How to safely come off beta blockers
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- Опубліковано 29 вер 2024
- A lot of people have contacted me and asked me as to how to safely stop beta blockers and therefore I thought I would do a quick video around this subject.
Before I start it is important to say that please do not try and alter your dosage without speaking with you health care provider as he will know about your unique clinical situation and all I am doing in this video is just giving general information.
Beta Blockers are one of the commonest classes of medications that we use in cardiology and often serves as a jack of all trades. They basically blunt sympathetic activity and by doing so, have a multitude of potentially beneficial effects such as reducing heart rate, reducing blood pressure, making the heart less irritable, reducing the demands on the heart and increasing the time for the heart to fill with blood do that the heart is able to contract more effectively. In some situations they make people feel better I.e improve quality of life. In other situations, they may actually have a prognosis modifying role.
Let me give you some examples.
Beta blockers can be used to control blood pressure. Here they don’t necessarily make patients feel better may have a prognosis modifying role (albeit a weak one).
Beta blockers can be used as a treatment for heart failure. Here they make people feel better and have a very significant impact on improving lifespan
Beta blockers can be used for heart rhythm disturbances (ectopics/AF/SVT/VT) and her they may make the patient feel better and in some heart rhythm disturbances may also have a prognosis modifying role
Beta blockers can be used to treat angina and prolong life after a heart attack so against they may improve quality and quantity of life.
Sometimes beta blockers are used in a purely symptom control role such as for controlling anxiety or benign ectopics in people with normal hearts
So if you are taking beta blockers it is always worth asking why you take them. Is it because they make you feel better or is it because they in some way are being used for their prognosis modifying effects? This is important because if they have a prognosis modifying role you may decide you just want to remain on them
Acute, abrupt withdrawal of beta blockers has been shown in many case reports to be associated with an increased risk of morbidity and mortality. This is mainly seen in patients who were taking the beta blocker for angina due to significant coronary disease and in a few of these patients, stopping the beta blocker was associated with more angina and even development of heart attacks. Similarly there have been case reports of patients who were taking beta blockers to control dangerous heart rhythm disturbncaces and when the beta blocker was abruptly stopped it led to precipitation of ventricular dysrhythmias and even in some cases death. There have also been reports of heart failure status worsening and blood pressure going up excessively. This is termed as Acute beta blocker withdrawal syndrome.
Why does it happen?
It is believed that withdrawal effects happen because if increased sympathetic activity which is probably because of Beta receptor up regulation during the period of beta blockade. Upregulation is a well recognised phenomenon where the receptors that are being blocked become more sensitive and responsive to circulating adrenaline. It is believed that receptors take 24-36 hours to down regulate when the blockade is removed. So if you stop the beta blocker abruptly and it doesn’t stay in the body long (and how long it hangs around in the body depends on that beta blockers half life) then there may be a period where you have receptors which are significantly more sensitive to the effects of the adrenaline and this can then trigger this withdrawal syndrome. What this means is that the withdrawal syndrome is far more likely with short acting beta blockers or those beta blockers where you have to take 2 or 3 doses in day because they will have a much shorter half life. Beta blockers that have a lon half life will stay in the body for much longer and therefore will allow that time that is needed for the beta receipts to down regulate.
So if you are taking a short acting beta blocker I.e propranolol, metoprolol, carvedilol etc, it is best to be more cautious about reducing the dose.In such cases I would suggest taking the usual dose once daily for a week, then every other day for a week and then stop.
If you are taking a long acting beta blocker eg Atenolol, Bisoprolol etc , then take half the usual dose for a week, then half the the usual dose every other day for a week and then stop.
As I say it is very important that you only alter your dosages if sanctioned and supervised by your own doctor as it may in some patients have dangerous consequences.
At this point in my life i am taking no medications. I had open heart surgery at 16. quit taking those meds. at 22. So glad I did, recent studies are not good.. was on blood pressure meds. for over 20 years. My poor legs got so weak.. Asked my doctor to change one instead she put me on another, so i was taking more. My legs got so weak, I would almost fall down just trying to go get the prescriptions.. So I got pissed. Quit taking all meds. 4 months ago. I have cleaned my sons house from top to bottom, repacked every box. Came to my cottage. Have cleaned and cleared that out, Cleaned out my new RV. The old one is next, then the barn. I have never felt so good. I don't want to put things off, I want to get them done. If i die tomorrow at least I will die doing something. Not laying around just waiting to die.. I just turned 67. i appreciate what the doctors do do, because they are necessary. But pissing prescriptions has got to stop. Cant they just say you need to go home and quite smoking, or drinking, or eating to much sugar or drinking too much coffee. All these things have an effect on our health. This is a stressful world and not getting better. Stress its self is a killer. Balance is the answer. Everything in moderation. Canada food guide... We are what we eat. If you eat only dead food then expect to die.
Thank you so much. My aunt had Prednisone for a week, she had to stop it when it is finished because this medication was given for only one week - She almost died, not the doctor and not the pharmacist advised her about its withdraw symptoms or how to lower its dose and come out slowly and safely. Since then, whole family checks every medication given on the Internet before even using them!!!
Very useful. I was warned when I was prescribed beta blockers that the side effect was to lower my existing low blood pressure. After a recent full test with my cardiologist I was told I was fit as a fiddle, and could gradually reduce and eventually stop taking them. At 79 I am very active around the home, up and down ladders, maintaining everything. But sleep becomes difficult after a few hard days work, as the thumping when I lie down takes forever to quieten. This video certainly has made me feel much better about reducing and eventually stopping the atenolol drug. ❤ will check out your other videos.. have subscribed 🌈🇿🇦
If you can feel the thumping that is bothersome, it sounds like afib, which is what I have. I hope you are being tested for that.
A thousand, thousand thank yous, Sanjay I found this extremely helpful.
