I am a mother of one child and trying for a second. My first pregnancy I was on Aldomet for hypertension and did just fine. Now my MD would like to try Metoprolol 25mg bid for this pregnancy, when it happens. I cannot take the ACE inhibitor I usually take and I am now on the Lopressor. Does anyone know of a woman that has taken Metoprolol and what are the risk factors w/ pregnancy? Is it really approved to take during pregnancy? Do you know if miscarriage rate is greater w/ this drug?