Can I cut back medication to see if exercise has helped

Q: I have been taking 12 mg of metoprolol. I bite the 25 mg in half. I have been doing lots of walking twice a day, plus uphill mountain walking once or twice a week. Can I cut back to see if exercise has helped, missing every other day to two or three times a week. I really want to control bp w/o medication?

A: You need to discuss changing your dose of blood pressure medicine with your doctor.  I do not know if your blood pressure is currently controlled or if you have other medical problems that would be impacted by a change in dosing.  The blood pressuring lowering effects of metoprolol (Lopressor) can last for up to a month after stopping the drug so you can’t know immediately what stopping your drug will do.

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