Toprol-XL (Metroprolol)

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toprol xl

What Is Toprol-XL?

Metroprolol is a type of beta blocker that works to help circulation going in the heart and the arteries and veins.

This medication has been used to treat angina, or otherwise referred to as chest pain as well as high blood pressure, or hypertension.

There are a number of other purposes that his product can treat that you may not find in the medication guide.

Essential Information to Know

Avoid using this medication if you suffer with heart conditions. This can include angina, sick sinus syndrome, bradycardia, and heart block. If you have circulation issues, heart failure or a history of having a slow heart beat you should not take this medication as it can make your conditions worse.

What to Talk to Your Healthcare Provider About

If you have an allergic reaction to metroprolol or any other beta-blocker you should avoid this medication. Some examples of these other beta blockers can include:

  • Carvedilol
  • Labettalol
  • Nadolol
  • Propranolol
  • Sotalol
  • Atenolol

If you have any of these you should talk to your doctor as well:

  • Serious heart problems such as bradycardia
  • Circulation complications
  • History of slow heart beats that caused any fainting spells
  • Heart failure that required hospitalization

You should tell your doctor if you have any of the following to ensure metroprolol is safe for you to take:

  • Asthma
  • COPD
  • Sleep apnea or any other difficulty with breathing
  • Thyroid disorders
  • Pheochromocytoma
  • Liver disease
  • CHF
  • Raynaud’s syndrome (circulation complications)

This drug is in the FDA pregnancy category C. It is not known whether metoprolol will have any negative side effects to an unborn baby or child. If you plan on becoming pregnant while taking this medication you should talk to your doctor.

Metoprolol can pass into breast milk and can have negative side effects on the baby who is breastfeeding. Tell your doctor if you plan on nursing your child.

Side Effects Of Metroprolol

If you begin noticing allergic reaction symptoms you should contact your health care provider.

If you have any of the following contact your doctor:

  • Cold hands or feet
  • Slow heartbeats
  • Light-headed feeling
  • Shortness of breath
  • Swelling or rapid weight gain

Common side effects may include:

  • dizziness, tired feeling
  • confusion, memory problems
  • nightmares, trouble sleeping
  • diarrhea; or
  • mild itching or rash

Report any side effects to the FDA who can be reached at 1-800-FDA-1088. There are other side effects that you may not find in the medication guide.

What Drugs Interact with Metroprolol?

Be sure to inform your doctor of all medicines that you are currently taking  as some drugs may interact with metroprolol. Some of these include:

  • bupropion
  • terbinafine
  • prazosin
  • antidepressants–bupropion, clomipramine, desipramine, duloxetine, fluoxetine, fluvoxamine, paroxetine, sertraline
  • ergot medicine–dihydroergotamine, ergonovine, ergotamine, methylergonovine
  • heart or blood pressure medications–amlodipine, clonidine, digoxin, diltiazem, dipyridamole, hydralazine, methyldopa, nifedipine, quinidine, reserpine, verapamil, and others
  • an MAO inhibitor–isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, tranylcypromine
  • medicine to treat mental illness–chlorpromazine, fluphenazine haloperidol, thioridazine

This list is not complete. Other drugs may interact with metoprolol, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

Things to Avoid While Taking Metroprolol

Metroprolol can interact with thinking and reactions in some people. If you have to drive do so with caution as well as other activities that requires you to be alert.

Drinking alcohol can have an increased effect on people taking metroprolol.

Dosage Instructions for Taking Metroprolol

You should read the label and follow instructions as far as taking this medication. Your doctor may at some points change the dosage to ensure you receive optimal results. Avoid taking this in larger doses or smaller doses for longer than is recommended.

You should take this medication at the same time every day and with a small glass of juice or after a meal.

While using metoprolol, you may need frequent blood tests at your doctor’s office. Your blood pressure will need to be checked often.

You should not stop using metoprolol suddenly. Stopping suddenly may make your condition worse.

If you are being treated for high blood pressure, keep using this medication even if you feel well. High blood pressure often has no symptoms. You may need to use blood pressure medication for the rest of your life.

What to Do if You Take More Than Recommended

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What if a Dose is Missed?

You should take the medication as soon as you remember. However, if you know you have another dose coming up soon, take that dose and begin taking your doses on time. Do not take a double dose as this can cause certain complications for some people.

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