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@marybird

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

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Replies to "From everything I have read over the last few years, they're saying that Metoprolol ( and..."

My cardiologist just put me on Metoprolol for Wolff Parkinson White syndrome. My heart races but not for long periods of time. After looking up the side effects, I’m not sure I want to take it. Did you experience tiredness or weight gain? I’m willing to put up with my heart racing occasionally as long as it’s not causing any damage to my heart…which I won’t know until I have the echocardiogram done. I think I’m going to wait until after the test before I start taking it.

Yes, I've read the same thing about BBs. I was put on Metoprolol initially for SVTs along with the lowest dose of olmesartan for BP. My pressures got really low, sometimes into the 90's systolic and so then was taken off of the olmesartan for a trial and my pressures remained very good, just on the Metoprolol. Everyone is so different in how they respond to drugs.