I’m a 77 widow in Australia with AFib & heart failure ... I’m trying to go on the keto diet I’ve lost some of the weight I’d like to loose ..... I find your videos soooooo helpful .... like all too many of us modern folk I live all alone 😫😣 which makes your videos that much more welcome, supportive & comforting. 😘 😘
I’m also watching all of Dr Grundy’s “Plant Paradox” videos. He’s just come out with new book on ‘essential gases’ in our, er, colon !! such as nitrous oxide (?) & hydrogen .......... 😳😳😅😂
Just go easy on the Keto diet , I went on it pre covid and lost a lot of weight, however I ate a lot of bacon and meat and fat with impunity. Now I am on the emergency list for an angioplasty with blocked arteries. Just eat vegetable based oils on the Keto diet, best wishes
Wish you well, I am with Afib of 60 years old my doctor insisted that I lose weight which I did almost 18kg out of 120kg honestly I feel much more better I am going to reduce another 20kg on the next 6 months hopefully, most importantly that I am so much less in my main diagnosed problems which might cause Afib is sleep apnea I feel good most my sleeping nights. My doctor has reduced my dose of Peta blocker to half, since I am progressing in walking and normal diet,
Please look up Dr. Eric Berg on UA-cam for doing Healthy Keto & Intermittent Fasting safely and successfully. Hope it helps you all.
@@veronicas1231 This advice is completely contrary to every doctor on line preaching the keto lifestyle. They would tell you there is no correlation to saturated fat and plaque build up in your arteries and seed oils cause inflammation.
@@bradellison1345 because they don't specify properly on eating the meat. It needs to be grass fed and grazed!
I was taking propranolol for 4 years (40mg x2 daily). I had to stop taking it because of shortage of medication. I lowered the dose by half every two weeks till I got down to 10 mg 1xday.
during those weeks I had consistent chest pain, high fluctuating blood pressure, palpitations, afib attacks and rapid heartbeat(up to 150 at night) and averaging 110 during the day. I thought I was going to die.
I pushed through it ,my doctor didn't believe me and I stopped the 10mg 1xday 6 days ago. I don't get any more chest pain but I am having high blood pressure fluctuation and rapid heart rate on and off. Sometimes my high heart rate does not come down for 12 hours. This is an absolute nightmare to go thru . Everytime I even move or try to do anything physical
my heart rate goes crazy and so does my blood pressure. I have heard from others that it can take 6 weeks of this after stopping. I hope I survive it. I will never touch drugs again even if they say I need them.
@startbro how are you now
@@rameshlumb4003 I am on day 12 of no propranolol and nothing has changed. I have fluctuating blood pressure so much that I cant take a reading and my heart rate is maybe normal 2 days a week but the rest of the week it is racing well over 100 during the day and 120 at night and I can't sleep at night. I feel like this drug has damaged my heart. It pounds in my chest from the simplest of movements, even my arms. I still have chest pain on and off and palpitations alot . I hope it gets better soon cause how long can somebody survive this?
Its crazy.
@@starbro112 thank you my friend I m taking 75 mg metapralol succinate and feel no energy so I also wean off metapralol
@@rameshlumb4003 Do it very slowly and carefully. Best of luck friend
@@starbro112 thanks my friend
My doctor thought I was having SVT so he had me start beta blockers.. I was on them for 3 months and the holter monitor results showed that my heart was healthy so now I'm getting off of them... Thank you for the video, im a bit afraid of what to expect.
any side effects?? i took nebilol 3 times only and i dont think i am sick at 25 to start beta blockers
The thought of coming off these terrifies me, I’ve been on 100mg beta blockers daily to control my BP for 40 years. My BP is generally 125/75 resting, pulse 55 to 60. I’m 76. It’s good to know they are helpful in controlling ectopic beats which I get when I’m very anxious. Thank you for the information you give us.
You don’t have any side effects.
Do you have any side effects? I am 31 now and already taking daily pill for hypertension. Hopefully i would last for another 40 years to.
If you've been on 100mgs for 40 frigging years it's probably BEST to STAY ON the beta-blockers!!! Evidentely your body chemistry has adjusted and very well tolerated this medication. Forty years is Proof enough for that!!😉
@@gloriamaryhaywood2217
Amazing to hear that, 40 years taking beta blocker without any adverse side effect proves these medicines are highly effective and life saver.
did it cause to gain weight?
As always, so much informative and helpful content :)
If you find time, please make a video on Vitamin D & Calcium supplements, related to calcium build up in heart's arteries. It's so common for people during COVID to take high dosages of Vitamin D and Calcium. I read that it's not safe for the heart, it builds up calcium over time, and may cause heart attack. It'd be great if you share some information on it.
As always, keep up the good work!
Some studies are stating that k2 will take the calcium out of the veins and arteries and put it back into the bones to prevent this. Do your own research and ask your fundamental Doctor. I personally have seen and felt a big difference in my mobility since taking k2 daily with D, magnesium, b complex, potassium, Coq10, and zinc. My kidneys and liver are back on line. My heart went from 24 percent to 45 percent. Diet and walking with supplements are a must with the right medical doctors to help you. I also love the way I feel on coconut water, it gives me magnesium, potassium, electrolytes. God bless. Keep learning and sharing guys.
Best video of the heart meds. Have been taking htcz, atenolol 100gm, nivedipine and aspirin 75 gm for 20 years. Recently adopted keto reduced weight and bp kept reducing. Have stopped htcz and nivedipine and now remaining aspirin 1/3 and atenolol 121/2. All these without dr supervision. Have now the last to drop. Withdrawal symptoms of a throbbing heart beat are there but I check my pressure in my house. Average is 118/68. Thanks. . Fast forward after 5 days of completely stopping the meds I feel like liberated a new. The heart is thumping but l Will win. My diet is mainly a avocado, banana, potatoes, sweet potatoes, whole grains, olive oil, ginger, tumeric, oranges, watermelon, spinach, cabbage, peanuts, sardines, garlic, kales and eggs. These have assisted to overcome the transition. My ED of 20 years has reversed in just 5 days. It is hallelujah to my God. God bless Dr Gupta who gave me the final push. Dr Berg is the contemporary. Best wishes from Kenya.
