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Beta blocker exercise intolerance reddit. I haven’t been formally diagnosed with POTS yet.


Beta blocker exercise intolerance reddit I’ve been taking 50 mg a day for some time now (few years). My plan is to take propanadol for a year and give my all to increasing my exercise capacity with the hope to stopping this medication or only taking it on bad flare up days. Beta blockers definitely can't cause PEM, if that's what you mean by CFS-like fatigue. 5mg but most days I take the entire thing, my POTS has gotten worse the last 2 months for whatever reason idk. So many beta blockers aren't option as well as I seem to have developed asthma as well and many can't be used with that. We’ve tried fludrocortisine but I had a horrible reaction to it so I was taken off after 4 days of taking it. Really anything that fucks with your neurotransmitters will be problematic long-term and interfere with reattaining homeostasis. So I was prescribed 40mg of propranolol for anxiety related to long covid (which I know is super co-morbid w POTS) and it helps. It estimates significantly lower caloric expenditure and exercise intensity when I work out in the morning (when my beta blockers are in full effect) versus a similar workout in the Unfortunately, since POTS is a chronic illness beta-blockers won't "cure" any exercise intolerance, however it just helps lower your heart rate so you don't experience those symptoms quite as bad. Thinking of switching to ivabradine - I was wondering what everyone's experience making this switch was like? Did you experience any withdrawal? Thanks I personally am not on beta blockers, but on ivabradine instead to reduce heart rate -- that medication is a possible option if beta blockers don't work well for you. But it does depend on if and how you breathing is dysfunctional. How is your blood pressure? I'm guessing the beta-blocker is makinf it too low. I feel as if the side effects seem terrible. For me, it's not that the beta blocker is not working exactly, it's that my heat intolerance is so bad and raises my HR so much that the beta blocker is not strong enough to bring my HR down anymore. Dizzy. Anxiolytics also did nothing for me aside from making me more disoriented. g. Tolerance is only really seen with drugs affecting the central nervous system. Some doctors are very conservative they start patients on too low of a dose or aren't willing to try other options such as extended-release versus I also have a low resting heart rate in the 35-45 range. Beta-blockers helped when I was acutely ill with Covid/POTS, but in the longer term caused more problems than benefit. As soon as you come off, your body will rebound back to its normal state and your exercise intolerance will more than likely return. On a beta blocker, you pay attention to "perceived exertion". I found this statement in a study about propranolol and POTS: "A non-selective beta blocker like propranolol may be more effective than a selective beta blocker like metoprolol since it also will block beta-2 adrenoreceptor mediated vasodilation". I would say that nicotine patches helped the most and trying to boost nitric oxide levels with foods/supplements helped the most with the PEM. Im quite exercise intolerant so my main desire is that beta blockers will give me the ability to get outside and do longer walks or even be able to run. i’ve had no side effects from it and it hasn’t made my anxiety or depression any worse and, like you, i’m very sensitive to that kind of thing and very cautious I’ve failed 11 medications. 5 month ago and has since then experienced very bad stomach pain on especially three occasions. Because you are already horizontal it shouldn't be too bad on your heart. And I drop to a lower dose on days when I have bradycardia. I think it probably also increased my exercise intolerance but given we already have that from ME/CFS it is kind of a moot point. It is tough, BUT the anxiety will ease away the more used to you get with your symptoms. I mean like I am up the entire night feeling my heart pulsing violently in my neck and my face and literally everywhere else because of how bad the heart palps are. I think you are missing out on a keyword in that article: "These medications (and note not just beta blockers are listed) may contribute to the development of SSS". A combination of both beta blockers and breathing exercises has helped me a These are different meds with different effects -- beta blockers don't just reduce heart rate -- and POTS treatment is highly individualized, which may be why no one is answering your question. I tried the change of diet, compression gear, and exercise route for a month before going to medications. It's a channel blocker. I am already on a slew of supplements and none have helped. In my experience, I need the beta blocker to be at least semi-functional most days. Hey everyone, my doc and I are trying to find the right beta blocker for me. Beta blockers physically change how fast our blood is pumped through our body, of course it's going to affect us exercising. If you are American, Insurance likely won't pay for corlanor but you can order it from Canada for, like $40 a month. Sometimes I just lie on the floor, my