Medication conflict

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Noticed the following:

To get out of Afib, i usually take 20mg or 40mg propranolol, and usually, this will convert me back to sinus in a short time. However, when i have previously taken my daily dose of metoprolol (Toprol XL) the propranolol just doesn't seem to work if it is taken within 8-10 hours after the Toprol XL - which translates to me getting stuck in Afib misery of 140~190 bpm :cry: . Do these meds work against each other?

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[Lisa Salberg]

This is not the best place to address this question, please contact your health care provider ASAP. Rapid rate A/F needs medical attention. I hope you are feeling better soon.
Lisa

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Yes miss :wink: feeling better, the prop finally kicked in and things came to rest. I've taken Afib several times to the docs and to the ER, and i was hardly treated as an urgent heartpatient - how disappointing :? :lol: .

Well, i just have the feeling metaprolol isn't the right stuff for me. I'll start with Norpace shortly as the gradient is supposed to be the culprit behind my Afib. Am i a candidate for e.g. sotalol to replace metaprolol?

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[Sarah]

Sotalol is a hybrid beta-blocker and I don't know that you want to mix it with Norpace. I took Norpace and metropolol or nadolol (switched about half way) together for about ten years. Worked really well for me.

http://en.wikipedia.org/wiki/Antiarrhythmic_agents

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Alright, thanks Sarah. We'll start with Norpace together with metaprolol.

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[Sarah]

Good luck and keep us posted!!!

S

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According to the prescription and the guidelines, i'll start with 100mg twice a day. Now, this may be too low, but i'm quite sensitive to medication, so we'll see what happens.

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[Laoshur]

Hi, Ad,

I certainly hope that Norpace works well for you. I wish I could be more enthusiastic about it, but my experience with it this week left a lot to be desired.

Rhoda