I have read that chronic Propranalol use, in SOME individuals (likely with significant comorbidities) induced heart attack or heart failure when they attempted to abruptly stop it. I have been weaning myself down from 120 mg given (most likely for anxiety regarding "palpitiations") in 2006. I am currently on about 20 mg/day (yes, about 18 years later). I am trusting the LORD to allow me to completely come off it; it's very difficult as I had worsened episodes of "flutter" (Cardiologists in 4 countries over 20 years couldn't find anything), severe (to the point of being hospitalized) panic attacks and anxiety; and numerous PACs and PVS over the past 20 months. But i am grateful that i can get this low; the thing is, if your blood pressure spikes during the day due to emotional stress (arguments with your wife, family members, friends, or work colleagues) or during the night due to sleep apnea, it is very important to replace the beta blocker with something else (even a natural product) to keep your blood pressure stable.
I know this is an older quarantine post but if you read it please go watch a music video called Angels Among us by the group Alabama. Because you are the very definition of that song Doc. "I believe there are angels among us. Sent down to us from somewhere up above. They come to you and me in our darkest hour."
I would also suggest stopping sugar consumption, doing low carb. Consume diet rich in nutrients such as potassium and magnesium - unless one has kidney disease. I personally found that I couldn't stay off beta blockers without changing mt diet
Can you do a video on The Coronary Artery Calcification score/scan. Please
You are really very nice, dr. Gupta! You help me afford my disease much more easily. Thank you! 💙
I was prescribed beta blockers for blood pressure 3 years ago. From the initial prescription, the dose was steadily increased as my BP wasn't being lowered enough in the opinion of my GP. The end result was huge weight gain, fatigue and an inability to mentally tackle even the simplest of jobs. My quality of life had decreased noticeably. A month ago I decided to immediately stop taking the beta blockers and waited for the effects to kick in. Besides some mild palpitations during the first week, my quality of life has slowly returned to normal and my BP with the help of an altered diet has settled to a "normal" reading for my age group (I'm 73 years old). My energy has returned and I'm slowly losing the weight that had piled on during my time on the beta blockers. I haven't informed my GP as I fear he will only try to put me on some other "poison"
A very interesting comment, thanks. I've had my Beta blockers increased due to 2 atrial fibrillation episodes, and they've been effective against that, but I'm drowsy every afternoon. The thought of having to spend hours doing the typical annual "admin tasks" on my computer fills me with dread as I will fall asleep 😴.
@Axel Tuomi I'm glad for you; how did you manage that transition?
Yes. Stay away from doctors. Doctors are paid to get us on drugs. Yes they are. I stopped all my meds. Doctors are pawns for big pharma. Doctors are a joke really. Evil. You don't need a doctor. Be your own doctor. You know your body better than any doctor does. Be wise. Lifestyle and diet will make you healthy. Drugs are evil. .all of them. Doctors only push drugs.
How long did it take you to get your energy back?
@@tysonelite9561 At least 3 months
thanks so much for such a concise explanation!
I’ve gained a lot of weight on beta blockers ; so frustrating
Thank you ,You have explained exactly what i need to know .💖
I was on Bisoprolol for 4 months and recently came off the drug. My GP said I could go cold turkey but I knew he wasn't right! So I tappered off slowly - wish I had this video then 🙏
Oh wow. I'm on 1.25mg..only been on. 6 weeks but at least I know in future I can come off them..how you doing now?
@@davidconstant4716 all fine now. No symptoms 🙏 just make sure you taper off slow 👍
@@colt24 Sounds like your GP is related to my GP!!!😜 Might as well laugh I guess? But it's SAD that our doctors are so willy-nilly uninformed and carelessly toss out such bad advise!!?🤤#YIKES!
May I ask what was the reason you took bisoprolol and how much?
@@aprilbryson4573 for PoTs and 2.5mg twice a day I think
Wow, that's very helpful!
Thank you for shareing this video with us 🙏👍❤️
Thanks a lot!
That's very helpful.
So my doctor just told me to stop after taking this drug for 3 months.. It was only half of 25 mg twice daily... I can't tell you what kind of a nightmare I went through on day 2..
I swear to God I hate drugs
Really great video
I was just thinking why my dr gavevme bisoprolol for bp n my wife temisartan . This video answered my doubts. Practical n adoptable info with respect Shyam r k BE Elect
Thanks! Sending lots of ❤️
Thank you doctor i thank i will take one tablet of 100mg per day to start. Thank.
Our health care provider just said 'well, just stop taking them', and he refuses to do a referal to a cardiologist because "there is no point, they are only taking referals for people that are maori or pacific island, so if I refer you, your referal will be declined".
That makes zero sense. She's basically saying they are denying healthcare based on race. I'd fire that doc.
Good information 👍abs knowledge
I was diagnosed with afib and was told i needed a cardio version, i was on a beta blocker before hand for quite some time and was told to stop taking the beta blocker suddenly right after my cardio version. 3 days later things felt exactly what your describing! My symptoms got worst and i constantly felt out of breathe and having palpitations! I'm so angry at my doctors and now they are trying to put me back on im so confused
Great doctor. Tks.
Thanks Dr Gupta
Do you have a video on homocysteine as a factor?
If you are switching from one to the other do you need to taper first? For example a non selective to a selective or can you start taking the new one when you run out of the old one?
Thanks doctor.
Sir upload a video Nebivolol vs Metoprolol vs Ivabradine
Hi and thank you for the video I am reducing my dose of propranolol. I am taking 40mg am and 40mg pm. I have reduced my pm dose by 5mg per week. Now down to 20mg pm and 40mg am. Is this a safe way to reduce my dose? Many thanks 😊
Thank you.
thank you.