favorite albums playing or a good podcast, and do leg/arm lifts and twists. I've had an awful experience with beta blockers, and have been recommended looking into Ivabradine by people here before, and my doctor has finally… Advertisement Coins Cardiologist put me on a beta blocker which helped the heart pounding out of my chest feeling when I would stand up or sit down but anxiety ,light headedness, dizziness, trembling, skipped beats, tingles all over, extreme fatigue and exercise intolerance is still there, I just want to feel normal again. Beta blockers are not poisonous. I confirm that beta blockers can mess with blood pressure, but my pressure is in the normal range, ~ 115/75 at 60-70 bpm. A cardiologist at the ER suggested calcium channel blockers because beta blockers are often poorly tolerated in younger people (under 50s). I was so foggy and still had massive exercise intolerance. Beta blockers cause the heart to beat more slowly and with less force, which lowers blood pressure. I needed to grab on to things to keep from falling down. The reason for this is that POTS is not caused by deconditioning; conditioning is a hack, a workaround for what's not working in POTS. It can lower heart rate as well, but maybe not as much as beta blockers. I'm pretty consistently in the 90s/70s range for blood pressure now. Beta blockers are intended specifically for lowering blood pressure and gabapentin is used mostly for nerves and pain (mostly used for POTS can cause highs and lows. However, now that I’m on propranolol, it doesn’t drop my blood Yeah the types of beta blockers that are used with POTS have something called rebound tachycardia when you drop off them. So you might not be able to reach your target heart rate. The reason it might work well, is it has a short half life, so it would wear off before bed. I’m curious to know if anyone has had a better experience with beta blockers over calcium channel blockers specifically to help control HR. I don't know much about beta blockers, but it looks like all of the side effects will make POTS worse! It looks like it's supposed to lower BP, likely to cause dizziness, tiredness, breathing problems, lightheadedness, extreme fatigueso all of the things I'm actively working to manage. If you need constriction above and beyond what your ADHD meds are doing to balance with the beta blocker, you could also try raising your stimulant dose or adding a low dose of midodrine (the way it stimulates vasoconstriction is slightly different, so that would in theory be complementary rather than more of the same). The sensitivity of POTS makes it unpredictable. If beta blockers make you depressed, it's very possible that you aren't getting enough blood to your brain (from POTS), and the beta blocker is stopping your heart from compensating for that. Unfortunately, because of the way pots is some people don't get up to their therapeutic dose for beta blockers because their resting HR is low, they have low BP, or the side effects are too great. I lost 20 lb unintentionally in the first several months after I got sick and started heart meds (including a beta blocker), am still on those meds, and have only gained 5 lb back while actively trying to gain weight. I did notice the exercise intolerance when I first started the Propanolol a few years ago. It’s the only thing that would lower my heart rate. I feel like the Diltiazem has helped a little, but not significantly. It's not a beta blocker. Hello everyone, I have chronic migraines along with POTS, thought I got my diagnosis for POTS later on. Weaning myself off as it’s the only consistent med I’ve taken for the years I’ve gained weight and developed exercise intolerance, when I eat as much and am as active, more or less, as always. However they can worsen fatigue and lower blood pressure. I believe the studies have shown low-dose propranolol works well in POTS patients. For me Propanolol made me feel the way you described if the dose was enough to properly lower my heart rate, metoprolol and Nadolol worked wonderfully minus the little issue of suicidal ideation and severe depression and now Nebivolol seems to The needle threading of 'enough activity to see improvement' but 'not so much activity that exercise intolerance is triggered' is incredibly frustrating, with exercise intolerance getting worse from stressors (doctor's appointment, for example) so it's often a two steps forward, one step back path. The beta blockers didn't help me, either, and my cardiologist recently prescribed Mestinon for me (I haven't been taking it long enough to say whether it helps, but it hasn't hurt). Unfortunately, it is a matter of trying to adapt and make accomodations to deal with the heat. Those not on beta blockers can manage it watching their heart rate. Feels like the only thing that starts to help my pots is exercise but whenever I become consistent I always reach a point (usually about a week in) where I crash with my PEM and flu-like symptoms, back in bed, decondition some more, and end up worse than I was before. Hey guys, I was diagnosed a little over a year ago and put on beta blockers (Atenolol, 50mg a day). Posted by u/SevIsGoth - 3 votes and 10 comments Ahh I see. I'm not entirely sure if you mean gabapentin or not, but