Examples of MAOIs include:. Taking heart rhythm drugs with metoprolol can slow down your heart rate too much. Examples of these drugs include:. Like metoprolol, these drugs are used to treat high blood pressure and several other heart problems. Combined with metoprolol, calcium channel blockers may slow your heart rate even more.
Doctors sometimes use this combination under close supervision. Drugs used to treat depression and other mood disturbances are processed in your body by the same systems as metoprolol. Using these drugs with metoprolol could increase the levels of metoprolol in your body. Alpha-blockers also lower blood pressure. They may decrease blood pressure too much when combined with metoprolol. Stopping the drug suddenly while also taking metoprolol can cause a big jump in blood pressure.
Ergot alkaloids, such as dihydroergotamine, narrow blood vessels to treat headaches. If you take them at the same time as metoprolol, they may cause dangerous narrowing of blood vessels. Dipyridamole is used for heart testing. All possible dosages and forms may not be included here.
Your dosage, form, and how often you take the drug will depend on:. Your body may process this drug more slowly. Your doctor may start you on a lowered dosage so that too much of this drug does not build up in your body. Too much of the drug in your body can be dangerous. Treatment with this drug is often started in the hospital with the intravenous formulation as soon as possible after a heart attack.
Treatment with the oral medication as noted below is begun if your body tolerates the intravenous dosing. For people with liver disease: Liver disease may affect your dosage. Your doctor can tell you more. Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages.
This information is not a substitute for medical advice. Always speak with your doctor or pharmacist about dosages that are right for you. Taking it again could be fatal cause death. A doctor may still prescribe it, but with careful monitoring. At higher doses, metoprolol can block different receptors on the breathing passages. This narrows the passages, which worsens asthma or COPD. For people with diabetes : Metoprolol may eliminate tremors and reduce heart rate.
Tremors and an increased heart rate are signs of low blood sugar. Without these signals, it becomes more difficult to recognize low blood sugar levels. For people with poor circulation: If you have poor circulation in your feet and hands, it may become worse when taking metoprolol. Because metoprolol reduces blood pressure, you may get even less blood to these parts of your body.
For pregnant women: Metoprolol is a category C pregnancy drug. That means two things:. For women who are breastfeeding: Metoprolol enters the breast milk and could be passed to your baby if you breastfeed while taking this drug. Talk to your healthcare provider before breastfeeding. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving metoprolol. Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. 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.
The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The presence of other medical problems may affect the use of this medicine.
Make sure you tell your doctor if you have any other medical problems, especially:. Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered.
Your dose may need to be changed several times in order to find out what works best for you. In addition to the use of this medicine, treatment for your high blood pressure may include weight control and changes in the types of food you eat, especially foods high in sodium salt.
Your doctor will tell you which of these are most important for you. You should first check with your doctor before changing your diet. Many patients who have high blood pressure will not notice any signs of the problem. In fact, many patients feel normal. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well.
Remember that this medicine will not cure your high blood pressure, but it does help control it. You must continue to take it as directed if you expect to lower your blood pressure and keep it down. You may have to take high blood pressure medicine for the rest of your life. If high blood pressure is not treated, it can cause serious problems such as heart failure, blood vessel disease, strokes, or kidney disease.
Take the tablet or extended-release tablet with a meal or just after you eat. You may break the extended-release tablet into two pieces, but swallow the two pieces whole and do not crush or chew them. The dose of this medicine will be different for different patients.
Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine.
Ask your pharmacist or doctor to teach you how to take your pulse. If your pulse is faster or slower than it should be, call your doctor. Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription. It is important for you to keep a written list of all of the prescription and nonprescription over-the-counter medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements.
You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies. Generic alternatives may be available. Metoprolol pronounced as me toe' proe lole.
Why is this medication prescribed? How should this medicine be used? Other uses for this medicine What special precautions should I follow? What special dietary instructions should I follow? What should I do if I forget a dose? What side effects can this medication cause? What should I know about storage and disposal of this medication? Brand names Brand names of combination products. Your doctor may start you on a low dose of metoprolol and gradually increase your dose.
Other uses for this medicine. What special precautions should I follow? Before taking metoprolol, tell your doctor and pharmacist if you are allergic to metoprolol, acebutolol Sectral , atenolol Tenormin, in Tenoretic , betaxolol, bisoprolol Zebeta, in Ziac , carvedilol Coreg, Coreg CR , esmolol Brevibloc , labetalol, nadolol Corgard, in Corzide , pindolol, propranolol Inderal, Inderal LA, Innopran XL, in Inderide , sotalol Betapace, Betapace AF, Sorine , timolol, any other medications, or any of the ingredients in metoprolol tablets.
Ask your pharmacist for a list of the ingredients. Be sure to mention any of the following: bupropion Aplenzin, Forfivo, Wellbutrin, Zyban , cimetidine, clonidine Catapres , diphenhydramine Benadryl , fluoxetine Prozac, Sarafem, Selfemra, in Symbyax , hydroxychloroquine, paroxetine Brisdelle, Paxil, Pexeva , propafenone Rythmol , quinidine, ranitidine Zantac , reserpine, ritonavir Norvir, in Kaletra , terbinafine Lamisil , and thioridazine. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
Your doctor may tell you not to take metoprolol. If you become pregnant while taking metoprolol, call your doctor. Do not drive a car or operate machinery until you know how this medication affects you.
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