Verapamil, Metoprolol, Spironolactone?

[Bob in Texas]

Hello,

These are the medications I am on. When is the best time to take these morning or before sleep? It has been rough getting through the day at work due to fatigue and dizziness. I am in bed at 7:30 pm every night after working all day. Have any of you out there tried taking these meds at different times of the day? Maybe if I split them up I will be less tired? Any comments?

Thanks

Bob

[gfox42]

Bob,
Are you taking the long-acting metoprolol (metoprolol succinate) or the vanilla kind (metoprolol tartrate)? Even if you're taking the long-acting version, it may be wise to break it into two doses; that's what I do.

I don't know anything about spironolactone, but I think there are also both short- and long-acting versions of verapamil; a scheme to minimize the problems you're having may depend on which version you're taking.

Gordon

[Eileen2345]

The only heart medication I take so far is Verapamil 240 mg ER (extended release).

I used to take it around 12:00 noon everyday, now I take it at night and I am less tired from it, my days feel a little better.

[Cynaburst]

I split both my beta blocker and calcium channel blocker into two doses, morning and evening.

[macbeth]

My wife, son, and daughter take (or took) the same meds for a number of years.

They usually took the majority of the meds at night. All of the meds were taken either once or twice a day. They took all the one-a-day meds at night and one of the two-a-days, and the other of the two-a-day meds in the morning. For them, the worst part of the fatigue associated with the meds usually happened a few hours after they took them, so taking them before bed worked well.

Their cardiologists at the Cleveland Clinic were OK with this approach.

Also, some patients develop a tolerance for the side effects after a few months. For the folks in my family, the worst part of the fatigue went away after several weeks.

[Bob in Texas]

Thanks to all the replies, the Verapamil is the only extended release I take. I will try taking the big doses at night before bed. Trying to move this stuff around to see if I can get some relief during work hours.


Bob