if so, it's hard to say if it would be a reliable alternative. I'm 38F with a complex cardiac defect and my recent echo showed Left Ventricular dysfunction. For the last 3 months, I’ve mainly been dealing with heart palpitations 24/7, random tachycardia & heart rate spikes/adrenaline surges, and exercise intolerance or PEM if I over do it. Hey all, I am on a low dose of beta blockers but they still make me very tired, interfere with exercise, and give me weird dreams. And you are going to hear different experiences with and without beta blockers. You can try an extended release or switch to another one. Its not a set in stone situation. However, it is unclear if this is because of the actual drug or because people taking them don’t exercise as much (again related to the exercise intolerance when first starting the medication – same with the initial weight gain). I recommend reading the Levine Protocol, or modified CHOPs program. I guess I won’t know until I try it out! Posted by u/throwaway643268 - 2 votes and 3 comments Postural orthostatic tachycardia syndrome (POTS) is a form of dysautonomia that is estimated to impact between 1,000,000 and 3,000,000 Americans, and millions more around the world. Many of us crash from overdoing it. For others, the high HR may be compensating for low BP, in which case the beta blocker can make some other symptoms worse. I have beta blockers prescribed but have been too scared to take it as I don’t want my body to rely on it. Ivabradine has been investigated as an alternative to beta blockers because they are meant to reduce the HR without reducing bp as much. The only thing I can come up with (which I’m totally making up) is my heart can’t keep up so it’s causing some sort of fight or flight response that makes me have more PVCs. Instead of lowering your BP like a beta blocker, it can increase it a bit. It's typically used to improve muscle strength by preventing the breakdown of the neurotransmitter acetylcholine. The weight gain on beta blockers is usually due to retained fluids according to google ETA it’s more common with older beta blockers like metoprolol so maybe you could switch to a newer one 馃槉 Thank you so much for the info!! My neurologist warned me about the beta blocker causing wild fatigue in some people. I haven’t been formally diagnosed with POTS yet. Everyone’s body is different of course. These medications do roughly the same thing, other than ivabradine doesn't generally touch blood pressure like beta blockers do. I think taking beta blockers may have caused POTS syndrome for me. Beta blockers can be a depressant. Blood deprivation to your brain can make you very sad! It happened to me! I dropped my metoprolol dose to 25 from 50, for reasons, and discovered that my mood improved significantly within a few days. So thinking maybe ivabradine may be the one to try. I have big time anxiety about taking medications and especially new meds. Other people don’t like the side effects of beta blockers and that’s ok too. I've gained almost 60 lbs in the past 5-6 years. Building muscle without moving as much seemed to help. Anyone taking beta blockers with similar RHR? I’m on atenolol 150mg daily. Guanfacine is not a beta blocker. So I averaged a bit above you at 60 so that might not be helpful but I started beta blockers two weeks ago and so far it only reduced the resting heartrate by about 5 on average to 55 while really toning down the peaks and keeping me below 100 most of the day (I have CFS so I can't do exercise or anything, so physical impact is low), it goes up to 120-140 with showers but even walks are Yes, I have both experienced horrible exercise intolerance and been able to return to martial arts training. The only thing that persisted was exercise intolerance- shoulders burned my whole run, I got a lot of side stitches, I had to slow down and shorten runs. Taking a beta blocker can keep your heart rate from going up the way it usually does when you exercise. I just started a beta blocker a few months ago that has allowed me to do low-impact stuff without fainting -- it's been a life-changer so far. Then it has allowed my symptoms to stabilize so that I can start the physical rehab. My heart rate was leaping all over the place but he's got me on various BP and beta blocker medications at the moment. I have CFS and POTS, once I started beta blockers I actually got more energy because my heart wasn't exhausting me with tachycardia like before. So, this is just to say that exercise intolerance isn't always a feature, and also that it can vary within a person as well as across people. I am a lot better but still screwed with brain fog, tinnitus and dizziness that just wont quit. I’m so nervous to start a beta blocker. Beta blockers also help widen veins and arteries to improve blood flow. Fludrocortisone is not a beta blocker. Every time I tried weaning off propranolol, my resting heart rate would spike into the 100s, and I'd feel awful. I am taking beta blockers and doing the CHOP program with the hopes that I’ll be able to get off beta blockers eventually and manage my pots by doing month 5-6+ forever and ever. I’ve never been an active person, but I gained over 50 pounds trying out different beta blockers and calcium channel blockers