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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High BP Even After Taking Metaprolol?

I have been on 100 mg of metaprolol for 3 weeks and it has come down a little but I am still getting high readings. Prior to this I was on lowest dose of amlodipine and bisoprolol for about 7 years. I am 63 with 30% blockage in legs and a bruii of 35 to 40 % on both sides . I am 5 6 and weigh 185
Fri, 5 Jun 2015
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Cardiologist,  's  Response
Metoprolol individually is not the best drug for hypertension, rather in all standard recommendations it is 2nd line drug. I would be better to add a low dose of Amlodipine. Rather optimisation of bisoprolol and amlodipine Would be a better drug, ace inhibitors/ ARB like, ramipril / telmisartan are Another group, but as you say you have bilateral brui? Renal artery involvement, I would like to stay away when not monitored.
Regards
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What Causes High BP Even After Taking Metaprolol?

Metoprolol individually is not the best drug for hypertension, rather in all standard recommendations it is 2nd line drug. I would be better to add a low dose of Amlodipine. Rather optimisation of bisoprolol and amlodipine Would be a better drug, ace inhibitors/ ARB like, ramipril / telmisartan are Another group, but as you say you have bilateral brui? Renal artery involvement, I would like to stay away when not monitored. Regards