Off propranolol my heart rate is normal, and so is my blood pressure, but it's on the lower side. I've been put on it for migraine prevention and anxiety, I was put on 80mg, but I've only been taking 40mg, and it's causing tight chest, shallow breathing, ect, and lowering my BP. Sometimes, I feel like I'm going to drop. I really want to come off them 😢
So it takes a GP less than 10 mins to put you on them but getting yourself off them could possibly kill you. Incredible
I knew I should've told my cardiologist no thanks to metoprolol and just dealt with the palpitations. Figures.
@@2ndamendment1776I totally agree ever since I’ve been taking this poison, the quality of my life has plummet. Western doctors are not trained to heal us naturally because they are supported heavily by drug manufactures so dollars over health.😭
Yes. I’m going through this issue right now, the desire to come off these meds without dying.
Please search in you area for a holistic cardiologists that will work with you to come off the meds.(poison)
I detest being dependent on any medication. I hate that I need to ever see a doctor, detest hospitals, the whole scene. In spite of its seeming benevolence, it never empowers the patient, it's about control as much as prolonging life.
Thanks so much for the thorough and comprehensive review. Completely understand all aspects of my beta blocker, half life, the receptor sensitivity, and what types of conditions they are used for. The prognosis vs symptoms (making you feel better) was really informative! You’re a fantastic teacher.
I was put on metoprolol for blood pressure last week and I feel like I am going crazy I need to get the hell off this shit
@eternalfight1032 how are you? Hope you're feeling well
That's exactly what it is...shit.
Thank you so much Dr Sanjay. I realise you have had some recent sadness in your life and I wish you peace and healing. You are a great blessing to many people, including me, and your explanation and compassion bring much understanding and calm. Thank you again and God bless you.
Thank you so much for this important information. I wish all doctors were so informative. And thanks for using your "down time" to keep helping patients! So many patients would be more medication compliant if doctors would explain things and not just give orders.
I actually gave my Doctor's assistant his link so she would show him..
I have been far more conservative coming off the heart meds than the doctor or the pharmacist recommended. This video is BRILLIANT, in so many ways, because now I understand why I’m still trapped on the Metoprolol and why I still “need” it. I am strengthening my heart through minerals and exercise but am not trouble by the small amount of Metoprolol I’m now taking. Before this adjustment the dosage was such that it left my muscles therefore myself feeling like crap. It seems hard to help a doctor understand. Thanks Dr Gupta. What a blessing you are.
How much metoprolol were you on before, and how much do you take now?
I'm taking carvedilol. 2 times daily. I think that I will be super conservative and alternate every other day between half a dose and full dose. No way I'm going to stop cold turkey.
How did it go. I want to get off of propranolol now. Advice appreciated
Judy Lee, would you mind sharing what minerals or supplements that you took? Are you still on Metoprolol? Thank you for your time.
Please share what you are taking
Such important information. Thank you for all you do and especially these timely videos. You do more good for people than you realize.
I've just weaned off my beta blockers. I'm currently in a constant state of flight or flight. It it's still better than being exhausted from being on beta blockers. I can actually do manual labour again and exercise. Definitely worth the trade off. I've had three heart attacks and had them stented 3 times. I was told to up my exercise (I work in construction so I'm not sedatory) but the beta blockers stopped me being able to do pretty much anything that involved cardio vascular work.
Thank you. As always very informative and helpful. We are very lucky to have you talking to us and taking care of our health.
I took metoprolol succinate 25mg daily for 20 days and my PVC was gone, My doctor told me I can stop any time . I stopped take it without proper withdraw, my pvc came back again.......Thank you for the information.
People think that BBs work in the back ground to do their job...they don't...they kick on and off which puts you on a roller coaster ride of feeling good one minute then not so good the next. I think the effect they have on your feeling of well being should be weighted against the benefit to your heart.
Exactly
such a great guy - he is in quarantine yet has so much passion to help people- hats off to you doc. one question: if any side effects appear what should a patient do? go back on beta blocker or continue to build natural resistance or something else?
I fully agree. I learnt more from him than from my cardiologist and electrophysiologist.
Im not a hypertensive senior ,but sometimes I feel nape pains,palpitaions and some sypmtoms of HPN,so I am taking atenolol whenever I have these awkward feeling,and it did help!Is it ok to be taken as PRN meds?
Thank you Dr Gupta. You are appreciated. You help me to understand exactly what is what in regards to my heart. The doctors here just do not have the time to talk to you like they should. You are a blessing!
Excellent video as usual, Dr. Gupta! Thanks for always being a caring doctor! blessings to you and your family!
My goal is to eventually stop needing BP meds. I've been on many different types (ACE inhibitors, ARBs, diuretics, combos) over the last 10 years, and they are all horrible! I haven't been myself in a long, long time. Plus my BP is not that bad for a man my age.
Now I'm on a extended release beta blocker, so I watched this vid to see how to safely come off it, should I need to.
It doesn't sit easy with me mentally knowing that you voluntarily started a medication that can seriously do you harm if you stop it abruptly. That does not sit well with me. I understand why it's dangerous. How about you ladies and gentlemen? Does anyone feel the same? Or are you fine with that possible risk?
My Neurologist prescribed Propranolol ER 60mg for high BP. I didn't see a change at all in my BP. If I knew the risks initially, I would have NEVER started taking it. I've been on it for almost a year and hate the way it makes me feel. I meet with my Neurologist next week to start the process of weening off. I've heard that it is pure hell getting off of it.
