ive had high bp for a few yrs usually around 140/90.started toprol in feb didnt bring my bp down but did help with palpatations, i have mvp. now im taking 50 mg in the morning and before bed. if this doesnt bring it down what will they give me next? if they put me on a diff bp medicine, isnt that bad since i was told you can never really stop toprol or it might cause aheart attack?

If Toprol isn't working for BP control, yes, you should go on something different. Since it sounds like you also have palpitation symptoms your doctor may recommend you stay on the Toprol and add something in addition to the Toprol that will work better for BP control.

Yes, you do not stop Toprol ABRUPTLY or it will lead to major "rebound" palpitations and high blood pressure. Instead you have to taper off of it very gradually by weaning down your dose over several weeks. I had to taper off 100mg twice a day and it took 6 weeks. Talk with your doctor on a tapering schedule, but good rule of thumb is 1/2 dose for 2 weeks, another 1/2 of that 2 weeks until you get down to 12.5mg. Then cut the mid-day 12.5mg dose, another 2 weeks, and then cut out the night time dose. I stopped after cutting out the mid-day dose and am still on 12.5mg at night. Note that your heart will race a bit for the first day or two after cutting back on the Toprol and these episodes can be a bit scary.

Of course you will need to figure out at what point during the tapering schedule to start taking a new medication so that your BP doesn't go out of control.

Work with your doctor on this. Tapering off Toprol can be tricky.

thanks for your reply. yeah so i hope the added dosage helps bc i dont mind this medicine, i get no side effects and it does help keep my heart rate slow. what is the highest doasge they can put you on. i know my co-worker is on 150 mg. thanks again

I used to take 250 mg of Toprol-XL. It worked to lower my heart rate, but atenolol has been a better anti-arrythmia drug for me. Neither did enough for my bp so I am now doing atenolol with a Altace.

I think it can go to 400 mg/day.

i want to try taking chelated magnesium supplement for my heart and anxiety, is it ok to take while im on toprol?