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Post by iamkristinl16 on Nov 27, 2016 4:58:39 GMT
I am prescribed Metoprolol as needed for heart palpitations. I have only taken it a few times (I have palpitations all of the time but hate medication) but am having a lot right now and not able to go to sleep. I just took a pill but forgot to cut it in half. How much of a problem is this?
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Post by its me mg on Nov 27, 2016 5:03:49 GMT
I would call your pharmacy just to be sure! Or call a 24 hour pharmacy that has one one staff right now and ask. Or call the Poison Help line at 1-800-222-1222. I'm sure it's fine for one dose, but for peace of mind I'd maybe look into just double checking with someone.
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Post by Eddie-n-Harley on Nov 27, 2016 5:06:10 GMT
What is the full dose size of the pill? 100 mg?
Bearing in mind that I am NOT A DOCTOR OR A PHARMACIST, my layperson opinion is that you're probably going to be fine. I once messed up my dosing and accidentally took double my dose. I called either the nurse line or the poison control line, who looked up the med, realized the amount I had taken was still within "therapeutic limits" and told me it was fine. I might experience extra side effects from the increased dose, but I didn't need to go in or anything.
For your own piece of mind, if you have a nurse line available, you might want to call that and just confirm it's okay... I am actually taking mine for BP, not palpitations, so I don't know if that makes a difference or not.
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scrapaddie
Drama Llama
Posts: 5,090
Jul 8, 2014 20:17:31 GMT
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Post by scrapaddie on Nov 27, 2016 5:08:10 GMT
This seems like a question for medical personnel, not a message board. This is a drug that affects your heart!
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Post by iamkristinl16 on Nov 27, 2016 5:08:44 GMT
It is 25mg. I am supposed to take half of that.
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Post by Eddie-n-Harley on Nov 27, 2016 5:15:08 GMT
It is 25mg. I am supposed to take half of that. Well, my total dose in a day is 250 mg, 150 mg in the morning and 100 mg at night, though again, that is for BP and not palpitations. (If you've got a nurse or pharmacy line to call, I would probably still call them just to confirm that it's not a problem.)
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Post by iamkristinl16 on Nov 27, 2016 5:24:32 GMT
I just called the nurse line and she said to call an ambulance and have them assess me. Ugh. I really don't need a huge medical bill now but also don't want something to be wrong.
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Post by Zee on Nov 27, 2016 5:24:40 GMT
It is 25mg. I am supposed to take half of that. I predict you will be just fine. 25mg is still a fairly low dose, so unless you're prone to a very low HR or BP, you should have no problems. I wouldn't worry about it a bit unless you get dizzy or lightheaded, which I wouldn't expect to happen with one 25mg dose. I've started tons of patients on that for the first time over the years and monitored them throughout the shift, and in my experience 25mg is tolerated well by most everyone even if they're new to metoprolol.
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Post by Zee on Nov 27, 2016 5:26:35 GMT
I just called the nurse line and she said to call an ambulance and have them assess me. Ugh. I really don't need a huge medical bill now but also don't want something to be wrong. She had to say that to cover any liability. Read my post above. Call an ambulance if you area lightheaded or dizzy, if not, you're fine. How long ago did you take it and do you have a BP monitor at home you could use, if you're worried?
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Post by iamkristinl16 on Nov 27, 2016 5:31:23 GMT
I just called the nurse line and she said to call an ambulance and have them assess me. Ugh. I really don't need a huge medical bill now but also don't want something to be wrong. She had to say that to cover any liability. Read my post above. Call an ambulance if you area lightheaded or dizzy, if not, you're fine. How long ago did you take it and do you have a BP monitor at home you could use, if you're worried? I do feel a little off but I am also worried about it now so it's hard to say how much of it is anxiety. My face feels funny and I'm a little lightheaded. I took it about 30-40 min ago. How long do you think it would take to know if it is going to cause a problem? Now I'm afraid to go to sleep. I don't have a BP monitor. I typically have normal blood pressure but have had a few times where I thought it "felt" high and went to the grocery store to check it and it was either normal or one of the numbers was high and the other wasn't.
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Jili
Pearl Clutcher
SLPea
Posts: 4,363
Jun 26, 2014 1:26:48 GMT
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Post by Jili on Nov 27, 2016 5:34:28 GMT
I think you should be fine, too. My dh takes this medication daily. He says that your dose is a very small one. I would monitor how you feel and then take action if you notice anything out of the ordinary.
