I have been working with my new heart failure doctor since July to adjust my meds. What I have found out is that everyone is quite different and reacts to heart meds very differently. The doctor needs to figure out the right mix to meet your needs and life style. It is quite a long road to figure it all out but it can be done. I feel my doctor has gone about it like an investigator. We have tried different doses of different meds and I report back to my doctor about every 10-14 days through the patient portal to see how it is going. If an adjustment is needed, she does it. The doctor also looks at one's lifestyle and basic metabolism. I am pretty active, live on a farm, and work outside quite a bit. For me, we don't want my BP to go too low which can also happen. When it does, I feel worst. I am trying to keep my top number around 125-130 so I have more energy. I cannot comment on what meds or dosages I take since it is so different for everyone. I am 8 months out of open heart surgery and still feel that I am in recovery mode. I exercise by either taking walks or working out on my treadmill at home besides doing the work around the farm. I have to pace myself and make sure to take lots of breaks. I feel my life from now on will be a series of medication adjustments and good communication with my cardiologist and GP. Stay safe and I am happy to communicate more. Hang in there. It will all be ok.