My blood pressure has always been fine except for the occasional bit of anxiety for which I've taken a low dose of Metoprolol Succinate ER, cutting a 25mg pill as best I could to about 6-8mg. Now I've become dependent on a daily dose of from 12.5mg to 16mg for this past month. If I don't take that amountk at about the same time every day I develop anxiety and my heart rate goes up.
I've tried reducing doses by cutting the 25mg pills. But if I don't take the same amount the anxiety strikes. How can I wean without the anxiety? One problem may be you are not supposed to cut the ER pills. Could a compounding pharmacy crush a 50 mg pill and mix it with a slow release compound to make 25x2mg capsules from the 50mg? That would allow better control of dosing. Would taking low dose Valium (2 to 5mg) alleviate the anxiety while I go from 16mg Met to 14,12,10,etc. or is that a bad idea? Would switching to Propranolol work during Met weaning, though it is not extended release? Is there any other med to control the anxiety while weaning off Met? I'm somewhat desperate and grateful for any ideas you may have.