I would suggest is take the midrodrine if you know your going to be walking or being upright for a while!


j_mcmahon77
Answered 7 months ago    reply

Typically if you suffer from low BP on a beta blocker they'll give you something to raise your BP like midodrine or fludro

cami_vallejo
Answered 7 months ago    reply

I just have it as is before the beta blocker so I'll mention it


LorindaMcCammon
Answered 7 months ago    reply

I have low bp and I’m on midrodine and it works great for me


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