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

This drug works by blocking the action of particular natural chemicals in your body (such as for example epinephrine) that affect the heart and arteries. This reduces heart rate, blood pressure, and pressure on the heart.

OTHER USES: This section contains uses of this drug which are not listed in the approved US labeling that is professional the drug but which may be prescribed by your health care professional. Use this drug for a condition that is listed in this part as long as this has been therefore prescribed by your medical care expert.

This medication may also be used for irregular heartbeats, migraine headache prevention, and after a severe heart attack to improve survival.

How to use Toprol XL

See also Warning section.

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

Never crush or chew extended-release tablets. Doing so can launch all of the drug at once, increasing the risk of side effects. Additionally, do not divide the pills 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 risk of negative effects, your doctor may direct you to start out this medication at a low dose and slowly increase your dosage. Follow your physician's directions very carefully.

Utilize this medicine regularly to obtain the benefit that is most from it. Each day to help you remember, take it at the same time. Do not unexpectedly stop taking this medication without consulting your medical practitioner. Your condition may become even worse when the drug is suddenly stopped.

For the therapy of hypertension, it may take many weeks before you have the benefit that is full of drug. It is necessary to carry on taking this medicine even if you feel good. A lot of people with high blood pressure don't feel sick.

A second heart attack, or migraine headaches, it is very important to take this medication regularly as prescribed to prevent chest pain. This drug ought not to be properly used to treat chest 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 pharmacist or doctor for details.

Tell your doctor if your condition will not improve or if it worsens (for example, if your blood that is routine pressure remain high or enhance, if the chest pain or migraines happen more regularly).

Side Effects

Drowsiness, dizziness, tiredness, diarrhea, and heartbeat that is slow occur. Decreased sexual ability has been reported rarely. If some of these effects persist or worsen, inform your doctor or pharmacist promptly.

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

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

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

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

Inform 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 apparent symptoms of heart failure (such as swelling ankles/feet, severe tiredness, shortness of breathing, unexplained/sudden weight gain), mental/mood modifications (such as confusion, mood swings, depression).

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

This will be maybe not a complete list of possible side effects. If you notice other effects not listed above, contact your pharmacist or doctor.

In the US -

Call your doctor for medical advice about adverse effects. You could 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 adverse impacts. You may report effects that are side Health Canada at 1-866-234-2345.


Before taking metoprolol, tell your physician or pharmacist if you are allergic to it; or to other beta-blockers (such as atenolol, propranolol); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergy symptoms or other problems. Talk to your pharmacist for more details.

Before by using this medication, tell your doctor or pharmacist your medical history, specially of: specific kinds of heart rhythm dilemmas (such as for instance a heartbeat that is slow second- or third-degree atrioventricular block, sick sinus syndrome), difficulty in breathing (such as for instance asthma, chronic bronchitis, emphysema), liver illness, serious sensitive responses, including those needing treatment with epinephrine, blood blood circulation issues (such as Raynaud's disease, peripheral vascular illness), mental/mood disorders (particularly despair), a certain muscle tissue 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 low blood sugar degree, such as for instance dizziness and sweating, are unaffected by this medication. This product may also make it harder 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 may need certainly to adjust your diabetes medication, exercise regime, or diet.

Before having surgery, tell your doctor or dentist about all the products you employ (including prescribed 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 maternity, this medication should be used only when plainly needed. It may harm an baby that is unborn. Discuss the risks and advantages with your medical practitioner.

This medication passes into breast milk. Discuss the potential risks and benefits with your medical professional before breast-feeding.

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