Hi all I have decided after seeing my doc with no resolution to lower my toprol dose to see if it stops the tingling I have been feeling in my hands and arms in the mornings when I wake up. Currently I take 100 mg in the morning and again at night. I am thinking about stoping the night 100 mg dose. This morning my wife commented on how cold both my hands felt, a sign of poor circulation. I also take 16 mg of atacand twice daily, but do not think it is the reason as it expands the arteries. Toprol on the other hand reduces the number of heart beats. Any thoughts on this matter?