in the last year and finally got on ivabradine which seems to have the least physical side effects (except for difficulty breathing sometimes) and I’m just about to join a gym because obviously my brain is like Most people do well on beta blockers, they’re usually the first POTS medication that people try for a reason and drugs don’t get approved by the FDA unless they do what they’re intended to do for most people. So I’ve been on all 3 already XD Although I am also positive, like you, these health issues are causing malabsorption issues. But it just tells you to use the RPE scale instead of heart rate zones, it doesn't explain further (e. 5 years, mainly metoprolol and I was only on propranolol for 2 months towards the end. Some people just don’t want to take meds and that’s fine. For me they made my orthostatic intolerance worse, caused weight gain, insomnia and breathlessness. If possible it's good to see someone to focus on your own situation. My symptoms aren’t super severe (I never pass out) so she said I can play around with the beta blocker a little and find what works for me. The end result is that you just won't get enough blood to your head. Feel like you could die most days. I take 25 mg of the extended release twice a day, one in the morning and one in the afternoon during my usual mid-afternoon tachycardia peak. Corlanor (Ivabradine) is not a beta blocker. Monitoring your breathing is a good way to ensure you work out at an intensity that is sufficient and not too high. I don't have a dysautonomia diagnosis, but I assume the exercise intolerance is related to something similar. Edit; clonidine might be a good fit too. I may be taking a polygraph within the next couple months for a job, so I'm wondering if anyone has any experience with being on a beta blocker, or even just having POTS, when taking the polygraph? Postural orthostatic tachycardia syndrome (POTS) is a form of dysautonomia that is estimated to impact between 1,000,000 and 3,000,000 Americans, and millions more around the world. I find w exercise intolerance I have to try do less and less more consistently until I can tolerate it reasonably. For the first 4-5 days, everything seemed okay. The beta blockers help turn down the volume on those thoughts. The beta blocker stops it doing that, but then if your veins expand (get looser) from heat, the job your heart was trying to do is now even bigger, and the heart can't respond. I also realized I have exercise intolerance. Bisoprolol was the first beta blocker I tried and it caused me to start losing my hair, like massive amount of shedding and I used to have super thick hair, and now it is thin ever since starting beta blockers (and even now that I'm not on beta blockers my hair hasn't thickened again). But med is causing problems and no longer working so must stop. Go too hard, too fast, and you’ll get winded. like i can’t think of what a 3/10 feels like Hmm I’ve lost weight since being put on propranolol. Everyone is different. Postural orthostatic tachycardia syndrome (POTS) is a form of dysautonomia that is estimated to impact between 1,000,000 and 3,000,000 Americans, and millions more around the world. Then, on day 6, about mid-afternoon, I could barely stand. I consulted with a cardiologist, and he switched me to atenelol (not really sure why). I do have a history of asthma but it's been really well controlled for years and when I do have trouble breathing or am short of breath, I have trouble taking in air rather than breathing out so it's probably not an asthma thing. I was prescribed a beta blocker, metoprolol, and began taking it immediately. Did they your b12/folate/ferritin and thyroid as low levels can of these can cause some of these symptoms. However, I stop the blockers immediately. , can you expect similar results to someone doing the protocol off beta blockers, do you have to modifiy how quickly you progress through the protocol, will (some of) your training progress be lost once you go off medication, etc). The most known beta-blockers to cause hair loss (although I’m sure all do cause it) are metoprolol, propanolol, nadolol, and some other one. It also helps the norepinephrine of hyperpots. People take up to 240 mg per day for angina. Maybe your body will adjust over time? My apple watch wouldn't even recognize that I was working out (even when I used their adjusted beta blocker mode), that's how low my heart rate was regardless of the activity. It’s dangerous to take them intermittently (never do this unless directed by a doctor obviously). Mornings were always so hard until they kicked in, and if I stayed up late past them wearing off I’d have a heard time sleeping. After two years of coming to him and him being aware of just how low my quality of life was he still preferred to try everything else (increased sodium and hydration, then midrodrine, then told me to gain weight, then fludrocortisone, then told me to gain It is possible to lose weight on beta blockers. I haven’t been medicated yet. For me beta blockers allowed me to keep my job, so I can keep my income and insurance. If I drink at all while on beta blockers it gives me mega heart palps even after that beta blockers worn off. Yes, but I'm on a different beta blocker now. Aug 26, 2014 路 