Hi
You are young for a BB. There are other meds like ACE another blocker.

I was on Metoprolol 49.75 mg in 2008 for high blood pressure and I was overweight.
With a split with hubby - a short marriage I lost weight dramatically. I was diagnosed with low BP so I came off it. I had a tummy bug at the time and I wasn't leeping it down. I would call it cold turkey.

In 2019 I had a stroke with rapid and persistent AF Heart Rate. Day 4 during a carotid arteries scan a shadow showed up on my thyroid. Yes, papillary carcinoma at the edge of my right lobe. Other surgeons got to see the scan and decided I had bits in my left lobe. Within 4 months full thyroidectomy plus 12 lymphs removed - 2 affected amd bed dissected.

When the Dr on Stroke Ward said she was prescribing Metoprolol, I said NO! When a new Dr in 2009 doubled the 49.75 I could not breathe and there was a risk of being taken by ambulance. But I managed it, missed next days dose and got back to normal.

The Dr was an endocrinologist who ignored my NO.

I was on it but able to reduce it to 23.75mg. At 1 year 5 months I finally got a heart specialist - no Stroke follow up. Who ordered a ECHO, ECG and 24hr holter.

The latter showed a avg heart beat of 186bpm (I couldn't exert) 47bpm avg night with pauses. I was breathless on all doses of Metoprolol.

Changed to Bisoprolol. Monitor showed 156bpm with some exertion, no breathlessness no pauses.

No control of Heart rate to 100 or under. Good control of BP.

I think meds need review regularly.

In the last 2 months I have weaned off Bisoprolol. Why because BP gone low. From December 2021 I was introduced to CCB Calcium Channel Blocker. Dramatically controlled. My Heart Monitor showed @ 1/2 dose 180mg. Within days I was reduced to 120mg by Dr and reduced Bisoprolol to 2.5.

I now remain on Diltiazem 120mg but realise I may need 180mg.

It is important to 1/2 my Bisoprolol to 1.25 mg before giving it up. I also had an ECG at 1/2 pill status.

I will have another ECG sometime.

Stopping Bisoprolol showed that I had to reduce my 125mg to 100 as T4 was too high. Great.

So ny stopping something could affect your supplements etc. My B12 I have to dose up as it was disappearing!

I was always told that I should reduce med slowly. Then ECG to see what effect.

Take care.

Cherio JOY. (Tuckie)

Changed to Bisoprolol directly