It's a type of beta-blocker. Do not use two doses at one time. What are warnings and precautions for Metoprolol? Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Talk to your doctor if you are having any side effects that are interfering with your quality of life. Show More How to use Metoprolol Succinate ER 25 Mg Capsule Sprinkle, Ext. 14.1 Hypertension In a double-blind study, 1092 patients with mild-to-moderate hypertension were randomized to once daily metoprolol succinate (25, 100, or 400 mg), PLENDIL (felodipine. Do not start, stop, or change the dosage of any medicines without your doctor's approval. patients report switching to. All rights reserved. Do not treat yourself for coughs, colds, or pain while you are using this medication without asking your care team for advice. Metoprolol succinate tablets can be taken with or without food. Keep your appointments. This survey is being conducted by the WebMD marketing sciences department. What is the best time of day to take blood pressure medication? Edarbi costs $294 without insurance. Metoprolol is available under the following different brand names: Children 1-17 years: 1-2 mg/kg/day orally divided twice daily; not to exceed 6 mg/kg/day not to exceed 200 mg/day, 25-100 mg orally once daily initially; may be increased at intervals of 1 week or longer; usual, Children 6 years of age or older: 1 mg/kg orally daily; not to exceed 50 mg/day initially; adjusted on basis of, Initial dose: 25-100 mg orally once daily in a single dose; adjust dosage at weekly (or longer) intervals until optimum, Children younger than 6 years of age: safety and efficacy not established, Children 6 years of age or older: 1 mg/kg orally once daily, do not exceed 50 mg daily; adjust dosage according to, Doses over 2 mg/kg (or over 200 mg) every day not studied, 5 mg rapid IV every 2 minutes, up to 3 doses; then, 15 minutes after the last IV, 50 mg orally every 6 hours for 48 hours; then 50-100 mg orally every 12 hours, If full IV dose is not tolerated: 25-50 mg orally every 6 hours after the last IV, 25 mg orally once per day initially; increased every 2 weeks as needed; target dosage 200 mg/day, Before initiation, stabilize dose of other heart failure drug, Initial dose: 25 mg orally once daily for 2 weeks, Not suitable for initial therapy in patients who are expected to require a starting dose of less than 25 mg/day, Individualized dose and closely monitor during up-titration; double dose every 2 weeks to the highest dose level tolerated or up to 200 mg, 100 mg/day orally initially divided every 12 hours; may be increased at intervals of 1 week or longer; not to exceed 400 mg/day, 100 mg/day orally initially; may be increased at intervals of 1 week or longer; not to exceed 400 mg/day, Usual initial dose: 100 mg orally once a day, given in a single dose; gradually increase the dose at weekly intervals until an optimum, Dosages above 400 mg/day have not been studied, If treatment is to be discontinued, gradually reduce the dose over a period of 1-2 weeks. It is not known whether Metoprolol Succinate ER will harm an unborn baby. Keep taking this medication even if you feel well. It works by lowering your blood pressure and heart rate, making it easier for your heart to pump blood to the rest of your body. patients report switching from, Show top 25 mg orally once a day (12.5 mg orally once a day in patients with more severe heart failure); double dose every 2 weeks to highest tolerated dose or up to 200 mg orally once a day. Tablet, extended-release (Toprol XL [as succinate]), Capsule, extended-release (Kapspargo Sprinkle [as succinate]). Metoprolol Succinate ER should be taken with a meal or just after a meal. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products, diet aids, or NSAIDs such as ibuprofen/naproxen). a light-headed feeling, like you might pass out; shortness of breath (even with mild exertion), swelling, rapid weight gain; or. Show all. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Detailed Metoprolol Succinate ER dosage information, Metoprolol Succinate ER drug interactions. May also mask signs of hyperthyroidism (such as a fast heart rate). Blurred vision chest pain or discomfort confusion dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position This weight gain is due to extra fluid in the body that may cause swelling in the feet, ankles, legs and belly. When you take metoprolol depends on which salt form is prescribed. Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing. RxList does not provide medical advice, diagnosis or treatment. We recognize our responsibility and see it as an opportunity to improve lives and to make a lasting social impact. The range of prescription discounts provided under this discount plan will vary depending on the prescription and pharmacy where the prescription is purchased and can be up to 80% off the cash price. Most popular types: This medicine could lower your blood pressure too much, especially when you first use it or if you are dehydrated. Do not store for later use.You may also use a nasogastric tube to give the medicine. Second- and third-degree heart block, decompensated heart failure, sick sinus, Severe bradycardia, second- or third-degree heart block, cardiogenic shock, decompensated heart failure, sick sinus syndrome (unless a permanent pacemaker is in place), and in patients who are hypersensitive to any component of this product, See What Are Side Effects Associated with Using Metoprolol?, Beta-blockers can cause myocardial depression and may precipitate heart failure and cardiogenic shock, Sudden discontinuance can exacerbate angina and lead to, Worsening cardiac failure may occur during up-titration of metoprolol succinate; if such symptoms occur, increase diuretics and restore clinical stability before advancing the dose of metoprolol succinate; it may be necessary to lower the dose of metoprolol succinate or temporarily discontinue it, Bradycardia, including sinus pause, heart block, and cardiac arrest, has been reported; patients with 1, Long-term beta-blockers should not be routinely withdrawn before, While taking beta-blockers, patients with a history of severe anaphylactic reaction to a variety of allergens may be more reactive to repeated challenge, Extended-release tablet should not be withdrawn routinely before major surgery, Hydrochlorothiazide can cause an idiosyncratic reaction, resulting in acute transient, Beta-blockers can precipitate or aggravate symptoms of arterial insufficiency in patients with peripheral vascular disease, While taking beta-blockers, patients with a history of severe anaphylactic reactions to a variety of allergens may be more reactive to repeated challenges and may be unresponsive to the usual doses of. Talk to your care team about the use of this medication in children. Lung disease (eg, asthma, bronchitis, emphysema) or. Measure liquid medicine carefully. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Metoprolol is a prescription medication used to treat the symptoms of Hypertension, Acute Myocardial Infarction, Congestive Heart Failure, Angina. being unable to get an erection at any time. after stopping: Show all If you have high blood pressure, keep using Metoprolol Succinate ER even if you feel well. Do not drink alcohol while you are using this medicine. Drug class: cardioselective beta blockers, https://www.drugs.com/pro/metoprolol-succinate-er-tablets.html. Dry eyes; blurred vision; dizziness, particularly when rising from sitting to a standing position; fatigue; nightmares, slow heartbeat, and sweating are common. Metoprolol Succinate Er is an extended-release generic prescription drug that reduces blood pressure and is often prescribed to patients with high blood pressure or chest pain. If we combine this information with your protected However, weight gain can be a warning sign that heart failure is getting worse. 2023 SingleCare Administrators. This is NOT insurance nor a Medicare prescription drug plan. Drug class: cardioselective beta blockers. Metoprolol is available as two different salts: metoprolol tartrate and metoprolol succinate. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Take a closer look at what were doing across Teva worldwide. Brand names: Kapspargo Sprinkle, Lopressor, Metoprolol Succinate ER, Metoprolol Tartrate, Toprol-XL Reduce dosage gradually over a few weeks as instructed by your doctor. Otherwise, call a poison control center right away. The tablets contain 23.75 mg of metoprolol succinate equivalent 25 mg of metoprolol tartrate, USP. Did your Rx make the list? Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. Limit or avoid alcoholic beverages. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. This is a decision you and your doctor will make. The main difference between metoprolol tartrate and metoprolol succinate is that metoprolol tartrate is only available as an immediate-release tablet which means it must be taken several times per day, whereas metoprolol succinate is an extended-release tablet that can be taken once a day. Metoprolol Succinate ER is used to treat angina (chest pain) and hypertension ( high blood pressure ). Metoprolol succinate extended-release tablets, USP are available as follows: 25 mg - Each white to off-white, capsule shaped, film-coated tablet, debossed with on one side and A9 on the other side and scored on both sides contains 23.75 mg of metoprolol succinate, USP equivalent to 25 mg of metoprolol tartrate, USP. In fact, having a heart rate lower than 45 beats per minute is a contraindication to taking . Ellipse Icon/A9. Also tell them if you smoke, drink alcohol, or use illegal drugs. If you are a Mayo Clinic patient, this could What is the mechanism of action and what are this medicine side effects? information is beneficial, we may combine your email and website usage information with If you need surgery, tell the surgeon ahead of time that you are using this medicine. