Ugh--just took a double dose of BP Ned

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.

This seems like a question for medical personnel, not a message board.  This is a drug that affects your heart!

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.)

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.

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.

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.

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.

We don't know anything about you, your medical hx, etc. Call your doctor!

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.  

((((Hugs))))

You certainly had a rotten night.  I hope that today goes better and that you can catch a nap. 

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