@@veronicashipley8235 I wasn't told the risks when my doctor put me on propranolol . I would have never taken it had I known. I have been on it two years and gained alot of weight and have zero energy. I can't even go for walks anymore. Now we cannot get propranolol in canada most of the time anymore and I am running out of the pills so my doctor said I am going to have to go off propranolol and start something else. I took 1/2 dose this morning and My heart beat has gone way up, I have adrenaline rushes and
stomach problems as well as minor chest pain on and off. My doctor said 1/2 dose should not cause me much problems but it has become scarey. This is day one to reduce the dosage for me, I am very worried.
@@starbro112 I'm sorry you are going through that. I hope you can find something that works for you. My GP told me that he would have me take 40 mg for a week and then 20 for a week and then just stop taking them. I have a feeling that isn't going to work out very well for me. I think these damn doctors should have to take the pills they prescribe to their patients.
It has now been 9 days since I started 1/2 my dose of propranolol and the withdrawl symptoms have not improved at all. I am still getting raised blood pressure, very fast heart rate, chest pain and alot of fluttering and palpatations in my chest. I think this is going to take months and months. I am allergic to everything else the doctor is trying to put me on.
@@starbro112how are you now
If one feels so good while taking beta blockers, why would they want to get off of them? Seems counterintuitive. Thanks for covering topics that are near to my situation.
Thank you for this valuable information! You are such a blessing to me! Could you please do a video on how stress can effect the heart? Thanks 😊
You're making the best use of quarantine. Thank you very much for this helpful video.
God bless you!
Would love to see a video about vagally mediated Atrial Fib and how beta blockers can make that worse, and how to treat it.
Great video !! I've watch most of your videos (and subscribed) and I can honestly say you made my newly diagnosed "Paroxysmal" atrial fibrillation a much less nerve racking experience. You are truly a blessing. And keep in mind I'm a BIG "brother" from Detroit and I don't scare easily,.. but this atrial fibrillation can be a bit scary at times. which causes my heart to race even more than it should because of adrenaline etc. But watching/rewatching your videos informs and calms me down. Which helps slow my heart rate. THANK YOU!
Dr, I took Nebivolol to reduce cardiomegaly. My heart grew due to poor lifestyle choices, it has since returned to its normal size through major lifestyle improvements, nutrition, exercise, and the employment of Nebivolol.
My cardiologist shook my hand.
I have your videos to thank for the lifestyle improvement sir. At the rate I was going, I would’ve died before 40 years old.
Ml Lll)} 00
What kinda beta blocker is Nebivolol ??! Did ya get rid of it?
Did you have LVH by any chance. And what were these lifestyle changes that you made. Would you mind sharing some detail? Also, how long did it take for your heart to return to normal size? TIA
No known arrhythmias prior, but after being started on propranolol to treat tachycardia that another drug was causing I now have angina and an irregular heartbeat when I don’t take it. I’m trying to taper off but it is miserable and scary! Thinking I may need a cardiologist just to discontinue beta blockers. I wish I had never started!
It has taken me five weeks to get off propranolol which I did by halfing the dose every two weeks but I still had chest pain, very rapid heart rate and high blood pressure fluctuations,
palpitations. Now that I am off of it for six days the bad effects are continueing and I am told it will continue for up to a month afterwards. I would go extremely slow and take your time getting off of it. My doctor seemed to think it would take 5 days to get off but there are some of us that are hypersensative and it can take weeks to months.
After watching your videos, Dr. Gupta, and about the role of Magnesium, Potassium and other minerals and a healthy diet impact on heart, I am now completely out from the atrial fibrillation, AFIB, for the third year now, after learning from you. You are a fantastic doctor. Unfortunately, I'm in the U.S., otherwise, I would ask you to be my cardiologist. So far I'm trying to watch all your very professional, informative and so very helpful UA-cam videos. God Bless You, Dr. Gupta!
I wish I could talk with you. I was put onto Metoprolol Tartate due 2 episodes of AFIB - but discovered it was actually a side-effect of Benadryl that I was taking nightly for sleep. I immediately stopped the Benadryl but I have now been on this Metoprolol for 3 years. I want off of it. I have gained 50lbs, do not sleep well at all, and am utterly exhausted all day, every day.
Very informative as always. I hope the quarantine isn't too much of a drag.
I came off cold turkey as I was on only 1,25 bisoprolol for 2 weeks, but 4 days after quitting I developed arrythmia that ai never had in my life. So doc put me back on, thinking the arrythmia was because of the POTS. I disagree, I think the biso causes it. But now back on 1,25 mg. Again the horrible side effects. I want to taper off slowly.
I take them for POTS but rather deal with the high HR than these side effects of bisoprolol. Even on such a low dose my extremities hurt or feel numb, and I feel exhausted yet unable to sleep, terrible tinnitus.
Did you manage to come off the 1.25 bisoprolol or has it gotten increased now?
Exactly propranolol caused arrythmia which i never had 😢
So glad I saw this!.....Same exact situation.....finally got of it....was terrible with draw.....drug was horrible for ten years.....chronic insomnia was last straw
I was put on metoprolol a couple of years ago after having some issues with SVT after knee replacement surgery. (I suspect I had it before). I was taking 12.5 mg BID. I went down to just once a day. I am too scared to try to wean any further.
My experience is that the Cardiologists dispense it (and other pharmacopeia favourites ) as a standard panacea after any and all cardiac events without thinking it through and have no methodology where they are happy to take the patient off-ever. I have never had any counselling on food based alternatives, just vague entreaties to modify my lifestyle. What has been effective has been my fundamental approach to mental health via several professionals and I feel damn good, thanks.
Or, here's an idea. How about we make everyone take a mandatory course on fitness, nutrition, and psychology instead of letting everyone live a sedentary, gluttonous, irresponsible lifestyle without purpose.
