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This medication is a beta-blocker used to treat chest discomfort (angina), heart failure, and blood pressure that is high. Lowering high blood pressure helps avoid shots, heart attacks, and kidney problems.

This drug works by blocking the action of specific natural chemicals in your body (such as epinephrine) that affect the heart and bloodstream. This lowers heart rate, blood pressure, and pressure on the heart.

OTHER USES: This section contains uses of this drug that aren't listed in the authorized US professional labeling for the drug but that could be prescribed by your health care professional. Use this drug for a disorder that is listed in this area as long as it offers been so prescribed by your medical care expert.

This medication could also be used for irregular heartbeats, migraine headache prevention, and after an acute coronary attack to enhance survival.

How to use Toprol XL

See also Warning section.

Take this medication by mouth, with or immediately after a meal, as directed by your medical practitioner, usually as soon as daily. The dosage is based on your medical condition and response to treatment.

Usually do not crush or chew extended-release tablets. Doing so can launch all of the drug at once, increasing the chance of side effects. Also, do not divide the tablets you to do so unless they have a score line and your doctor or pharmacist tells. Swallow the whole or tablet that is split crushing or chewing.

To lessen your threat of negative effects, your doctor may direct you to start out this medication at a dose that is low slowly increase your dosage. Follow your medical professional's instructions carefully.

Use this medicine regularly to have the most benefit from it. Each day to help you remember, take it at the same time. Do not abruptly stop taking this medication without consulting your doctor. Your condition might become worse whenever the drug is suddenly stopped.

For the treatment of raised blood pressure, it could take weeks before you get the full benefit of this drug. It's important to continue taking this medication even if you feel great. Most people with high blood pressure levels usually do not feel sick.

To prevent chest pain, a second heart attack, or migraine headaches, it is very important to take this medication regularly as prescribed. This drug should not be properly used to treat upper body pain or migraines when they occur. Use other medications to relieve attacks that are sudden directed by your doctor (for example, nitroglycerin tablets placed under the tongue for chest pain, "triptan" drugs such as sumatriptan for migraines). Consult your doctor or pharmacist for details.

Inform your doctor if your condition will not improve or if it worsens (for example, in case your routine blood pressure readings remain high or increase, should your chest pain or migraines occur more frequently).

Unwanted Effects

Drowsiness, dizziness, tiredness, diarrhea, and heartbeat that is slow occur. Decreased sexual ability has been reported hardly ever. If any of these effects persist or worsen, tell your doctor or pharmacist immediately.

To cut back the risk of dizziness and lightheadedness, get fully up slowly when rising from a sitting or position that is lying.

An empty tablet shell may appear in your stool with some brands of this medication. This is safe.

This medication may reduce bloodstream flow to your hands and feet, causing them to feel cold. Smoking may aggravate this effect. Dress warmly and avoid tobacco use.

Remember your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have side that is serious.

Tell your doctor right away if any of these not likely but serious adverse effects happen: very slow heartbeat, severe dizziness, fainting, blue fingers/toes, difficulty breathing, new or worsening signs and symptoms of heart failure (such as for example swelling ankles/feet, severe tiredness, shortness of breath, unexplained/sudden weight gain), mental/mood changes (such as confusion, mood swings, despair).

A very severe allergic reaction to this drug is rare. However, get help that is medical away if you notice any symptoms of a severe allergic response, including: rash, itching/swelling (especially of the face/tongue/throat), serious dizziness, trouble breathing.

This is certainly perhaps not a list that is complete of side effects. If you notice other effects not listed above, contact your pharmacist or doctor.

In the usa -

Call your physician for medical advice about unwanted effects. You might report effects that are side Food And Drug Administration at 1-800-FDA-1088 or at

In Canada - Phone your medical professional for medical advice about side impacts. You may report adverse effects to Health Canada at 1-866-234-2345.


Before taking metoprolol, tell your doctor or pharmacist in the event that you have any other allergies if you are allergic to it; or to other beta-blockers (such as atenolol, propranolol); or. This product may contain inactive ingredients, which can cause allergic reactions or other issues. Talk to your pharmacist for more details.

Before by using this medicine, tell your doctor or pharmacist your medical history, especially of: particular types of heart rhythm issues (such as for instance a slow heartbeat, second- or third-degree atrioventricular block, sick sinus problem), difficulty in breathing (such as asthma, chronic bronchitis, emphysema), liver infection, serious allergic responses, including those needing treatment with epinephrine, blood blood circulation problems (such as Raynaud's illness, peripheral vascular illness), mental/mood problems (such as for example despair), a certain muscle disease (myasthenia gravis).

You would usually feel when your blood sugar level falls too low (hypoglycemia) if you have diabetes, this product may prevent the fast/pounding heartbeat. Other symptoms of a blood that is low level, such as dizziness and sweating, are unaffected by this drug. This product may make it harder also to control your blood sugar levels. Check your blood sugar levels regularly as directed by your doctor. Tell your doctor right away if you have symptoms of high blood sugar such as increased thirst/urination. Your doctor might need to adjust your diabetes medication, exercise regime, or diet.

Before having surgery, tell your physician or dental practitioner about all the products you employ (including prescription drugs, nonprescription drugs, and herbal products).

This drug might make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness you can perform such activities safely until you are sure. Limit beverages that are alcoholic.

During pregnancy, this medication should be used only if demonstrably required. It may harm an baby that is unborn. Discuss the potential risks and advantages with your physician.

This medication passes into breast milk. Discuss the risks and advantages with your doctor before breast-feeding.

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