What Is The Dosage Of Toprol-XL And HCTZ For High BP?

Posted on Wed, 23 Sep 2015

Question: My blood pressure is 149 over 90. I am taking toprol xl 100mg and hctz 25mg. Should I double up or take half a dose? Would it hurt for just a day? I am a smoker and drank wine last night.

Answered by Dr. Benard Shehu (33 minutes later)

Brief Answer:
Following advice.

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

Although your BP is slightly elevated you shouldn't have to raise the medication dose for the moment.

If you were my patient I would recommend todo the following measures:
- reduce salt intake
- don't drink more than a glass of wine per day
- increase physical activity
- loose weigh
- stop smoking

If your BP will persist to be high and since you are taking the optimal dose of atenolol and HCTZ I would suggest to add amlodipine to your therapy. This is to maximise the effect with few side effects.

However you should discuss with your doctor about adding another pill (Amlodipine) your actual treatment.

Hope this was of help!
Wish you health!
Dr. Shehu

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar