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Switching Beta Blockers - Do You Just Switch Or Wean?


iheartcats

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My doc says that coreg(carvedilol) is one of two that act centrally, the other is bystolic (?crosses the blood-brain barrier)to help reset the ANS dysfunction and help control HR and BP.

I initially took midodrine for 1-2 months and then it was stopped- I didn't need it anymore. How long have you been on the propranol?

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  • 1 month later...

I've been on Propranolol for 1.5 years and it was really helping. I've been on Metoprolol for a couple of days and feel awful.

I'm waiting to hear back from the Specialist's nurse (but they are so swamped it probably won't be for a couple of days) and I really want to go back on the Propranolol. I don't know if I can just start taking it again and if it will help as much? I'm kind of miserable on Metoprolol.

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Mike's cardiologist switched him from Inderal/propranolol to Toprol XL and didn't do any weaning. Just stopped one and started the other.

OTOH, talking with his neurologist (Mayo Scottsdale) the other day, he suggested going back to Inderal. He's been having a lot more hyperadrenergic symptoms lately, and the neurologist says that since the Inderal is non-selective, it has more effects on the brain as a whole. Have you heard back from your doc yet? Dr. Low, at Mayo Rochester, initially put Mike on Inderal, and that seems to be his preferred beta blocker. Or maybe more for hyper adrenergic types?

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I am back on Inderal/Propranolol. It was more helpful to me...I was shaky on the Metoprolol. Maybe that's because of all the fluid loss, though, but I was more dizzy, too. It just didn't seem to work as well. My Cardiologist said we could try it again someday to make SURE that was the cause, but no need to rock the boat if Propranolol is helping.

I've talked to other POTSIES and Propranolol seems to help us most. I wonder what secret thing it does to the brain? I'm already feeling better back on it, even with a cold. It's a huge improvement for me.

And yes, I just switched the next day because it's a 'similar' drug. I'm glad I'm back on Propranolol.

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I am back on Inderal/Propranolol.

I've talked to other POTSIES and Propranolol seems to help us most. I wonder what secret thing it does to the brain? I'm already feeling better back on it, even with a cold. It's a huge improvement for me.

Glad you are feeling better. Hope your cold resolves quickly.

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