East Hanover, NJ: Novartis Pharmaceuticals Corporation;2009 March. Philadelphia (PA): Lippincott Williams & Wilkins;2008. Are you still sure that you want to clear all of you selected topics? If you choose this option, it cannot be undone, and you'll need to choose at least new topic to continue using your Health Savvy programs. Press "Continue" button below to begin selecting your Health Savvy topic(s). Remember, you need at least one selected topic to use Health Savvy. Click In order for us to create your customized Health Savvy programs, we need a little more information about the health topic(s) that you are interested in. Site users seeking medical advice about their specific situation should consult with their own physician. Metoprolol may worsen the symptoms of heart failure in some patients. Check with your doctor right away if you are having chest pain or discomfort, dilated neck veins, extreme fatigue, irregular breathing or heartbeat, shortness of breath, swelling of the face, fingers, feet, or lower legs, or weight gain. Do not suddenly stop taking this medicine without first checking with your doctor. Your doctor may want you to gradually reduce the amount you are taking before stopping it completely. Some conditions may become worse when the medicine is stopped suddenly, which can be dangerous. This medicine may cause changes in blood sugar levels. Also, this medicine may cover up the symptoms of low blood sugar, such as a rapid pulse rate.
Metoprolol is used for a number of conditions, including hypertension, angina, acute myocardial infarction, supraventricular tachycardia, ventricular tachycardia, congestive heart failure, and prevention of migraine headaches. receptors in the heart, metoprolol is also prescribed for off-label use in performance anxiety, social anxiety disorder, and other anxiety disorders. Metoprolol is sold in formulations that can be taken by mouth or given intravenously. Side effects, especially with higher doses, include dizziness, drowsiness, fatigue, diarrhea, unusual dreams, trouble sleeping, depression, and vision problems. Metoprolol may also reduce blood flow to the hands or feet, causing them to feel numb and cold; smoking may worsen this effect. Due to the high penetration across the blood-brain barrier, lipophilic beta blockers such as propranolol and metoprolol are more likely than other less lipophilic beta blockers to cause sleep disturbances such as insomnia and vivid dreams and nightmares. Serious side effects that are advised to be reported immediately include symptoms of bradycardia (resting heart rate slower than 60 beats per minute), persistent symptoms of dizziness, fainting and unusual fatigue, bluish discoloration of the fingers and toes, numbness/tingling/swelling of the hands or feet, sexual dysfunction, erectile dysfunction, hair loss, mental/mood changes, depression, breathing difficulty, cough, dyslipidemia and increased thirst. Metoprolol belongs to the class of medications called beta-blockers. Metoprolol is used to treat high blood pressure and prevent the symptoms of certain types of angina (chest pain). It is also used to help reduce the risk of death right after a heart attack. Metoprolol is also taken by people who have had a heart attack to reduce the risk of having another one. Metoprolol is often used in combination with other high blood pressure medications such as diuretics (water pills) when the use of one medication by itself is not enough to control blood pressure. This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here.
It comes as immediate-release and extended-release oral tablets, and extended-release oral capsules. It also comes in an injectable form that’s only given by a healthcare provider. Metoprolol oral tablets are available as the brand-name drugs Lopressor and Toprol XL. Generic drugs usually cost less than the brand-name versions. In some cases, they may not be available in all strengths or forms as the brand-name drugs. The two brand-name forms of metoprolol (as well as the different generic forms) are different versions of the medication. They’re both metoprolol, but they contain different salt forms. The different salt forms enable the drugs to be used to treat different conditions. Metoprolol succinate is an extended-release version of metoprolol, so it remains in your bloodstream for a longer time. • Hypertension • Angina pectoris • Tachyarrhythmias, in particular supraventricular tachycardia • Maintenance treatment after a myocardial infarction • Prophylaxis of migraine Metoprolol is indicated in adults. Metoprolol tartrate tablets should be administered orally. The dose must always be adjusted to the individual requirements of the patient. The following are guidelines: Hypertension The usual dose is 100mg to 200mg daily, given as a single dose in the morning, or in divided doses (morning and evening). Dose increments should be at weekly intervals thereafter according to individual patient responses. If necessary, it may be taken in combination with other antihypertensive drugs. Angina pectoris The usual dose is 100 to 200 mg daily, given in divided doses (morning and evening). Dose increments should be at weekly intervals thereafter according to individual patient responses. Maximum dose, usually 200mg daily (in divided doses). If necessary, it may be taken in combination with other antianginal drugs. Cardiac arrhythmias The usual dose is 100 to 150 mg per day, in divided doses (in the morning and in the evening). Myocardial infarctions The oral treatment can be initiated once the patient is haemodynamically stable.
Metoprolol should be used with caution in patients with hyperthyroidism or thyrotoxicosis because the drug can mask tachycardia, which is a useful monitoring parameter in thyroid disease. Abrupt withdrawal of beta-blockers in a patient with hyperthyroidism can precipitate thyroid storm. Metoprolol Precautions. Back to Top. Serious side effects have been reported with metoprolol including the following heart failure. Worsening cardiac failure may.