Metoprolol may worsen the symptoms of heart failure in some patients. Check with your doctor right away if you are having chest pain or discomfort, dilated neck veins, extreme fatigue, irregular breathing or heartbeat, shortness of breath, swelling of the face, fingers, feet, or lower legs, or weight gain. Do not suddenly stop taking this medicine without first checking with your doctor. Your doctor may want you to gradually reduce the amount you are taking before stopping it completely. Some conditions may become worse when the medicine is stopped suddenly, which can be dangerous. This medicine may cause changes in blood sugar levels. Also, this medicine may cover up the symptoms of low blood sugar, such as a rapid pulse rate. METOPROLOL TARTRATE IMMEDIATE RELEASE TABLETS: Initial dose: 100 mg orally per day in single or divided doses Maintenance dose: 100 to 450 mg orally per day Comments: -May increase dose at weekly, or longer, intervals. -Lower once-daily doses may not maintain full effect at the end of the 24-hour period; larger or more frequent daily doses may be required. Beta-1 selectivity diminishes as the dose is increased. METOPROLOL SUCCINATE EXTENDED RELEASE TABLETS: Initial dose: 25 to 100 mg orally once a day Maintenance dose: 100 to 400 mg orally once a day Comments: -May increase dose at weekly, or longer, intervals. Initial dose: -Metoprolol tartrate immediate release tablets: 50 mg orally twice a day -Metoprolol succinate extended release tablets: 100 mg orally once a day Maintenance dose: 100 to 400 mg per day Comments: -Increase dose at weekly intervals until optimum clinical response has been obtained or pronounced slowing of heart rate occurs. METOPROLOL TARTRATE: Early Treatment: Initial dose: 5 mg IV every 2 minutes as tolerated for 3 doses -Patients tolerant of full IV dose (15 mg): 50 mg orally every 6 hours starting 15 minutes after the last IV dose and continued for 48 hours -Patients intolerant of full IV dose (15 mg): 25 or 50 mg orally every 6 hours depending on the degree of intolerance starting 15 minutes after the last IV dose or as soon as their clinical condition allows Late Treatment: Maintenance dose: 100 mg orally twice a day Comments: -Patients with contraindications to treatment during the early phase of suspected or definite myocardial infarction, patients who appear not to tolerate the full early treatment, and patients in whom the physician wishes to delay therapy for any other reason should be started on 100 mg orally twice a day as soon as their clinical condition allows. -Continue therapy for at least 3 months; efficacy beyond 3 months has not been conclusively established; data from studies with other beta blockers suggest a treatment duration of 1 to 3 years. Use: Treatment of hemodynamically stable patients with definite or suspected acute myocardial infarction to reduce cardiovascular mortality. Treatment with the IV formulation can be initiated as soon as the patient's clinical condition allows. Alternatively, treatment can begin within 3 to 10 days of the acute event. Prednisone kidney side effects Sildenafil daily dose Where can i buy viagra in auckland If you have breathing problems and your doctor prescribed metoprolol for you. Warnings and Precautions before Taking Metoprolol Succinate Read warnings and precautions about Metoprolol Succinate. Always consult your physician before starting, stopping or switching from a prescribed medication. PRECAUTIONS Before taking metoprolol, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. Metoprolol belongs to the class of medications called beta-blockers. Metoprolol is used to treat high blood pressure and prevent the symptoms of certain types of angina (chest pain). It is also used to help reduce the risk of death right after a heart attack. Metoprolol is also taken by people who have had a heart attack to reduce the risk of having another one. Metoprolol is often used in combination with other high blood pressure medications such as diuretics (water pills) when the use of one medication by itself is not enough to control blood pressure. This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here. Metoprolol is used for a number of conditions, including hypertension, angina, acute myocardial infarction, supraventricular tachycardia, ventricular tachycardia, congestive heart failure, and prevention of migraine headaches. receptors in the heart, metoprolol is also prescribed for off-label use in performance anxiety, social anxiety disorder, and other anxiety disorders. Metoprolol is sold in formulations that can be taken by mouth or given intravenously. Side effects, especially with higher doses, include dizziness, drowsiness, fatigue, diarrhea, unusual dreams, trouble sleeping, depression, and vision problems. Metoprolol may also reduce blood flow to the hands or feet, causing them to feel numb and cold; smoking may worsen this effect. Due to the high penetration across the blood-brain barrier, lipophilic beta blockers such as propranolol and metoprolol are more likely than other less lipophilic beta blockers to cause sleep disturbances such as insomnia and vivid dreams and nightmares. Serious side effects that are advised to be reported immediately include symptoms of bradycardia (resting heart rate slower than 60 beats per minute), persistent symptoms of dizziness, fainting and unusual fatigue, bluish discoloration of the fingers and toes, numbness/tingling/swelling of the hands or feet, sexual dysfunction, erectile dysfunction, hair loss, mental/mood changes, depression, breathing difficulty, cough, dyslipidemia and increased thirst. Metoprolol precautions Reference ID 4213163 - FDA, Metoprolol Succinate Warnings Treato Cheap proscar uk Metoprolol tartrate safety and efficacy have not been established in patients younger than 18 years. Metoprolol succinate safety and efficacy have not been established in patients younger than 6 years. Consult WARNINGS section for additional precautions. Dialysis. Data not available. Other Comments. Administration advice Metoprolol Dosage Guide with Precautions -. METOPROLOL EXTENDED RELEASE - ORAL side effects, medical.. Precautions and Warnings With Metoprolol Succinate - eMedTV. Metoprolol. Precautions. • History of heart failure. • First degree AV block. • Diabetes Mellitus patient receiving insulin or oral hypoglycaemics. Contraindications. Metoprolol tartrate Lopressor is a routine, immediate-release tablet, while metoprolol succinate Toprol XL is an extended-release tablet computer. 1,2 A shortage of common metoprolol succinate has actually demanded switching some people to alternate therapy. Metoprolol succinate oral Precautions Before taking metoprolol, tell your doctor or pharmacist if you are allergic to it; or to other beta-blockers such as atenolol, propranolol; or if you have any other allergies.