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Pharmacy/dose increase or metoprolol ER


I am a 49 y.o. female who has been taking 25mg metoprolol ER for hypertesion (I started on toprol XL then switched about 2yrs ago). recently I had a spike in my bp, it went to 206/110, and last week my primary MD increased my dose to 37.5 (1 1/2 tabs). I have been experiencing light-headedness, feeling off balance, and my bp hovers around the 150/100's. when I spoke to my primary, she doesn't think it's the med, and wants to add norvasc 2.5. I have allergies to ALOT of bp meds (lisinipril, HCTZ). I also take 125 mg of synthroid daily, I had my thyroid removed 5 yrs ago. I am 5' 6", 195 lbs. i recently cut all junk food from my diet and increased fruits/veg. I don't want to have these symptoms, take anymore meds, and want to start excercise and lose weight. Should I go back to my original dose?

Hi Vanessa,
Diet, and exeercise with aim for weight loss is an excellent way to approach the problem. A 10 percent drop in weight would go a long way to help your health and well being. Un til you reach that goal of weight loss I recommend measuring your blood pressure 2 or 3 times a day at the same time each day in order to establish a pattern and then decide if a dosage adjustment or adding a new medication to the regimen is warranted.
Thank you for using Allexperts.
Eric Brandt, B.Sc. Pharm


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Eric Brandt


I am a practicing pharmacist.On my drug information website, I have answered hundreds of questions to date. The articles posted on my site include Parkinson`s disease. depression, menopause, diabetes, sleep and aging, congestive heart failure, calcium channel blockers, thyroid hormone replacement therapy, ADHD, multiple sclerosis an more.


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