- male
- 50 Years
- 20/02/2025
I've been dealing with high blood pressure for the past two months and have been taking metoprolol 50 mg since the first month. Initially, everything was going well, and my blood pressure was 11070, but lately, over the past week, my diastolic pressure is sticking around 85 to 90. It seems like the meds aren't working as well now. I've increased to 50 mg twice a day. What should I do?
Answered by 1 Apollo Doctors
Its important to effectively manage your blood pressure, especially if it has started to rise again despite medication. It might be necessary to adjust your treatment plan. Continue monitoring your blood pressure regularly, and consider keeping a log of your readings to discuss with your doctor.
In addition to adjusting your dose of Metoprolol, your healthcare provider might consider adding another antihypertensive medication to your regimen. There are several classes of medications that can be used in combination with beta-blockers, such as ACE inhibitors, calcium channel blockers, or diuretics.
I recommend scheduling an appointment with your healthcare provider to review your current treatment plan and discuss potential adjustments. They can also evaluate for any underlying factors that might be contributing to the increased blood pressure.
Dr. Kareemulla Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Assessment of Current Blood Pressure Control
- Diastolic readings of 85-90 mmHg suggest suboptimal control. Regular home monitoring is crucial.
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Review of Medication and Dosage
- Metoprolol 50 mg twice daily may need adjustment. Consult your doctor about dosage or medication changes.
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Lifestyle Modifications
- Adopt a low-salt diet, engage in regular exercise, manage weight, and limit alcohol/tobacco. Practice stress reduction techniques.
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Further Medical Evaluation
- See a healthcare provider for a detailed evaluation. Additional tests may be necessary to exclude secondary hypertension causes.
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Potential Treatment Adjustments
- Consider increasing metoprolol or adding another antihypertensive like ACE inhibitors or diuretics. Treatment should be personalized.
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Monitoring and Follow-up
- Schedule regular follow-ups to monitor blood pressure and side effects. Adhere to prescribed treatments and lifestyle changes for effective management.
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Consult a Cardiologist
Answered 10/09/2025
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I've noticed that my resting pulse rate usually hovers around 90, although it can dip slightly below that sometimes. Is this normal for me? Also, I've observed that my pulse rate spikes to around 120 after I eat and take a light walk, like after lunch. Is this something I should be concerned about? Just a month ago, I went for a health check-up, and both the ECG and 2D echo turned out normal. I'd love to get your thoughts on this.
A resting pulse rate of around 90 beats per minute can be considered within the normal range, although it is on the higher side. It is normal for the pulse rate to increase after eating or during physical activity. A pulse rate of around 120 beats per minute while walking after lunch is also within normal limits, especially if you were engaging in mild physical activity. Since your ECG and 2D echo results were normal one month back, it is reassuring that there are no underlying heart conditions causing these pulse rate variations. However, if you continue to have concerns about your pulse rate, it would be advisable to monitor it regularly and consult with your healthcare provider for further evaluation and advice on managing your pulse rate.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.