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  • 4 weeks later...

I was maintained for many years on bisoprolol and found it the least sedating / cognitively limiting of the beta blockers I tried. (Metoprolol and propranolol both gave me terrible nightmares). Switched back to metoprolol after a sustained relapse, which gave better control of heart rate but with additional sleep disruptions and fatigue. I'm now taking ivabradine and find it preferable to beta blockers because it doesn't seem to cause fatigue--I'm still tired from the POTs flares, but much less so than I was on metoprolol. Good luck to you.

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