medication change

[beema36]

In 2009 I was diagnosed with autonomic dysfunction. I had tachycardia and episodes of syncope where my bp would bottom out. I was on cardizem cd, vasotec and micardis at that time. My bp was hard to control and would often run high. My electrophysiologist added metoporol to my meds. He said he wanted to keep my heartrate between 40-70. Since that time my HR has ran mostly in 50-60s and at times in upper 40s. The last few weeks I noticed HR was staying in low 40s to low 50s. I feel great and have also enjoyed not having pvcs. I decided I should let dr know HR was consistently low and he cut my metoporal in half. I am concerned my bp will become labile again and the tachycardia will come back.
My question is Doesn't ones body usually require more med as time goes by instead of less? It just seems odd that after 3 years I would now need less.

[RICHARD566]

Beta blockers, such as metoprolol,  do lower the heart rate.  They are supposed to do that.  I also had to limit my metoprolol because of , what I thought,  was the lowest rate that I wanted.  I also take lisinopril, which is an ace inhibitor,  to lower the blood pressure. It works differently and does not lower the heart rate.  I think both of these drugs are good in my case and maybe in yours.

****      

[beema36]

Thanks. I do understand that my dr has his reasons. My problem now after lowering it for just one day my bp that has been an aberage of 110?60 is now running 160/90. Thats not good.

[josh246]

Yes it would make since for your doctor to lower your meds from what I have read from your post.Please rember that he is a doctor and has reasons for lowering your meds.Now It seems to me that the reason he would lower your meds is because of your heart rate.40-50 is to low this is considered bradycarda(low heart rate) See he proly has a goal for you because he may want your bp at a certain number and heart rate at a certain number you being low may be normal for you but he may want you a little higher.See the doctor maybe considering how well your heart will function at this heart rate and be considering how low it goes when you sleep.Doctors don't take chances with their patients life So if he wants you to lower the dose do as he says.Worst case your doc will have to adjust it again if it gets high.BTW they adjust meds like this all the time for patients if your doctor wants it lowerd he has a reason maybe even one I cant understand but that's the only thing that jumps out to me.