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Post by Zee on Nov 27, 2016 5:40:03 GMT
She had to say that to cover any liability. Read my post above. Call an ambulance if you area lightheaded or dizzy, if not, you're fine. How long ago did you take it and do you have a BP monitor at home you could use, if you're worried? I do feel a little off but I am also worried about it now so it's hard to say how much of it is anxiety. My face feels funny and I'm a little lightheaded. I took it about 30-40 min ago. How long do you think it would take to know if it is going to cause a problem? Now I'm afraid to go to sleep. I don't have a BP monitor. I typically have normal blood pressure but have had a few times where I thought it "felt" high and went to the grocery store to check it and it was either normal or one of the numbers was high and the other wasn't. If you're normally normal BP or a bit high, you should tolerate that dose just fine. You could stay up another hour if you're concerned, after that it won't make much difference. I'm thinking you sound anxious and that's making you feel a little "off". If you normally took 12.5mg and accidentally took 100, I'd watch you more closely if you were my patient, but 25 I can't see making a ton of difference with your BP history. Nurse ZG says have a cup of (decaf) tea and relax a bit before heading off to bed, and not to worry unless like I said you're actually faint or dizzy.
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Post by leftturnonly on Nov 27, 2016 5:43:51 GMT
Nurse ZG says have a cup of (decaf) tea and relax a bit before heading off to bed, and not to worry unless like I said you're actually faint or dizzy. Sounds like excellent advice.
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Post by iamkristinl16 on Nov 27, 2016 5:43:57 GMT
I do feel a little off but I am also worried about it now so it's hard to say how much of it is anxiety. My face feels funny and I'm a little lightheaded. I took it about 30-40 min ago. How long do you think it would take to know if it is going to cause a problem? Now I'm afraid to go to sleep. I don't have a BP monitor. I typically have normal blood pressure but have had a few times where I thought it "felt" high and went to the grocery store to check it and it was either normal or one of the numbers was high and the other wasn't. If you're normally normal BP or a bit high, you should tolerate that dose just fine. You could stay up another hour if you're concerned, after that it won't make much difference. I'm thinking you sound anxious and that's making you feel a little "off". If you normally took 12.5mg and accidentally took 100, I'd watch you more closely if you were my patient, but 25 I can't see making a ton of difference with your BP history. Nurse ZG says have a cup of (decaf) tea and relax a bit before heading off to bed, and not to worry unless like I said you're actually faint or dizzy. Thanks. . I was feeling off before taking it as well, which is why I took it to begin with. Worrying about it doesn't help. My DH is in bed already. DS just came up and sat with me for awhile so that helped. I just ate and English muffin and some milk hoping that would help as well.
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Post by Zee on Nov 27, 2016 5:49:48 GMT
You're welcome, though I meant to ask if the palpitations have settled. Wanted to make sure you're not having them all the time and that your HR isn't too high. If that's the case, then I would say you should be evaluated, not because of the dose but to rule out other arrhythmias. iamkristinl16 That is not to scare you, just to make sure nothing gets overlooked if you continue to have frequent palpitations and a high or unsteady heart rate. Cover my buns.
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Post by iamkristinl16 on Nov 27, 2016 5:54:18 GMT
You're welcome, though I meant to ask if the palpitations have settled. Wanted to make sure you're not having them all the time and that your HR isn't too high. If that's the case, then I would say you should be evaluated, not because of the dose but to rule out other arrhythmias. iamkristinl16 That is not to scare you, just to make sure nothing gets overlooked if you continue to have frequent palpitations and a high or unsteady heart rate. Cover my buns. I do have the palpitations quite frequently, although it bothers me most at night when I am trying to get to sleep. I've worn monitors and had stress tests and they just say it is PVC's. it is very annoying, though. I also leaned this summer that I am anemic and wonder if that has anything to do with the PVC's? Metoprolol doesn't seem to really help at all when I have taken it.