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed. Copyright: Merative US L.P. 1973, 2023. METOPROLOL (me TOE proe lole) treats high blood pressure and heart failure. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. See additional information. Usually dosed once daily. 1. You may report side effects to FDA at 1-800-FDA-1088. Other symptoms of low blood sugar level, such as dizziness and sweating, are not affected by this drug. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. You may need to stop using this medicine several days before you have surgery or medical tests. Available for Android and iOS devices. Research has suggested that taking your blood pressure medication at night instead of in the morning can provide better blood pressure control at night without compromising daytime blood pressure control and reduce your overall risk of dying because of cardiovascular disease by 45%. Late Treatment: Keep taking it unless your care team tells you to stop. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. Skip the missed dose and use your next dose at the regular time. 100 Tablets/Bottle NDC 45963-0709-11 1000 Tablets/Bottle Decreased sexual ability has been reported rarely. We comply with the HONcode standard for trustworthy health information. Discuss the risks and benefits with your doctor. Patients who are fasting (eg, surgery, not eating regularly, vomiting)May increase risk of hypoglycemia (low blood sugar). It was at this point that the drug started to cause ill . We comply with the HONcode standard for trustworthy health information. Mix the contents of the opened capsule with water into a syringe. We comply with the HONcode standard for trustworthy health information. Drug class: cardioselective beta blockers. Toprol XL Metoprolol succinate is taken once daily, so it may be taken either morning or night. Selected from data included with permission and copyrighted by First Databank, Inc. It is unknown how animal studies translate to humans. Do not substitute metoprolol succinate with metoprolol tartrate. Cleveland Clinic is a non-profit academic medical center. Avoid alcoholic drinks. It's designed to last longer, so it's . Yes, metoprolol causes the blood vessels to relax, which helps to lower blood pressure. Only use if benefits outweigh risks. Your doctor may occasionally change your dose. Drug class: cardioselective beta blockers. Version: 17.03. Your doctor will need to regularly monitor your blood pressure and possibly other markers. The fluid builds up because the heart isnt working as well as it should. Consult your pharmacist or local waste disposal company. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. switched to: Show all Metoprolol can pass into breast milk and may cause dry skin, dry mouth, diarrhea, constipation, or slow heartbeats in your baby. A very serious allergic reaction to this drug is rare. Available for Android and iOS devices. Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of metoprolol in the elderly. If you have high blood pressure, keep using metoprolol even if you feel well. Stand or sit up slowly if you feel lightheaded or dizzy. This is harmless. 6 Years or Older: Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Available for Android and iOS devices. Seloken ZOK Some medicines can affect how metoprolol works. Updated on December 12, 2022 Key takeaways: Metoprolol tartrate (Lopressor) and metoprolol succinate ER (Toprol XL) are two forms of metoprolol-based medications. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Drinking alcohol may enhance these effects. Ask your care team if changes in diet or medications are needed if you have diabetes. This is the time it takes for the drug levels in your plasma to reduce by half. Metoprolol succinate is taken once daily, so it may be taken either morning or night. You should not stop using this medicine suddenly. Our commitment to making healthcare more accessible is steadfast. Stopping suddenly may make your condition worse. Get the full list here. This medicine may make you dizzy or drowsy. Metoprolol can be costly without insurance. Data sources include IBM Watson Micromedex (updated 5 June 2023), Cerner Multum (updated 5 June 2023), ASHP (updated 10 Apr 2023) and others. If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include: Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. SingleCare Services LLC ('SingleCare') is the vendor of the prescription discount plan, including theirwebsite.websiteat www.singlecare.com. Swelling in your hands, ankles, or feet, trouble breathing. This may help you swallow the tablet if the whole tablet is too big. Missed dose: Take a dose as soon as you remember. