What should i do about regular hbp readings between 130-140/95-10 even on toporol extended release 50 mg?

Real BP medicine: You should get a real BP medication, toprol (metoprolol) xl is in most cases, the third or fourth drug added on for BP management. It is a terrible drug in the young and causes even more side effects in the old. Unless you have another reason to be on it, such as previous heart attack, congestive heart failure, or arrhythmias; you should be changed to another class of drug altogether.

Blood pressure: Diet and exercise are critical components to lowering BP in addition to meds. Exercising 30 minutes 5 to 7 days per week and eating a healthy diet low in salt and higher in fruits and vegetables whole grains and less red meat is also important. In regards to medication if your BP remains elevated despite diet and exercise, you should follow up with your physician for additional meds.