They slow your heart, cause fatigue (especially with exercise), and are often used to control atrial fibrillation. In response to the med lowering my BP too much my body raised both my BP and HR, which resulted in worse symptoms. Currently my doctors are considering how best to adjust my med set up, and whether a different beta blocker would be more useful. Initially beta blockers made me feel like I was going to get my life back, but as time went on they gave me fatigue that was even more debilitating than the pots fatigue that I already had. Feb 16, 2024 路 Beta blockers can slow one's heart rate, which can make gauging intensity during exercise difficult. The keys for me were stopping medication that made my symptoms worse (ventolin is my nemesis) and starting appropriate medication for my POTS. My cardiologist is most likely going to prescribe me a beta blocker and I’ve looked around on here to see what peoples experiences are with them. Beta blockers block receptors that are activated by noradrenaline; mostly in the heart but also in the blood vessels. The main thing I think was that my hunger increased and I needed much more food (if I didn’t eat I felt faint). Apr 1, 2014 路 Beta blockers affect your workouts in several ways. But I’ve been off any beta blockers since May and I’m just taking magnesium now. The Levine Protocol for POTs works on this philosophy. . When I was on a beta blocker, I felt waaaay worse if I missed a dose or forgot my pills at home when I was at work. I started on Beta blockers (inderal) for about 1. My cardiologist was insistent that I continue some sort of exercise regimen and not to slack on some light aerobic exercise and yoga. Currently on a beta blocker and that’s all. Does anyone have experience of using a beta blocker with a low resting heart rate? Mines 55-65 (sometimes slightly lower). I have been taking a beta blocker (propanadol) which helps greatly with dizziness and anxiety and allows me to carry out moderate exercise. It was hell until I realised what was happening even before my doctor did. ) We are now trying a $2K/month drug which (shockingly) my insurance won’t pay for. however, i believe i am somewhere on the autism spectrum and i’m having near impossibility determining how much i am truly exerting myself. Definitely think it has helped, but I did notice immediate weight gain and more tiredness/exercise intolerance. Exercise intolerance is extreme. I was on beta blockers from around 1. i was recently prescribed a beta blocker so we’re going off of perceived exertion (RPE). It’s useful to mention which beta blocker you’re discussing when mentioning dose. I also began to notice that although my heart rate was more “controlled”, my symptoms were not and I felt just as awful upright (if not more so). I would only get lightheaded occasionally when standing up. Does anyone take beta blockers and also exercise regularly, while on them? I have them to help me with fight or flight and had an experience awhile ago during a workout where I felt like I was going to faint, but this was also one of my first times taking it (I wasn’t aware of the possible effects during a workout) but since then Ive been cautious to the idea of taking it again and working Multiple beta blockers/doses completely tanked my blood pressure. If you're heart isn't working as hard then it's not going to be demanding as much energy so it's not going to be burning off as much kcal. Mind you, high heart rate for me on nadolol is barely breaking 100. I’d ask your dr about it. He chose a calcium channel blocker over a beta blocker since I am already experiencing major fatigue from suspected POTS. Tried four or five beta blockers, all of which gave me suicidal ideation (I have never had the desire to hurt myself otherwise…so as soon as I recognized the feeling, I would stop the beta blockers. And I have also trained undiagnosed and unmedicated, when my POTS was milder. Less exercise = risk of weight gain Oh damn ok if you have pots then exercise can def do that. Beta blockers can reduce the heart rate but also blood pressure, which could be pretty counterproductive. My blood pressure also can go into the 90’s but mostly hovers around 115/70 range. i know this is an old post, but i had my first physical therapy session yesterday (following the CHOP protocol). I guess I got lucky, atenolol was the very first beta blocker my cardiologist put me on. I gained 18 pounds in two weeks within starting taking metoprolol, I was told it wasn't due to the medication, even though I changed nothing in my diet and exercise routine. I had the same issue. For some people, a lot of their other symptoms are caused by the high HR, so the beta blocker slowing the heart will help with those other things too. I feel you. Additionally because of this phenomena, patients who take beta-blockers in general experience decreased exercise intolerance. They're useful only to the extent that tachycardia is caused by your body being "extra" and overreacting. Been on it for about 4 years now. Your target heart rate is the number of heartbeats a minute that you aim for to make sure you're working hard enough. Beta blockers didn’t impact this for me at all. This anxiety has scared me. Initially it really helped contain some of the panic attacks, and I had a better general outlook on life. ” If starting the drug and your worsening mood seem correlated, it is okay to say you need a different medication. If your doctor thinks you should take beta blockers but you’re worried about potential side effects, tell your doctor your concerns. Smaller doses of exercise can be better tolerated and also recumbent exercise or swimming might not produce as bad of a response. Jumps up too fast. It's pots specific, but I think the general idea applies. 