Metoprolol Dosing

There are several possible dosages of metoprolol; the one your healthcare provider recommends will depend on the medical condition being treated and your age, among other things. For the treatment of high blood pressure with immediate-release metoprolol, dosing recommendations generally start at 100 mg once a day or 50 mg twice a day. With extended-release metoprolol, the recommended starting dosage is 25 mg to 100 mg once daily.

Dosing With Metoprolol: An Introduction

The dose of metoprolol (Lopressor^®, Toprol-XL^®) your healthcare provider recommends will vary, depending on a number of factors, including:

Your age
The form of metoprolol (immediate-release or extended-release)
The medical condition being treated
Other medical conditions you may have
Other medications you may be currently taking
How you respond to metoprolol.

Metoprolol Dosage for High Blood Pressure

The recommended starting dose of immediate-release metoprolol tartrate (Lopressor) for people with high blood pressure is 100 mg once a day or 50 mg twice a day. With extended-release metoprolol succinate (Toprol-XL), the recommended starting dosage is 25 mg to 100 mg once a day. After a week or longer, based on the blood pressure response and/or metoprolol side effects, the metoprolol dosage may be increased or decreased. Your healthcare provider may also add a diuretic (a "water pill") or another blood pressure medication if your condition is not controlled by metoprolol alone.

The maximum recommended daily dose of immediate-release metoprolol for this use is 450 mg, and the maximum daily dosage of extended-release metoprolol is 400 mg.

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