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Table of Contents > Drug > Metoprolol Print

Metoprolol

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Notes
Related terms
Uses
Dosing
Safety
Author information

Notes

    Related terms
    • Brand Names: U.S.: Lopressor®;Toprol-XL®
    • Brand Names: Canada: Apo-Metoprolol (Type L®);Apo-Metoprolol SR®;Apo-Metoprolol®;Betaloc®;Dom-Metoprolol;JAMP-Metoprolol-L;Lopressor®;Metoprolol Tartrate Injection, USP;Metoprolol-25;Metoprolol-L;Mylan-Metoprolol (Type L);Nu-Metop;PHL-Metoprolol;PMS-Metoprolol;Riva-Metoprolol;Sandoz-Metoprolol (Type L);Sandoz-Metoprolol SR;Teva-Metoprolol
    • Mexican Brand Names: Lopresor;Mezelol;Nipresol;Promiced;Seloken-Zok
    • Pharmacologic Category: Beta Blocker, Beta-1 Selective

    Uses
    • It is used after a heart attack to stop future heart attacks and lengthen life.
    • It is used to help a weak heart.
    • It is used to treat chest pain or pressure.
    • It is used to treat a fast heartbeat.
    • It is used to treat high blood pressure.
    • It is used to treat side effects caused by drugs that are used for mood.
    • It is used to stop tremor (essential).
    • It is used to stop migraine headaches.
    • It is used to stop performance anxiety.
    • It is used to treat bold or forceful actions.
    • Metoprolol blocks chemicals that fire up the body.

    Dosing

    How to take

    • Take as you have been told, even if you are feeling better.
    • Take this drug at the same time of day.
    • Follow the diet and workout plan that your doctor told you about.
    • Short-acting products:
    • Take this drug with food.
    • Tablet can be crushed and mixed with food or liquid.
    • There is a liquid (suspension) if you cannot swallow pills. Shake well before use.
    • Long-acting products:
    • Take with or without food. Take with food if it causes an upset stomach.
    • Swallow whole. Do not chew or crush.
    • Tablet may be broken in half.
    • Shot:
    • It is given as a shot into a vein.

    Missed Dose

    • Take a missed dose as soon as you think about it.
    • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
    • Do not take 2 doses at the same time or extra doses.
    • Do not change the dose or stop this drug. Talk with the doctor.

    Storage

    • Store at room temperature.
    • Protect tablets from water. Do not store in a bathroom or kitchen.
    • Store liquid (suspension) at room temperature or in a refrigerator. Do not freeze. Throw away any part not used after 2 months.
    • Protect liquid (suspension) from light.
    • The shot will be given to you in a hospital or doctor's office. You will not store it at home.

    Safety



    Warnings

    • Do not all of a sudden stop taking this drug. To avoid side effects, you will want to slowly stop it.
    • Unsafe side effects may happen. This drug cannot be taken while you are taking some other drugs. Check all the drugs you are taking with your doctor.

    Avoid

    • If you have an allergy to metoprolol or any other part of this drug.
    • Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
    • If you have any of these health problems: Poor blood flow to the legs, Raynaud's disease, or a slow heartbeat without a working pacemaker.
    • If you are more than 12 weeks pregnant.

    Precautions

    • Do not run out of this drug.
    • Wear disease medical alert ID (identification).
    • If you have any blood flow problems, talk with your doctor.
    • If you have high blood sugar (diabetes) and have low blood sugar, talk with your doctor. This drug hides the signs of low blood sugar except sweating.
    • If you have liver disease, talk with your doctor.
    • If you have lung disease, talk with your doctor.
    • If you have mental illness, talk with your doctor.
    • If you have myasthenia gravis, talk with your doctor.
    • Have your blood pressure and heart rate checked often. Talk with your doctor.
    • Check all drugs you are taking with your doctor. This drug may not mix well with some other drugs.
    • If you are taking this drug and have high blood pressure, talk with your doctor before using OTC products that may raise blood pressure. These include cough or cold drugs, diet pills, stimulants, ibuprofen or like products, and some natural products or aids.
    • You may not be alert. Avoid driving and doing other tasks or actions until you see how this drug affects you.
    • Avoid beer, wine, mixed drinks, or other drugs and natural products that slow your actions.
    • Tell your doctor if you are pregnant or plan on getting pregnant.
    • Use birth control that you can trust to stop pregnancy while taking this drug.
    • Tell your doctor if you are breast-feeding.

    Side Effects

    • Feeling lightheaded, sleepy, having blurred eyesight, or a change in thinking clearly. Avoid driving and doing other tasks or actions that call for you to be alert or have clear eyesight until you see how this drug affects you.
    • Feeling dizzy. Rise slowly over a few minutes when sitting or lying down. Be careful climbing.
    • Change in sex ability. This most often goes back to normal.
    • Feeling tired or weak.
    • Low mood (depression).
    • Loose stools.
    • Slow heartbeat.

    Contact a healthcare provider

    • If you think there was an overdose, call your local poison control center or ER right away.
    • Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; or swelling of face, lips, tongue, or throat.
    • Signs of low mood (depression), thoughts of killing yourself, nervousness, emotional ups and downs, thinking that is not normal, anxiety, or lack of interest in life.
    • Very bad dizziness or passing out.
    • Trouble breathing.
    • A big weight gain.
    • Feeling very tired or weak.
    • Any rash.
    • Health problem is not better or you are feeling worse.

    General Statements

    • If you have a very bad allergy, wear an allergy ID at all times.
    • Do not share your drugs with others and do not take anyone else's drugs.
    • Keep all drugs out of the reach of children and pets.
    • Most drugs may be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
    • In Canada, take any unused drugs to the pharmacy. Also, visit http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/med/disposal-defaire-eng.php#th to learn about the right way to get rid of unused drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Call your doctor for help with any side effects. If in the U.S., you may also call the FDA at 1-800-FDA-1088 or if in Canada, you may also call Health Canada's Vigilance Program at 1-866-234-2345.
    • Talk with the doctor before starting any new drug, including OTC, natural products, or vitamins.

    Author information
    • Copyright © 1978-2010 Lexi-Comp Inc. All rights reserved.

    Copyright © 2011 Natural Standard (www.naturalstandard.com)


    The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.

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