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Post by Zee on Nov 27, 2016 6:03:24 GMT
You're welcome, though I meant to ask if the palpitations have settled. Wanted to make sure you're not having them all the time and that your HR isn't too high. If that's the case, then I would say you should be evaluated, not because of the dose but to rule out other arrhythmias. iamkristinl16 That is not to scare you, just to make sure nothing gets overlooked if you continue to have frequent palpitations and a high or unsteady heart rate. Cover my buns. I do have the palpitations quite frequently, although it bothers me most at night when I am trying to get to sleep. I've worn monitors and had stress tests and they just say it is PVC's. it is very annoying, though. I also leaned this summer that I am anemic and wonder if that has anything to do with the PVC's? Metoprolol doesn't seem to really help at all when I have taken it. Ok, glad you've had the testing show PVCs so we can be less concerned about any Afib. I don't know of any correlation between anemia and PVCs. I'm going to guess that you've had your potassium checked at some point with your history and that it wasn't an issue. Low potassium can cause PVCs, but often, we don't necessarily know what the trigger is. My DH developed them out of the blue one day and we never learned why. All his testing was normal. A cardiologist I used to work with told me atenolol was preferred for symptomatic PVCs. DH has been on that for years. Maybe you need to discuss a switch with your doctor, if the metoprolol doesn't work? Or maybe you need a higher dose? Have a good night, I hope you get some good sleep#
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zella
Pearl Clutcher
Posts: 3,884
Jul 7, 2014 19:36:30 GMT
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Post by zella on Nov 27, 2016 6:04:55 GMT
You don't need to worry about that dose; it really is small. Even if you have low blood pressure, the worst you'd experience is feeling lightheaded if you stood up.
Either now or tomorrow, cut all your pills in half. Then this won't happen again. Then just relax. You'll be just fine.
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Post by iamkristinl16 on Nov 27, 2016 6:13:00 GMT
I do have the palpitations quite frequently, although it bothers me most at night when I am trying to get to sleep. I've worn monitors and had stress tests and they just say it is PVC's. it is very annoying, though. I also leaned this summer that I am anemic and wonder if that has anything to do with the PVC's? Metoprolol doesn't seem to really help at all when I have taken it. Ok, glad you've had the testing show PVCs so we can be less concerned about any Afib. I don't know of any correlation between anemia and PVCs. I'm going to guess that you've had your potassium checked at some point with your history and that it wasn't an issue. Low potassium can cause PVCs, but often, we don't necessarily know what the trigger is. My DH developed them out of the blue one day and we never learned why. All his testing was normal. A cardiologist I used to work with told me atenolol was preferred for symptomatic PVCs. DH has been on that for years. Maybe you need to discuss a switch with your doctor, if the metoprolol doesn't work? Or maybe you need a higher dose? Have a good night, I hope you get some good sleep# I recently read that anemia can cause PVC's but don't know more than what was on a Mayo Clinic site. They haven't checked my potassium. I'll have to add that to the list. I'm having a uterine ablation and colonoscopy Friday so hopefully that will help with the anemia and figure out what is causing my GI problems. I'm going to try to sleep in the chair. My palpitations are still bad and feel worse when laying down. It's been over an hour since taking the medication so I assume that if I was going to have problems they would have happened by now.
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M in Carolina
Pearl Clutcher
Posts: 3,128
Jun 29, 2014 12:11:41 GMT
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Post by M in Carolina on Nov 27, 2016 6:19:47 GMT
I take bisoprolol fumarate 5mg 2x a day for my heart stuff. My BP is really low, so this is the only med that doesn't decrease my bp so much I can't function. --even when I was taking others, I just felt really bad. I didn't pass out or anything. When I was hospitalized back in August, I asked if the hospital had my heart med because some hospitals don't. They take my bottle and dole it out to me instead. When the nurse was double checking everything after I was admitted, a loud cart rolled down the hall outside my door right as she's pronouncing the med. She's also Polish. I thought she was saying bisoprolol, but she actually said Metroprolol. I felt weird after my first dose, but it went away quickly. Turns out that the pharmacist decided that 100mg of Metroprolol was the logical sub for 5mg of bisoprolol fumarate... I just felt a bit woozy for a little while. Nothing bad happened. Any my dose was 3xs more than yours. I absolutely think you need a bp monitor thought! I keep track of mine when I'm not feeling well. High BP is called the 'silent killer' anyway. You don't always have symptoms, but high BP can do a lot of damage. All of my cardiologists have asked me what my average blood pressure is. My heart stuff does cause an arrhythmia that can be life threatening. The ambulance here will do an EKG and let me decide not to go to the hospital if the EKG is normal. I feel really bad when this arrhythmia happens, but I can't tell the difference between just really annoying but will go away and "life threatening". The EMS are great. So if you feel bad, get cold, clammy, etc. I'd call the ambulance. Otherwise, I think you'll be ok.
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Deleted
Posts: 0
May 3, 2024 7:26:44 GMT
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Post by Deleted on Nov 27, 2016 6:26:45 GMT
It is 25mg. I am supposed to take half of that. I started out on half a 25mg then after a couple of weeks the doc upped my dosage to the full pill. You likely won't notice anything. But might aught to monitor your bp in case it gets too low. It will be out of your system in 12 hours.
