I have a history of high heart rate. On Christmas morning, my heart rate went down to 20 and I called nine-one-one and went to the hospital. I was giving my pacemaker several days later.. . My issue is not my pacemaker. It seems to be working very well. I do however have unusual tiredness in the morning. My best time is in the afternoon and evening. I started swimming yesterday and woke up very very tired. I have reduced my medication Metro parole. I'm hoping that this will help. . And the others suffer from similar issues? I am very grateful for this new lease on life. My best to you all. Gary



by Tracey_E - 2020-02-12 15:25:39

Never reduce the dosage without talking to your doctor. It has to be done gradually, and a lower dose may not control the high rates. 

Have you had a sleep study to rule out apnea? It's common among cardiac patients. 


by Deluhery - 2020-02-12 15:45:11

I did consult with my cardiologist about my reduction in my metoprolol. I have been using a CPAP machine for about 4 years now. My cardiologist and technician seem to think there is no correlation to my tiredness and my Cpap. Thanks for the response . Wishing you well ,Gary

Take it easy.

by Graham M - 2020-02-12 15:47:44

I agree with Tracey - do not reduce any drug dosage without consulting your doctor.

You have just had a huge fright which resulted in you needing surgery, so it's not surprising you are tired.

We all recover at different rates and it can be a slow process. After less than 2 months, you are still a baby. I, too am a baby - just coming up to 6 months and it has only been the last couple of weeks that I have stopped feeling over tired, and am getting more sleep at night.

If you are concerned about tiredness, then please see your doctor, but I'm sure that if you take it easy and give it time, it will get better.

Best wishes



by Deluhery - 2020-02-12 15:50:46

Thanks for the encouragement. I think you are right. When I'm tired just rest. Try not to add to it with worry. My best, Gary

may be simple

by ROBO Pop - 2020-02-13 17:57:51

This may be a simple issue...when do you take your Metoprolol? I was sluggish and dragging tail until I started taking my beta blocker (metoprolol) at bed time. After a few weeks it made all the difference in the world. Ask your doctor, could help


by Deluhery - 2020-02-13 18:16:26

Thanks I will discuss this with my Dr. Now taking it morning and evening. Will let you know how this works. My Best,  Gary 


by AgentX86 - 2020-02-14 00:16:51

There are two forms (actually three, I think but one is pretty rare) of metoprolol, metoprolol succinate and Metoprolol tartrate.  The metoptolol succinate is a time-release version of metoptolol (trade name Toperol XL).  The theory is that it only need be taken once a day. I've taken both (up to 200mg). My cardiologist now wants me to take 25mg of the time-release verion twice a day anyway.  Go figure.

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