Conversation: The conversation between human and AI assistant.
[|Human|] I am cutting down metoprolol succinate from 50 to 25mg--feel awful.I am 64 tomorow a female weigh 150 510 tall.  I have Parkinsons disease.  No spleen, gallbladder, 40 % of pancreas gone.  had triple coronary bypass 3 years ago.  Have had deep brain stimulation for Pd in 2004 again half redone in 2010.  Blood presure too low so doctor told me to reduce metoprolol.
[|AI|]  Hi, If your heart rate is well corrected with metoprolol, and you take another medication that reduce blood pressure, it would be a better idea to reduce the dosage of the other medication. If metoprolol is the only medication, it should be down titrated with caution. If the patient tolerates badly dose reduction of metoprolol, we usually combine it with another medication such as procoralan, when we decrease the dose of metoprolol. So I would advise you to talk with your doctor if you feel worse with the reduction of the dose of metoprolol. Take fearsome back if you have any further questions