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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Insomnia While On Metoprolol Succinate ER?

Hi, I have been taking metoprolol sussinate er (25 mg) for over 2 years. I have trouble staying asleep. I get only 2 hrs. sleep each night. I used tonbe a sound sleeper and slept about 7 hrs. each night. Should I take a smaller dose? Would that allow me to sleep better? I love to sleep. I get drowsy during the day when reading or watching TV but only get short naps. I feel sleep deprived. I took a few sleepinbg pills, but they didn t seem to help, so I stopped taking them.
Mon, 20 Feb 2017
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General & Family Physician,  's  Response
Hello,
Thankyou for your query and welcome to healthcare magic.

Insomnia/reduced sleep, tiredness and drowsiness are known side effects of metoprolol.
However do not decrease the dose/stop metoprolol without consulting your doctor. Metoprolol is used for treatment of hypertension and certain cardiac conditions. Usually the benefits of metoprolol outweight the risks of side effects.
Any other disorder like sleep apnoea ,thyroid disorder, depression, other medications should also be ruled out for the cause of insomnia.

I recommend that you consult your doctor to get further evaluated and see if you can have alternative medication to metoprolol.

Meanwhile you can try some sleep hygeine techniques to help better your sleep like
-Going to bed almost the same time every day
-Avoid napping during day
-do not read or use mobile devices and computers in bed
-Go to bed with lights swithched off.
-Avoid coffee and sugary drinks before going to sleep

Hope I was able to answer your question
Please feel free to address any more concerns
Regards,
Dr.Lekshmi
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What Causes Insomnia While On Metoprolol Succinate ER?

Hello, Thankyou for your query and welcome to healthcare magic. Insomnia/reduced sleep, tiredness and drowsiness are known side effects of metoprolol. However do not decrease the dose/stop metoprolol without consulting your doctor. Metoprolol is used for treatment of hypertension and certain cardiac conditions. Usually the benefits of metoprolol outweight the risks of side effects. Any other disorder like sleep apnoea ,thyroid disorder, depression, other medications should also be ruled out for the cause of insomnia. I recommend that you consult your doctor to get further evaluated and see if you can have alternative medication to metoprolol. Meanwhile you can try some sleep hygeine techniques to help better your sleep like -Going to bed almost the same time every day -Avoid napping during day -do not read or use mobile devices and computers in bed -Go to bed with lights swithched off. -Avoid coffee and sugary drinks before going to sleep Hope I was able to answer your question Please feel free to address any more concerns Regards, Dr.Lekshmi