6 months down the road, things at work got really good, my personal life got better, and I felt like life was finally starting to get some color in it instead of If it's not working, try looking up Corlanor. My cardiologist put me on metoprolol ER 25 mg (1 tablet per day) and I didn’t have any negative reaction to the med until I increased the dosage by adding in Circular breathing can also help (in through nose and out through mouth) especially at times you get most breathless like with exercise. Typically, Ami causes an increase in heart rate as a side effect due to increased anxiety in some people. And yep they 100% do. I have bad imposter syndrome but lately it has felt like I cannot function because of how bad it is. "Beta blockers work by blocking the effects of the hormone epinephrine, also known as adrenaline. Any fellow IST’ers have experience with this? I have basically been able to tolerate this for almost a decade, but I really want to be able to exercise and chase my kids around without feeling like my heart is going to explode. I was put on solely as a way to avoid benzodiazepines. If someones heart rate decreases considerably and the beta blocker is added, it can potentially make both the BP/HR too low. I am not on beta blockers now. Even though my heart rate stays lower than my target heart rate during exercise because of this, I’m still building muscle. Posted by u/helpmehelpyou1981 - 57 votes and 113 comments 52K subscribers in the POTS community. It's important to remember that your heart rate is being slowed and you may need to adjust your target heart rate or how fast the heart should beat during exercise. I was also dizzy at points (temporarily) when changing dose. Skipping beta blockers can cause issues honestly and I would set alarms if I were you to make sure you aren't missing any dosages. " This is so, so frustrating. Your dose may be too high, it may be the wrong beta blocker or beta blockers may not be a good fit. One tablet taken year ago will not be causing these symptoms now. So I was just diagnosed with pots and have had symptoms for a few years. There are a couple of ways to monitor your exercise intensity. In the end, I left with a prescription for a (unspecified and undiscussed) small dose beta blocker and a few tests scheduled for the coming months (echo, stress, & venus doppler). I'm on bisoprolol and candestatin. I was put on it because my body said gth to beta blockers. Now I am on a very low dose of propranolol and it's working much better. You can try adding florinef or midodrine, but I suggest switching from a beta-blocker to corlonor. Postural orthostatic tachycardia syndrome (POTS) is a form of dysautonomia that is estimated to impact between… The same thing was happening to me when the dose of a beta-blocker was too high for me. It took the edge of my high rates pretty significantly, and didn’t drop my BP or resting heart rate significantly enough to be problematic or even detectable. I’m scared to take the metoprolol because of this reason. What you're looking for is possibly Corlanor. Does anyone have any reliable information on beta blockers and exercise intensity? This is a question that’s been brought up by differences in my Apple Watch results depending on the time of day I work out. Now I need meds to exercise, and strength training wipes me out, but I still never feel more normal than I do after my martial arts training. Beta blocker is short for beta-adrenergic blocker; this class of medication blocks adrenergic receptors along the walls of the blood vessels. For the past few months I’ve been exercising ~1 hour after taking my beta-blockers due to exercise + heat intolerance. These are not the only meds for POTS; one or the other is just generally the first one you'd trial in most cases, and go from there. Its hell. People usually find that if their heart isn’t racing, they aren’t shaking, etc. Just remember that your body will need to adjust to the medication, so if you have a symptoms that are mild just pull through it. Tough part is dont have good med to replace. However, I fear my frequent episodes of bradycardia may be a contraindication for beta blockers. I personally don't use my beta blockers before exercise because I struggle to get my heart rate up on them, especially on my Rower. They're given to lower heart rate, facilitate exercise and are effective in small doses. Hi! Full disclosure that I'm not a medical professional (I am in school right now to be one) so please take what I say with a grain of salt. Heart pounding. By blocking off these receptors, less of the catecholamine/ neurotransmitter norepinephrine can bind. Beta blockers also might not be suitable if you have MCAS as a component of your POTS. POTS is a