I'm currently taking 50 mg of metoprolol succinate because I had high blood pressure around a month ago, with readings peaking at 150100. Lately, my 24-hour average blood pressure is about 11070, but every 5 to 6 days it suddenly spikes to 14090. Is this something normal, or should I think about adjusting my dose?

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Dr Shubham Chauhan

General Practitioner

MBBS
4+ Yrs

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It's good to hear that your average blood pressure has improved with the current medication. Occasional spikes in blood pressure can happen despite treatment. In your case, since the spikes occur every 5 to 6 days, it may be worth discussing with your healthcare provider about potentially increasing the dose of metoprolol succinate to better control these spikes. An adjustment in dosage or adding another medication may be considered to maintain more stable blood pressure levels.

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Answered 04/07/2025

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Understanding Blood Pressure Variability
- Occasional spikes in blood pressure can occur due to various factors, even if average readings are controlled.
Possible Causes of Blood Pressure Spikes
- Stress, physical activity, dietary changes, or medication timing can cause temporary increases.
Role of Metoprolol Succinate and Dosage Considerations
- Metoprolol helps control blood pressure by slowing the heart rate. Dose adjustments may be needed if spikes are frequent.
When to Consult Your Doctor
- If spikes are consistent or accompanied by symptoms like headaches or dizziness, consult your healthcare provider.
Monitoring and Lifestyle Recommendations
- Track blood pressure regularly and maintain a healthy diet, exercise, and stress management to stabilize readings.
Possible Diagnostic Tests or Specialist Referral
- If spikes persist, additional tests or a cardiologist referral may be necessary to adjust treatment or rule out other causes.

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