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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest the ideal dosage for Metoprolol taken for hypertension

Answered by
Dr.
Dr. Lilit Baghdasaryan

Cardiologist

Practicing since :2007

Answered : 1536 Questions

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Posted on Wed, 10 Aug 2016 in Hypertension and Heart Disease
Question: My husband has hypertension ranging anywhere from 180/90 to 160/120 yesterday. He saw a PA on
Thursday and was started on Metoprol tar 25mg bid. So, he has been on this med for four days without significant improvement. I don't think this is even the regular start off dose and am wondering if I need to accompany him to the doctors office today.
doctor
Answered by Dr. Lilit Baghdasaryan 27 minutes later
Brief Answer:
There is a need for extra medication

Detailed Answer:
Dear Mrs,

It is a regular start dose for metoprolol, but in case of blood pressure 180 or 190 mm Hg it may not be enough. Your husband needs to take other medications as well. There are many other medications for blood pressure which we give together if we can't achieve adequate blood pressure control with one medication.
I would advise you to see a doctor to prescribe a new medication. Meanwhile I would advise your husband to check carefully kidney function, as he has too high diastolic blood pressure (120) which sometimes can be caused by kidney disease.

Hope this was helpful

Wishing a good health to your husband

In case of further questions don't hesitate to ask

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