Hello. Thank you for asking on HCM. I understand your concern.
Well, personally, basing in my everyday experience, I would highly recommend you to continue on a
beta-blocker drug (such as,
metoprolol). Maybe, I would recommend down-regulating and adjusting your dose (i.e. not 100 mg daily, but 50 mg daily), but I would not recommend stopping it altogether). You see, beta-blockers have an extremely good and beneficiary effect on the heart. They act by both lowering the peripheral blood pressure and the
heart rate, which, in summary, decrease the workload on the heart and do not let it "get tired". If you decide to adjust your beta-blocker dosage, then it is perfectly safe to add
olmesartan (
Benicar) to your therapy, also with small dosage. They both work together in a line to lower the blood pressure. Anyway, if you are just determined that you want to stop taking metoprolol, it is safe to just stop taking it, and it is not necessary to taper its dosage.
I hope I was helpful with my answer. Take care.