Sir I'm 23 and have been diagnosed with tachycardia through holter monitoring.. The maximum beats was 170/min and the minimum was 68/min. My doctor prescribed me 'Inderal la 20' for 1 month ( he said the duration may increase). But, my family doctor said it's not suitable for young people.. What should I do sir please reply 🙏🙏
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I am taking 10 mg of propranolol for one month . how Can I stop this medicine ? please help me I am scared to come off
Most informative, a solid comprehensive discussion on Beta-blockers that will be most useful to many people!
Thank you..
I love this Doctor, i have learned so much from him. I went through the withdrawal symptoms that he is talking about from a medication called Carvedilol. The withdrawals between that medication and another medication call enalapril were horrible. My blood pressure and heart rate were all over the place, felt like i was going to die, lol.
Hey can u reply please... im having trouble coming off carvedilol i stop for like a month but i feel so sick lightheaded nauses cant breathe well! And make me go back on if... how was your expirience
How long were you taking it and what was your dosage?
@@itbelikethat9031 how are you now? did you managed to get off the BB?
@@inmortal009 no are you on one???
@@itbelikethat9031 im on carvedilol also , how r u now sir/mam ? Tnx 4 d reply ..
You’re amazing! Wish I could be your patient. 😁
I took Inderal for 46 years and went off it. A-Fib was horrible for a very long time. Took me over a year to get over the rebound effects.
Over a year? Did it slowly go away?
Useful information. I am trying to get off beta blockers. If the General medical practitioners were good, one would not need to look for these videos. NHS is in a chaos. Several cardiologists only talk to patients on phone and some have never met the patients. That includes the flagship Barts at Barbican London. I am envious of animals who get a lot better health care.
My prescriber finally put me on a beta blocker as a comfort measure after I asked for help from benzodiazepine withdrawal . A few months later I was diagnosed with diabetes type 2. I researched it and the American Diabetes Association confirmed the fact that there is a relationship between them and hyperglycemia!
i didnt know that, thanks for sharing your experience
Yep! Should be common knowledge but you'll never hear it from a doctor. BBs are NASTY drugs!
That sounds like a nightmare. It should be common knowledge and it's actually logical.
I'm building up visceral fat at an alarming rate on metoprolol. No wonder with hyperglycaemia as lots of insulin is secreted. Insulin is demonstrably responsible for fat storage.
An explanation I found was that they block “beta” and the beta cells in the pancreas are responsible for insulin - but the prescribers with their very high degrees and intellect should have figured that out very easily. Is it that simple?
Thanks Doc, exactly the topic i wished for.
Dr Sanjay (3:52), how do you know that beta blockers prolong the lives of the person taking the medication ?
If a person dies today while taking beta blockers, could you "rewind the tape" and have that same person NOT take beta blockers and see if he/she dies any sooner ?
He absolutely does not know and he has older videos where he stresses that there is no way of knowing so the claims made of BBs prolonging life are not necessarily true. He changed his tune bid time. His more recent videos are starting to sound like standard doctor one liners. Sad.
Yes I spoke to the doctor. But can't get off of it. Helps my irregular hb and fast hb. It's good. Thank you for your advice.
I'm taking Bisoprolol 2.5mg for 5yrs can I take it off?
Hey doc. I came off 8 years of Metoprolol and didn't feel a thing. Was I supposed to feel something?
I wish he was my doctor. Heart medications have made me very ill and worse.
They worked for four years but now seen to be fighting my condition instead of helping me. I have got atrial fibrillation with Arythmia, BUT gave had Arythmia for years before it was spotted.
question: how long dyou take metoprolol before you off meds?
@@melyt2696 I wrote 8 years in my comment.
@@NicksHEAT1995 did you just stop yourself ? I have been on metoprolol for one and a half years now kind of scratching my head wondering how long I’m gonna be on this for. Was prescribed to me for PVCs.
@@sevadurshpek6010 I weaned off of it slowly. I went to the cardiologist and he told me I can stop the pills if I wanted to, so I did. Actually, he didn't even tell me to slowly get off the pills. He said to just stop, which I was afraid to do, so I made a conscious decision to do it my way.
Excellent ❤ lecturer about Beta Blocker 👏...when I worked in pharmaceutical company we always made a lot of Beta Blocker group of hearts medication
People who consume this type should always educate themselves with this information 😊 ...I would if you would explain the symptoms or the side effects of this Medicine on prolong use and of course the patient should always consider a very well healthy balanced diet 😉 + quality sleep with moderate exercise to help their body recover from any unwanted side effects
Well Done Dr. GUPTA
I wish if you do a video on Telmisartan class of drugs that is called angiotensin receptor blockers (ARBs) the one that work on relaxing blood vessels so blood can flow more easily. 😊❤🙏
With love and respect to you !
I'm also taking telmisartan ..hopefully mr. Gupta will also discuss it ..
Hello, firstly, Thank you for your very informative videos. I had 3 stents about 10 years ago, the medicine I was prescribed included a daily 2.5mg Beta blocker, I followed your advice on a safe way to stop taking it, and took my last tablet approximately 3 weeks ago. I have monitored my blood pressure and heart rate every morning at the same time to check for erratic changes. Everything was going fine until this morning when it has suddenly gone from a steady relaxed rate of 72 to 94 Bpm. Is this to be expected, or should I return to taking the Beta Blockers? Thank you in advance for any reply.
How's it going? Did you come off them altogether? Something I want to do after 13 years
@Gareth Evans Yes, I did. My advice is to consult your doctor first and invest in a decent heart rate monitor. Record your results at the same time every day. Obviously if there are any dramatic changes consult your doctor again.
@@matthewruddleston7738 I really appreciate your reply. Thanks and great that you came off them . Did you wean yourself off like the doctor says in this video?
