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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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BP Normal At 120/60, Pulse Around 50 To 55, Irregular Rythem. Suggested Increase In Metoprolol Dosage. Safe?

Hi there I just wondered was it ok to increase metoprolol when blood pressure is at a normal 120/60. Doc has recommended to increase to 75mg morning and 50mg at night. Was on 50 twice daily. Pulse is around 50 to 55. Irregular rythem. Gp was going to reduce dose last week now hospital has increased it. Confused and worried
posted on Sun, 21 Jul 2013
Twitter Sun, 21 Jul 2013 Answered on
Twitter Mon, 22 Jul 2013 Last reviewed on
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Since your Blood Pressure is 120/60 & pulse is 50-55 it means hypotension & bradycardia.
Let me explain you , how metoprolol acts,
It inhibits beta, receptors & causes reduced HEART TATE & decreases BLOOD PRESSURE. Cardiac output is reduced.
Already your blood pressure is low with 50 mg twice in a day including bradycardia.
So ,if you will further increase the dose , what will happen ?
May be chances of heart failure , so be aware about this .
In my opinion consult Cardiologist and get his opinion ( 3rd) and deal accordingly.
Good luck.
Dr. HET
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BP Normal At 120/60, Pulse Around 50 To 55, Irregular Rythem. Suggested Increase In Metoprolol Dosage. Safe?

Hello, Thanks for the query to H.C.M. Forum. Since your Blood Pressure is 120/60 & pulse is 50-55 it means hypotension & bradycardia. Let me explain you , how metoprolol acts, It inhibits beta, receptors & causes reduced HEART TATE & decreases BLOOD PRESSURE. Cardiac output is reduced. Already your blood pressure is low with 50 mg twice in a day including bradycardia. So ,if you will further increase the dose , what will happen ? May be chances of heart failure , so be aware about this . In my opinion consult Cardiologist and get his opinion ( 3rd) and deal accordingly. Good luck. Dr. HET