Yes, this combination of medications is generally safe when monitored by your doctor. An important point to watch is that metoprolol can mask the warning signs of low blood sugar, such as a rapid heart rate. Additionally, combining blood pressure medications with anxiety medications can occasionally cause mild dizziness or lightheadedness when standing up quickly. Monitor your blood sugar and blood pressure regularly. Please do not worry, as this is a common and manageable treatment plan. Keep your doctor informed if you experience persistent dizziness, extreme fatigue, or unusual sweating.