form of orthostatic intolerance that is associated with the presence of excessive tachycardia and many other symptoms upon standing. I told my psychiatrist and got back, essentially, “checks out. started at 50 and worked My way up. Your symptoms sound very common with Propanolol (as you stated)I’m on 10mg of Ami and 80mg of Propanolol. In these cases, combining with another medication may be necessary. I tried propranolol, extended release propranolol and XR metoprolol. It's not a beta blocker, but it kind of functions like one. Taking beta blockers is not counterproductive if it allows you to regain some function so that you can continue with the rest of your treatment. Weaning off slow by the microgram. Beta Blockade does not happen from one tablet, its something done usually before surgery/procedures and is high dose or multiple beta blockers. Beta blockers make me extremely depressed and drop my blood pressure dangerously low. But it is not safe to just take more beta blocker. beta blockers : r/POTS - Reddit true Postural orthostatic tachycardia syndrome (POTS) is a form of dysautonomia that is estimated to impact between 1,000,000 and 3,000,000 Americans, and millions more around the world. For my migraines my neurologist made me try a… On bystolic for 13 years. Beta blockers are also used for congestive heart failure, high blood pressure, Jan 18, 2024 路 Concerns about exercising while on beta blockers. Dec 20, 2023 路 Beta blockers slow the heart rate. All beta-blockers, with the exception of propranolol, are not lipophilic enough to cross the blood-brain-barrier and thus will not have an effect on the central nervous system and therefore there will be no noticeable therapeutic tolerance. Yes, when tachycardia is secondary to and compensating for hypovolemia and/or neuropathy, beta blockers can make symptoms worse, not better. That’s what I take. Just to let you know, the strength of beta blockers’ dosages is relative to the particular beta blocker. I still hear them but it isn’t like it drowns out everything else. I don’t wanna stop taking the meds as they’re actually helping my symptoms but I can’t handle the stomach pains coming back. There are also 8 other possible reasons for someone to develop SSS. (Kudos to you for managing yoga, I keep trying and losing my mind after one or two days) But anything involving cardio just Was Still Like That until I started on a beta blocker that finally worked well for me. Exercise intolerance is a thing with beta blockers so I wonder if it’s related in any way. Both drop your heart rate and blood pressure and so does weed, it does seem to bring on Whiteys more easily as blood pressure becomes low, and heart rate goes to the moon. Honestly feeling much better off the beta blockers than I did with them. But now that my heart is more regulated I have a lot less days with super lows. Everything gives me trouble. Norepinephrine acts on the blood vessel walls to dilate them further. Beta blockers do help symptomatically, in many cases, but long-term they actually exacerbate a lot of the issues that contribute to mast cell / nervous system issues. Yes. that they will feel more at ease. The reason why beta blockers are prescribed for anxiety is usually for performance related scenarios (like public speaking) or when physical symptoms of anxiety get very bad. I’m on bisoprolol right now 5mg, usually I only need about 2. My symptoms are high heart rate, heart palpitations, chest pain, short breaths, lots of anxiety (ofc), public speaking fright, lightheadedness upon standing, hypervigilance, sometimes utter exhaustion as a result of my body being over-worked or adrenal fatigue, which can lead to exercise intolerance. hi! i’ve been on propranolol since i was 17 (now in my twenties) and i was prescribed it for panic attacks before i even knew i had pots! it’s been a lifesaver for me in terms of physical anxiety and lowering heart rate. Hihi, i deal w fatigue normally but since starting propranolol my fatigue has been bothering me a lot more, i try nd drink coffee nd energy drinks nd it doesnt help much w fatigue at all really, does anyome kno how 2 deal w it? my dr said it might b bc i dnt eat enough nd ive started to eat more nd healthier but that hasnt changed anything, i even started a low fodmap diet nd tht hasnt done Postural orthostatic tachycardia syndrome (POTS) is a form of dysautonomia that is estimated to impact between 1,000,000 and 3,000,000 Americans, and millions more around the world. 10 mg is actually the lowest prescribed dose of propranolol. Beta blockers are some of the most prescribed meds in the world, so they are very safe, but everyone reacts differently. My mind is sharper and I just feel good. I cannot take beta blockers on a regular basis because I am on allergy immunotherapy and these block the effects of Epipens, so I take ivabradine instead. With respect to trouble losing weight, long-term use of beta blockers may lower your overall energy expenditure. Always on top of nutrition and electrolytes/salt, and my beta blocker. You might also experience orthostatic hypotension, which means when you stand up, your blood pressure suddenly drops leading to dizziness and faintness. gxvmhj ouyv eoao gkwqchaz ztull jsqdd fynd msubg kxlj jwxwt