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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Metoprolol Be Weaned Off Gradually?

I am on 25 mg. of metoprolol for four weeks, but I went on a raw food diet and my pressure has dropped to normal for the past few days. I also have felt less than my normal high energy. I had some winter allergy problems and my heart beat rapidly, but all that has disappeared in the week of eating only raw vegan foods, no dairy, not even a veggie with sweets. Can I stop taking the metoprolol cold turkey, skip a day or do I need to wean with a lower dose?
Mon, 26 Dec 2016
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Cardiologist 's  Response
was is started for blood pressure only or some other reason. If only for blood pressure then you can try. If your blood pressure is absolutely fine it may be reason of medicine. Any way if you it's on lower side can take metoprolol 12.5 mg and see for the response.
But you need to keep on monitoring blood pressure as you will not have any symptoms of high blood pressure. Also u can consume low salt diet which will help you to decrease blood pressure.
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Cardiologist Dr. Rishu Saxena's  Response
Hi
metoprolol is a beta blockers ,its not a first line antio hypertensive , but as you have started with it , i would suggest you not to stop taking metolprolo suddenly.
sudden with grawal of beta blocklers can cause rebound hypertension
gradually taper off the dose of beta blocker .
make it 12.5 mg twice daily initially for 5 days then make it 12.5mg once daily for 5 days , after that make it alternate fopr 5 days then stop it
thank you
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Should Metoprolol Be Weaned Off Gradually?

was is started for blood pressure only or some other reason. If only for blood pressure then you can try. If your blood pressure is absolutely fine it may be reason of medicine. Any way if you it s on lower side can take metoprolol 12.5 mg and see for the response. But you need to keep on monitoring blood pressure as you will not have any symptoms of high blood pressure. Also u can consume low salt diet which will help you to decrease blood pressure.