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Post by jamieson on Nov 27, 2016 6:34:20 GMT
We don't know anything about you, your medical hx, etc. Call your doctor!
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Post by Zee on Nov 27, 2016 14:06:22 GMT
Ok, glad you've had the testing show PVCs so we can be less concerned about any Afib. I don't know of any correlation between anemia and PVCs. I'm going to guess that you've had your potassium checked at some point with your history and that it wasn't an issue. Low potassium can cause PVCs, but often, we don't necessarily know what the trigger is. My DH developed them out of the blue one day and we never learned why. All his testing was normal. A cardiologist I used to work with told me atenolol was preferred for symptomatic PVCs. DH has been on that for years. Maybe you need to discuss a switch with your doctor, if the metoprolol doesn't work? Or maybe you need a higher dose? Have a good night, I hope you get some good sleep# I recently read that anemia can cause PVC's but don't know more than what was on a Mayo Clinic site. They haven't checked my potassium. I'll have to add that to the list. I'm having a uterine ablation and colonoscopy Friday so hopefully that will help with the anemia and figure out what is causing my GI problems. I'm going to try to sleep in the chair. My palpitations are still bad and feel worse when laying down. It's been over an hour since taking the medication so I assume that if I was going to have problems they would have happened by now. Well, I won't say the info about anemia is wrong, but I've seen an awfully lot of anemic people over the years who didn't have any PVCs, and lots of people with PVCs who weren't anemic. But I'm glad you're getting that addressed, and maybe it will help! Hope you are feeling better this morning.
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Post by dazeepetals on Nov 27, 2016 14:47:38 GMT
I take bisoprolol fumarate 5mg 2x a day for my heart stuff. My BP is really low, so this is the only med that doesn't decrease my bp so much I can't function. I felt weird after my first dose, but it went away quickly. Turns out that the pharmacist decided that 100mg of Metroprolol was the logical sub for 5mg of bisoprolol fumarate... Your pharmacist was correct. In all the conversion charts published that I'm aware of, 5 mg of Bisoprolol daily is equivalent to 100 mg/day of Metoprolol tartrate (which is usually divided into 2 doses per day). If you were taking 5 mg twice daily, then 100 mg twice daily is a logical conversion. Please don't blame the pharmacist for the conversion. Most hospitals have guidelines for substitution of drugs based on published literature. These guidelines are developed by multidisciplinary teams that include MDs, pharmacist, drug information specialists, etc that must be approved before they can be instituted. If these policies are in place, then the pharmacist is allowed to interchange drugs in the same class when the patients home medication isn't available in the hospital for one that they hospital has. Pharmacists aren't just allowed to change patients medications without this policy in place OR calling the ordering physician to approve a substitution. To the OP, Metoprolol 25 mg is considered a low dose as the max dose of Metoprolol daily is around 450 mg/day. Metoprolol does not have the same blood pressure lowering properties as many other antihypertensive drugs, and I would consider it minimal. I would not use it solely for blood pressure lowering properties in my patients. With that said, I would invest in a blood pressure machine if you take ANY medications that can lower the blood pressure potentially. It never hurts to have one so you can take some control in monitoring your health. Your Friendly 2Peas Pharmacist.
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Post by iamkristinl16 on Nov 27, 2016 15:32:46 GMT
Thanks guys. I did try to sleep in the chair and was doing ok...until the Christmas tree fell right behind me! At that point all hope of getting to sleep was lost and palpitations were in full force. Ugh.
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Post by elaine on Nov 27, 2016 15:37:32 GMT
Thanks guys. I did try to sleep in the chair and was doing ok...until the Christmas tree fell right behind me! At that point all hope of getting to sleep was lost and palpitations were in full force. Ugh. ((((Hugs)))) You certainly had a rotten night. I hope that today goes better and that you can catch a nap.
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scrappinmama
Pearl Clutcher
Posts: 4,864
Jun 26, 2014 12:54:09 GMT
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Post by scrappinmama on Nov 27, 2016 16:02:09 GMT
What a rough night for you. I hope you can get some rest today.
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Post by mcscrapper on Nov 27, 2016 16:55:27 GMT
How are you feeling today? I didn't get online last night but @z*g gave you some good advice.
Hoping you are feeling better today.
m
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Post by cindyupnorth on Nov 27, 2016 17:01:30 GMT
Make sure you tell the anesthesiologist on Friday about the palpitations, Or check in with your Dr Monday about it.
Hope you got some sleep!!
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Post by anonrefugee on Nov 27, 2016 17:39:09 GMT
Just checking on you. Hope you found answers and sleep.
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