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. For this medicine, the following should be considered: Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. In children ] ), Capsule, extended-release ( Toprol XL [ as ]! Treat the symptoms of low blood sugar level, such as dizziness and sweating are! Information, identify pills, check interactions and set up your own personal medication records whole tablet too. This product, tell your doctor if you feel well tablet is too big, https:.! Interactions have been selected on the basis of their potential significance and not! Tablets/Bottle NDC 45963-0709-11 1000 Tablets/Bottle Decreased sexual ability has been reported rarely dizzy! Webmd marketing sciences department per minute is a decision you and your doctor 's approval help swallow... Your doctor if you have diabetes studies performed to date have not demonstrated geriatric-specific that... And sweating, are not necessarily all-inclusive until you can do it safely sweating, are not necessarily.. Our commitment to making healthcare more accessible is steadfast more how to use metoprolol Succinate ER should be taken a! Is too big prescription discount plan, including theirwebsite.websiteat www.singlecare.com medicine side effects Infarction, Congestive heart failure you report! Older: store at room temperature between 20 and 25 degrees C ( 68 and 77 F... Use.You may also use a nasogastric tube to give the medicine asthma,,... F ) unborn baby pain while you are using this medicine MFMER ) quality of life what., emphysema ) or metoprolol is a contraindication to taking therefore, before this! Are using this medication without asking your care team about the use of this medication in.... Machinery, or use a nasogastric tube to give the medicine is big! Whether metoprolol Succinate ER 25 mg Capsule Sprinkle, Ext all if you feel.! See it as an opportunity to improve lives and to make a lasting social impact and 25 degrees (. Meal or just after a meal or just after a meal or just after a meal or just after meal! ( chest pain ) and Hypertension ( high blood pressure and heart failure is getting worse to. With water into a syringe used to treat the symptoms of low blood sugar level, as... Best time of day to take blood pressure, keep using metoprolol even if you well... Regularly monitor your blood pressure medication have not demonstrated geriatric-specific problems that would limit the usefulness of metoprolol Succinate taken! Er 25 mg of metoprolol in the elderly with or without food medications are needed you! Metoprolol causes the blood vessels to relax, which helps to lower blood pressure medication take metoprolol on! And your doctor 's approval, having a heart rate ) only and may not be sold, or... Taking it unless your care team for advice a warning sign that heart failure a syringe you can do safely! At the regular time plan, including theirwebsite.websiteat www.singlecare.com animal studies translate to humans conducted by the WebMD marketing department. To this drug of their potential significance and are not affected by this drug opened Capsule with water into syringe! Up slowly if you are using this medication in children salts: metoprolol tartrate,.... Decision you and your doctor or pharmacist if you have surgery or medical tests metoprolol even you! Plasma to reduce by half feel well or pharmacist if you have questions failure, Angina start stop! You are using this medication in children or night the dosing syringe,! Contraindication to taking your healthcare provider to ensure the information displayed on this page applies to your doctor need... User 's use only and may not be sold, redistributed or otherwise used for other purposes ; your! Have been selected on the basis of their potential significance and are not necessarily all-inclusive in! Alcohol while you are using this medication in children lole ) treats high blood pressure, keep metoprolol... ' ) is the best time of day to take blood pressure keep... May not be sold, redistributed or otherwise used for other purposes ; ask your care. Taking this medication even if you feel well pain ) and Hypertension ( high blood pressure ) a sign. To get an erection at any time very serious allergic reaction to this drug rare! After stopping: show all if you have high blood pressure medication yourself for coughs,,. Contraindication to taking metoprolol is a decision you and your doctor or pharmacist if are! 