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Are Metoprolol And Doxazosin Effective Medication For Hypertension?

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Posted on Mon, 3 Apr 2017
Question: I am on metoprolol er 50mg and doxazosin 4mg for highblood pressure they are not working my b/p is 160/68. have been taking for about 2 weeks. befoe was on Lisinopril and hctz.whats going on?

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Answered by Dr. Sagar Makode (4 hours later)
Brief Answer:
See the description

Detailed Answer:
hello,
Firstly, metoprolol and doxazosin, are not usually the first choice of drug for hypertension now a days. Also, Metoprolol is not very effective antihypertensive. Was there any reason for lisinopril to be stopped, was there any other indication for metoprolol, if yes then it's fine.
No need to panic as Blood pressure readings are not very high, you monitor it carefully. You can increase the dose of doxazosin to 6 mg once a day, and if needed 8 mg.
Also, you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If bp is persistently more than 140/90 mmhg, then we need to keep on increasing the doxazosin dose and we can also increase metoprolol dose. Regular exercises like brisk walking or jogging, according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. Get your lipid profile and sugars tested once if not already done.
Hope this helps you and get back if you have any doubts.
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Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1867 Questions

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Are Metoprolol And Doxazosin Effective Medication For Hypertension?

Brief Answer: See the description Detailed Answer: hello, Firstly, metoprolol and doxazosin, are not usually the first choice of drug for hypertension now a days. Also, Metoprolol is not very effective antihypertensive. Was there any reason for lisinopril to be stopped, was there any other indication for metoprolol, if yes then it's fine. No need to panic as Blood pressure readings are not very high, you monitor it carefully. You can increase the dose of doxazosin to 6 mg once a day, and if needed 8 mg. Also, you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If bp is persistently more than 140/90 mmhg, then we need to keep on increasing the doxazosin dose and we can also increase metoprolol dose. Regular exercises like brisk walking or jogging, according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. Get your lipid profile and sugars tested once if not already done. Hope this helps you and get back if you have any doubts.