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metoprolol

Pronunciation: me TOE pro lol

Brand: Lopressor, Metoprolol Succinate ER, Metoprolol Tartrate, Toprol-XL

Metoprolol 100 mg-CAR

capsule, white, imprinted with 167

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Metoprolol 100 mg-GG

round, white, imprinted with GG 415

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Metoprolol 100 mg-MUT

oval, yellow, imprinted with MP 185

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Metoprolol 100 mg-MYL

round, blue, imprinted with M 47

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Metoprolol 100 mg-TEV

round, blue, imprinted with 93 734

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Metoprolol 100 mg-WAT

round, blue, imprinted with WATSON 463

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Metoprolol 25 mg-MYL

round, white, imprinted with M 18

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Metoprolol 50 mg-CAR

oblong, white, imprinted with 166

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Metoprolol 50 mg-GG

round, white, imprinted with GG 414

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Metoprolol 50 mg-MUT

oval, orange, imprinted with MP 184

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Metoprolol 50 mg-MYL

round, pink, imprinted with M 32

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Metoprolol 50 mg-TEV

round, pink, imprinted with 93 733

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Metoprolol 50 mg-WAT

round, pink, imprinted with WATSON 462

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Metoprolol Succinate 25mg Tablet

round, white, imprinted with 293

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Toprol XL 100 mg

round, white, imprinted with AMS

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Toprol XL 200 mg

elliptical, white, imprinted with A MY

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Toprol XL 25 mg

oval, white, imprinted with A B

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Toprol XL 50 mg

round, white, imprinted with AMO

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What is the most important information I should know about metoprolol?

Multum donot

You should not use this medication if you are allergic to metoprolol, or if you have a serious heart problem such as heart block, sick sinus syndrome, or slow heart rate.

Before taking metoprolol, tell your doctor if you have congestive heart failure, low blood pressure, circulation problems, pheochromocytoma, asthma or other breathing problems, diabetes, depression, liver or kidney disease, a thyroid disorder, or severe allergies.

Multum dizzy

Metoprolol may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Multum noalcohol

Drinking alcohol can increase certain side effects of metoprolol.

Multum donot

Do not stop taking metoprolol without first talking to your doctor. Stopping suddenly may make your condition worse.

Multum emt

If you need surgery, tell the surgeon ahead of time that you are using metoprolol.

Metoprolol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.

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 is metoprolol?

Metoprolol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).

Metoprolol is used to treat angina (chest pain) and hypertension (high blood pressure). It is also used to treat or prevent heart attack.

Metoprolol may also be used for other purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking metoprolol?

Multum donot

You should not use this medication if you are allergic to metoprolol, or if you have a serious heart problem such as heart block, sick sinus syndrome, or slow heart rate.

If you have any of these other conditions, you may need a dose adjustment or special tests:

  • congestive heart failure;
  • low blood pressure;
  • pheochromocytoma;
  • problems with circulation (such as Raynaud's syndrome);
  • asthma, bronchitis, emphysema;
  • diabetes;
  • depression;
  • liver or kidney disease;
  • a thyroid disorder; or
  • severe allergies.
Multum nopreg

FDA pregnancy category C. It is not known whether metoprolol will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

Multum nobrfeed

Metoprolol can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take metoprolol?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Take metoprolol at the same time every day.

Multum food

Metoprolol should be taken with food or just after a meal.

Multum nocrush

A Toprol XL tablet can be divided in half if your doctor has told you to do so. The half tablet should be swallowed whole, without chewing or crushing. Chewing or crushing the pill could cause too much of the drug to be released at one time.

Multum donot

Do not skip doses or stop taking metoprolol without first talking to your doctor. Stopping suddenly may make your condition worse.

Your blood pressure will need to be checked often. Visit your doctor regularly.

Multum emt

If you need surgery, tell the surgeon ahead of time that you are using metoprolol.

Metoprolol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.

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.

Multum rt

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Multum emt

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

Overdose symptoms may include slow or uneven heartbeats, shortness of breath, bluish-colored fingernails, dizziness, weakness, or fainting.

What should I avoid while taking metoprolol?

Multum dizzy

Metoprolol may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert.

Multum noalcohol

Drinking alcohol can increase certain side effects of metoprolol.

What are the possible side effects of metoprolol?

Multum emt

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Multum donot

Call your doctor at once if you have any of these serious side effects:

  • chest pain, pounding heartbeats or fluttering in your chest;
  • feeling light-headed, fainting;
  • feeling short of breath, even with mild exertion;
  • swelling of your hands or feet;
  • nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
  • easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin;
  • wheezing, trouble breathing;
  • depression, confusion, memory problems, hallucinations; or
  • cold feeling in your hands and feet.

Less serious side effects may include:

  • dry mouth, constipation, heartburn, vomiting, diarrhea;
  • decreased sex drive, impotence, or difficulty having an orgasm;
  • headache, drowsiness, tired feeling;
  • sleep problems (insomnia); or
  • anxiety, nervousness.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect metoprolol?

Tell your doctor about all other medicines you use, especially:

  • cimetidine (Tagemet);
  • clonidine (Catapres);
  • digoxin (digitalis, Lanoxin);
  • ritonavir (Norvir, Kaletra);
  • terbinafine (Lamisil);
  • a diuretic (water pill);
  • cold medicines, stimulant medicines, or diet pills;
  • anti-malaria medications such as chloroquine (Aralen) or hydroxychloroquine (Plaquenil, Quineprox);
  • medicine to treat depression or mental illness, such as bupropion (Wellbutrin, Zyban), fluoxetine (Prozac, Sarafem), paroxetine (Paxil), thioridazine (Mellaril), and others;
  • an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate);;
  • a diabetes medication such as insulin, glyburide (Diabeta, Micronase, Glynase), glipizide (Glucotrol), chlorpropamide (Diabinese), or metformin (Glucophage);
  • a heart medication such as diltiazem (Cardizem, Cartia, Dilacor, Diltia, Diltzac, Taztia, Tiazac), nifedipine (Procardia, Adalat), propafenone (Rythmol), quinidine (Quin-G), reserpine (Serpasil), verapamil (Calan, Covera, Isoptin, Verelan, Tarka); or
  • medicine for asthma or other breathing disorders, such as albuterol (Ventolin, Proventil), bitolterol (Tornalate), metaproterenol (Alupent), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), and theophylline (Aquaphyllin, Asmalix, Elixophyllin, Theolair, Theosol).

This list is not complete and other drugs may interact with metoprolol. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about metoprolol.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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