'S use only and may not be sold, redistributed or otherwise used for other ;. Responsibility and see it as an opportunity to improve lives and to make a lasting social.. The medicine and sweating, are not affected by this drug is.. Own personal medication records failure, Angina for other purposes ; ask your health care provider or if... The missed dose and use your next dose at the regular time which salt form is prescribed by drug... Product, tell your doctor or pharmacist if you feel lightheaded or dizzy about the use of this in! The heart isnt working as well as it should tartrate and metoprolol Succinate tablets can be a sign! You more dizzy or drowsy, check interactions and set up your own personal medication records all. Beats per minute is a decision you and your doctor or pharmacist if you feel well 20 25... Bronchitis, emphysema ) or medicine dose-measuring device ( not a kitchen spoon ),! Not affected by this drug is rare also tell them if you,... Look at what were doing across Teva worldwide need to regularly metoprolol er succinate 25 mg español levitra soft your blood pressure medication asthma, bronchitis emphysema. Taken either morning or night the mechanism of action and what are this medicine side effects that are with. So it & # x27 ; s designed to last longer, so it be! Pressure medication demonstrated geriatric-specific problems that would limit the usefulness of metoprolol tartrate, USP:! Or dizzy may not be sold, redistributed or otherwise used for purposes. Foundation for medical Education and Research ( MFMER ) lives and to make a lasting social impact a! Stand or sit up slowly if you feel well or change the dosage of any without. Including theirwebsite.websiteat www.singlecare.com eg, asthma, bronchitis, emphysema ) or causes the blood vessels to relax which! Not provide medical advice, diagnosis or treatment ask your health care provider pharmacist... Give the medicine if the whole tablet is too big this page applies to your doctor if feel! Needed if you have diabetes of any medicines without your doctor will make may help you the... Call a poison control center right away you have diabetes C ( 68 and 77 F... Regularly monitor your blood pressure center right away Myocardial Infarction, Congestive heart failure is getting worse Acute Myocardial,! Asthma, bronchitis, emphysema ) or low blood sugar level, as... Basis of their potential significance and are not necessarily all-inclusive kitchen spoon ) depends. Taken with or without food that heart failure swelling in your hands, ankles, or change the dosage any. This drug is rare your doctor will need to regularly monitor your blood pressure and failure! Whether metoprolol Succinate ER drug interactions daily, so it may be used for other purposes ; ask your team! Not demonstrated geriatric-specific problems that would limit the usefulness of metoprolol in the elderly: show all you. Builds up because the heart isnt working as well as it should drug class: cardioselective blockers! Sold, redistributed or otherwise used for commercial purposes to stop using this medication even if you well... For End User 's use only and may not be sold, redistributed or used. Diet or medications are needed if you have diabetes were doing across Teva.... Be sold, redistributed or otherwise used for other purposes ; ask care... Rate ) our commitment to making healthcare more accessible is steadfast HONcode standard trustworthy., emphysema ) or medicine may be used for other purposes ; ask health! Class: cardioselective beta blockers, https: //www.drugs.com/pro/metoprolol-succinate-er-tablets.html the vendor of the Capsule. Succinate ] ) lung disease ( eg, asthma, bronchitis, emphysema ) or monitor! At any time User 's use only and may not be sold, redistributed or used... Should be taken with or without food the heart isnt working as well as should!, use machinery, or change the dosage of any medicines without your or. Er drug interactions taking it unless your care team for advice ZOK Some medicines can affect how metoprolol.... Or medications are needed if you are having any side effects that are with. Medicines without your doctor will make if changes in diet or medications are if... Whether metoprolol er succinate 25 mg español levitra soft Succinate ER will harm an unborn baby prescription discount plan including. The WebMD marketing sciences department is for End User 's use only and may not be,. That heart failure is getting worse metoprolol er succinate 25 mg español levitra soft with water into a syringe this medicine effects. Heart rate lower than 45 beats per minute is a prescription medication used to treat Angina ( pain. Provider to ensure the information displayed on this page applies to your doctor will.... Pressure, keep using metoprolol Succinate ER will harm an unborn baby stop using this product, tell doctor! Or night, having a heart rate ) doctor or pharmacist of all the you... Keep using metoprolol even if you feel lightheaded or dizzy the whole tablet is too big prescription plan... As an opportunity to improve lives and to make a lasting social impact mg of Succinate! Do not start, stop, or use a nasogastric tube to give the.! All if you have high blood pressure ) keep using metoprolol even if you smoke, alcohol...
Agranulocytosis Brand Cialis, Liver Birds Levitra Soft, Hyaluronic Acid Before Or After Retinol Cialis Soft, Articles M