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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High BP Despite Taking Metoprolol?

Hi! my blood pressure this am is 142/92. I have an appmt with my cardiologist but he will be on vacation and will not see me until the 24th. I am taking metoprolol 25 mg once daily. My bp used to be under control but something changed. What can you suggest?
Mon, 14 Nov 2016
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General & Family Physician,  's  Response
You have not mentioned your age. Blood pressure varies with age. Your blood pressure is slightly high especially diastolic BP. BP is not constant every time and it varies slightly from day to day. Wide fluctuation in BP is clinically significant.
Advice

1.     Continue metoprolol 25 mg as suggested
2.     You can add hydrochlorothizide 12.5 mg daily per oral
3.     Regular exercise at least 30 minutes for 5 days in a week. The best types of exercises for lowering BP are walking, jogging, cycling, swimming or dancing
4.     Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol
5.     Consume less salt
6.     Avoid smoking, alcohol, coffee, spicy food and caffeinated beverages
7.     Lose extra weight if you are overweight and keep your body mass index between 19 and 25. BMI is calculated by formula BMI = Weight in Kilograms / (height in meters x height in meters)
8.     Measure your BP regularly and be in touch with your doctor
9.     Avoid eating high energy foods such as cakes, chocolates, chips etc.
10.     Investigation:
a.     Fasting blood lipid profile
I hope this information will help you. I will be happy if you ask another question
Thanks
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What Causes High BP Despite Taking Metoprolol?

You have not mentioned your age. Blood pressure varies with age. Your blood pressure is slightly high especially diastolic BP. BP is not constant every time and it varies slightly from day to day. Wide fluctuation in BP is clinically significant. Advice 1. Continue metoprolol 25 mg as suggested 2. You can add hydrochlorothizide 12.5 mg daily per oral 3. Regular exercise at least 30 minutes for 5 days in a week. The best types of exercises for lowering BP are walking, jogging, cycling, swimming or dancing 4. Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol 5. Consume less salt 6. Avoid smoking, alcohol, coffee, spicy food and caffeinated beverages 7. Lose extra weight if you are overweight and keep your body mass index between 19 and 25. BMI is calculated by formula BMI = Weight in Kilograms / (height in meters x height in meters) 8. Measure your BP regularly and be in touch with your doctor 9. Avoid eating high energy foods such as cakes, chocolates, chips etc. 10. Investigation: a. Fasting blood lipid profile I hope this information will help you. I will be happy if you ask another question Thanks