Hello, Your pulse rate is indeed low. The usual target is 60 beats per minute. Anything lower than that may cause trouble. Lower than 45 may start causing symptoms. I usually advise my patients to take the recommended dosage unless their pulse rate drops below 55-65 per minute. In such cases cutting the dose in half usually corrects the problem without reducing the positive effects of the drug. Taking the drug every other day is not recommended. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Panagiotis Zografakis, Internal Medicine Specialist