Some of us get so terrified from the bad effects of the beta blockers that we just decide to quit ASAP. They made me feel terrible, low blood pressure, passing out, feeling of dying, out-of-body experiences, worse PVC's, and massive random adrenaline releases which are horrible and of course trigger massive anxiety, both organic, and due to feeling of dying. I ended up in the E.R. due to the beta-blocker effects and my B.P. was raised during that episode but came down within an hour as the adrenaline faded. I quit the beta blockers after this incident. My cardiologist give me Propranolol thinking it would calm down my PVC's, but it had the opposite effect. Nothing bad happened when I quit. I would not take them again. I still have some PVC's but they are mild and certainly easier to tolerate than the beta blockers. I could easily see people dying from taking beta blockers. I wonder how many times that has happened and the doc probably blamed their pre-existing condition.
I've been considering quitting mine also. The low blood pressure problems and constant fatigue just pretty much make me feel I'm an entirely different person.
Have you looked into diet to see if that was causing your pvc's, etc.? Personally I found that I have to eat a low histamine diet, otherwise I get pvc's, my blood pressure spikes, etc.
I hate metoprolol. I was put on them this past January for high BP. I have never felt so lousy in my life. I have cut my dose in half but when l tried to stop completely my heart took off like a motor boat on the 2nd day without them it was terrifying! I'm gonna try going to 1/4 pill soon. UGH
I cut mine in half and reduced the dose slowly. I also felt very fatigued, pounding heart, and like I might die when I just stopped taking them. I don't have heart problems, they were for blood pressure control. My blood pressure was dropping too low is why I stopped them. My relative with heart disease takes them without any issues.
@@STEVEH0LT thanks! Tried everything else!
I missed a dose of Labetalol and noticed that my heart rate began speeding up like anxiety but I wasn’t stressing out. I wish that Western Medicine doctors would strongly emphasize a holistic protocol and nutrition to safely come off of Betablockers because this is hell.
When I was 36 in 2007 I had a blood pressure pill that had a diuretic and I lost my potassium completely and it gave me a heart attack and messed up the rhythm. They put me on a beta blocker and over the years I'm now on 100 mg atenolol and on Lisinopril for high BP. My BP is Heriditary and I've been on meds since 18. I recently lost over 30 lbs and I didn't realize I needed to reduce my bp pill. It sent me to hospital for dizziness and my heart was beating at 43 during the day and 30 when I was asleep. Thank goodness I went. I know have a cardiologist doc and he would not touch my beta blocker and took my Lisinopril from 20 to 10 and it brought my rate up to normal so far. I just went through this and it's very scary. Thank you for caring and the information. He said my heart is in perfect rhythm so he didn't want to adjust the beta.
I’m sorry for what you had to go through. My prayers are with you.
hey iv been watching your videos for years and i am so grateful they are very helpful and reassuring , i am 28 years male very healthy skinny athletic currently doing a keto diet with my wife, been taking blood pressure medication - pritor/amlodipine 80mg/10mg for about a year and a half now, has brought my number down quite a lot, with out medication my number is round 155\100 with medication goes a bit lower , i have been to a cardiologist about a year ago , my heart is normal and healthy , just recently i stopped taking my medication because iv been getting chronic muscle knots in my neck and head giving headaches daily , took my number last night and was showing around 145/95 would you recommend that i could stay off this medication for good and just take natural supplements and stay healthy , when stressed number can go up to 180/100 but bye doing deep breathing can get is down to around 140/94ish, thanks again for your videos very helpful
Best of the best cardiologist!! 🥰❤
Met xl and proponolol causes angina,anxiety,tingling,fear of attack stroke death...my experience... better to go for telma ...arb drugs are good ...beta blockers for only hypertension is i think wrong medicine
Hi,thanks a lot for this important information. May God bless you always Joy's only.
So I’ve stopped amlodipine after 2 weeks as I hated it so much. The doctor seemed fine with me doing it. Was that dangerous?
You probably won't see this, but I love your videos. I always considered myself healthy, as I've never been on any medications, & just use peppermint oil for headaches. But on Dec 4th I had a heart attack. The doctor said the heart attack I had was called, "broken heart syndrome", which is exactly what I felt, when it hit me. I was put on a machine, where they put dye in your wrist, & they discovered that I had no blockage, whatsoever. I don't smoke, drink, or do drugs, & I had quit gluten, & sugar 11 months prior to the attack. But, what I did have was stress. And because of that, I had also gained an unhealthy amount of weight. I had slowly lost 20 pounds, prior to the heart attack. I just want people to know what I didn't know. And that is, just how dangerous depression & stress are to your heart, & health. I was released to go home on Dec.10th, with 2 prescriptions, plus aspirin. The aspirin was because I refused to go on blood thinner. The two prescriptions were Lisinopril & Metoprolol. I had begun coughing in the hospital. I thought it was a cold coming on. But, as time went on, I discovered it was a reaction to one of the medications. I left a message for the primary care doctor the hospital gave me. Five days later, I got a return call, & she thought it was the Lisinopril. I told her I thought it was the Metoprolol, because it felt like when I had bronchitis a few years ago, & I heard that Metoprolol can have that effect. She told me I could stop taking the Lisinopril, & see what happens. And I might add, she was rather uncaring & rude. I would have just stopped, had my sister not told me that her doctor weaned her off it. So, I weaned myself off it. I was off it for10 days, but the cough was as terrible as ever. I can't sleep at night, due to coughing so much, & it makes you have to pee, so then I'd have to go downstairs to relieve myself. This is every 2 - 3 hours. I called my doctors office again, & they told me they would let the doctor know that the cough had not gone away. Four days later, which is today, I finally heard from her office. They told me that she said I could go off the Metoprolol, & see what happens. They said to call them back when the coughing stops. I don't feel good about this, because they did not tell me to wean myself off that either. If it wasn't for you educating people, about the dangers of that, who would know? So, I finished watching this video again to learn how to wean myself off the Metoprolol. Thank you for your informative videos. You seem so kind & understanding, treating patients like people, not just numbers. I feel like the doctors just want to check you off, & get you over with. Or push the pills on you. When i told her I need therapy, to help me with the stress, & that the hospital hadn't found a therapist for me yet, her response was to put me on another pill for that. I told her that I'm already stressed out by the ones I'm on now. I don't want to add to it. They are ignoring that stress caused my heart attack & that should be an important element in healing too, I'm in the process of finding a different primary care doctor. I have an echo scheduled for March 8th. I just wanted to let you know how helpful your videos are, even 1 year after you put them out there, they are doing people good. Maybe someday you can do one on depression & stress. Maybe you have, & I haven't noticed it yet. Have a great day. :) You're my hero! Otherwise, I would be even more stress out. Thanks again.
