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Heart Rhythm Conditions | Last Active: 14 hours ago | Replies (13)

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@missy245

I am on Losartan now, 100mg. started it when I had to stop Metoprolol because of Heart block. I now have a PM.I don't have any side effects from it, but I don't think it is is very effective in lowering my BP . My BP was lower with a small dose, 25 mg of metoprolol than this very large dose of losartan.
My husband was on it, 50 mg for years and his BP remained higher than it should have been, often getting into the 150's. He finally convinced his internist to switch to a different drug in the same class as Losartan and now
his pressure are really good, 120's most of the time.

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Replies to "I am on Losartan now, 100mg. started it when I had to stop Metoprolol because of..."

From everything I have read over the last few years, they're saying that Metoprolol ( and other beta blockers as well) shouldn't be the first line, single use medication to control high blood pressure ( though they may be used in patients with ischemic cardiac disease, heart failure, or arrhythmias) as they aren't as effective as the other drugs now used(listed in the article I linked) to control high blood pressure. The side effects of beta blockers ( including significant lowering of the heart rate) also precludes their use in many patients.

I take metoprolol tartrate for heart rate control primarily, and it's very effective in controlling my A-fib and other atrial tachycardias. I also have high blood pressure, and take losartan and chlorthalidone ( diuretic) specifically for blood pressure control, although the metoprolol also works to some degree with the other drugs to keep my blood pressure down.
https://www.verywellhealth.com/hypertension-drugs-1745989

Thank you.