Re: coming off toprol xl
Toprol was not good to me. It caused my blood pressure to rise in the evenings and gave me blood pressure and pulse spikes, particularly in the middle of the night. I took it for 3 months, and have been off it for 3 months. I'd say I still had frequent side effects for the first 3 or 4 weeks. I still have an occasional spike, but less than one in 3 weeks. Yea, the first two or 3 days after I stopped taking it I had bouts of rapid pulse, especially with a bit of exertion. I went hiking one day when I was trying to quit and all the climbing really caused my heart to race.
Are you taking something else in its place? I switched back to a pulse lowering calcium channel blocker and clonidine, which also lowers pulse. I used to medicate the spikes with clonidine before I went back to the CCB.
Before going to something like xanax, you might consider asking about clonidine to take when you have a spike. It takes about 30 minutes for the drug to kick in and lasts 8 to 12 hours. Clonidine also comes in a patch form, Catapres. If these spikes are a temporary side effect of the beta blocker, it might be better treating them short term with something a bit easier to get off of than an anti-anxiety drug. Clonidine is an old drug, so it is relatively cheap too.