Well, reading people's comments were not my intention when I watched this video. I was curious as I have heard safety comments like this one recently and it made me surprised to justify how they didn't apply to me or my situation with Beta Blocker medicines. Long story short, I have been on Propranolol for more than 20 years in a raw until recently that I stooped using it cold turkey. I stopped taking my daily 40mg (2 times a day 20mg) two months ago and I just could not feel any better ever since. I increased my routine work out sessions as well as my personal activities during the last two months with zero negative side effects whatsoever and that is why I said earlier as being so surprised compare to what some doctors or experts suggests. I sleep much better, remember faster and think sharper than my last 20 years of my life and I am on the beginning of my fifth decade of life time. Your story made me sad so I pray for you and your health. I think the definition of being healthy in the western culture has been publicized incorrectly. drinking and smoking has no harm if you are having a happy life in my opinion. When life is hard, anxiety is to the roof and future is uncertain then those habits might turn against you as well as almost everything else you do in your life. You have mentioned this in your comment partially and I just wanted to admit and add a few more of my personal experience in case someone would be interested to read.
@@Bold_Thunderbird Thank you for your kind response.
I am on so many pills now that it makes me feel like the only thing I have to look forward to in life is taking my morning dose of pills. At some point I will get sick and tired of side effects and put a bullet in my pistol and end my life. My dog got old and got euthenised, my beloved cat had to be put to sleep, I guess I will be next.
How are you doing now?
I’m so thankful I have the privilege to come back and watch your videos again as often the concerns can be a year or so later.
You are so appreciative.
Thank you ever so much
I’ve had tachycardia after a second attempt to close a PFO with an occluded so was put on metoprolol…..but it’s been years and I do notice if I skip a dose by accident .
But I’m wondering if done safely , I’ll be able to go back to my normal heart rate and not need medication. I’m going to ask my doctor.
Find they make me lazy, was already depressed but it feels worse somehow, exercising less or is it lock down laziness 🤷interesting information 👌
Beta Blockers wiped me and made me feel very down, which is not like me at all. Cut down a quarter and although still not right don't feel half as bad
Hey man I’m feeling way more depressed on stopping metoprolol cold turkey last few days. Palpitations are back with anxiety, don’t feel like eating, hands and feet feel cold sometimes, getting chills. I’ve only eat 25 mg metoprolol succinate er for about 8 days. I felt it was making me more depressed which is why I stopped. Hope these withdrawal symptoms go away soon 😭😭
@@qasimakhtar94 took me a couple of weeks to feel relatively normal again, whatever that is lol 😆 good luck, stick with you will fell better
@@generalismoquabablinotheth5902 I’ve stopped it totally not worth the depression tbh. I’d rather having high heart rate rather than severe depression. I only took it for a week so hopefully it goes away soon. Currently on my 3rd day not taking it.
@@qasimakhtar94 affects your fitness levels too, I got out of breath much quicker, definitely mad me more tired, think you should only take these if you have heart trouble, and having the odd one ok for say an exam or interview or something but not every day, I was prescribed as a migraine preventative, was still having them, also like you my mood was terrible and bad dreams👍
Oh you had a stent and your blood sugar is in a non diabetic state but in a higher than normal state... hypoglycemic and prediabetes. You're overweight and could stand to lose some weight. Your cholesterol is fine. But here, now you need a beta blocker which causes weight gain even though you need to lose weight and can, due to the effect of the weight gain AND the medicine itself increase the risk of diabetes. Here, you also need to take this statin that also puts a load on your liver and thus can also lead to diabetes. And let's see...your also on Lisinopril/hctz already.....hmmm that can cause higher fasting blood sugar.
6 months later after eating better and still gaining weight...ie meals at home...not a whole lot of carbs...lean protein, veggies and maybe a half potato diced and air fried for breakfast...nothing that would effect anyone else...check your blood sugar...oh you're diabetic now and need medicine the rest of your life. Can I stop the root of the medicine causing the weight gain and the sugar and naturally reduce my sugar? No, you're just trapped in the modern medicine world and an early death due to one condition....blood pressure.
Very good and simple review / explanation. Thank you Doctor!
Beta blockers the only medicine that lowered my bp to normal range, i tried everything else ace inhibitors caused cramps daily, same for diuretics, but metoprolol was the only one that worked for my bp, so i guess the cause of my bp is high adrenaline i suppose, thanks for the educational video
Hi doc I felt chest tightness last night, is metropolol beta blocker okay for me doc? btw I'm 18 y/o TY FOR THE RESPONSE 🥰
I’m 19 i was taking metoprolol for tachycardia but i was never taking them everyday i took them back to back for only 3days but it made my chest feel tight so i stopped
I also just took half once a day those 3 days
Oh really, I would have liked to take it so I asked first thank you for the reply and get well ❣️, sorry I'm not good at English 😁
every day i take extra virgin olive oil, lemon and garlic in the morning and the E.V.O.O.. for 2+ yrs. my bp has always been good 116/70 avg. and heart rate 68-74 since my stent was put in. 3.5 yrs ago. my dr didnt want to stop it or chang. this was a good video
I have been using concor 5mg for panic attack . Side effects are Feeling very tired, weakness, low energy , mouth dry, dizzy , body cool etc
Do you take it every day? How long have you been taking them?