|
Metoprolol
Metoprolol is a prescription medicine licensed to treat several conditions related to the heart and blood vessels. It is part of a class of drugs called beta blockers. Metoprolol is sold under the brand names Lopressor® and Toprol-XL®. Both versions are also available in generic form. Lopressor ( metoprolol tartrate) is the immediate-release form of the drug, while Toprol-XL ( metoprolol succinate) is the extended-release form.
Are There Any Side Effects?
As with any medicine, side effects are possible with metoprolol. However, not everyone who takes it will experience problems. Most people have no problems with the drug. If side effects do occur, they are often minor and either require no treatment or can easily be treated by you or your healthcare provider. Serious side effects are less common.
The most common side effects include:
(Click Metoprolol Side Effects to learn more, including potentially serious side effects you should report to your healthcare provider.)
You can read about specific side effects in the following eMedTV articles:
What Should I Tell My Healthcare Provider?
Prior to taking this medication, you should tell your healthcare provider if you have:
Also, let your healthcare provider know if you:
Tell your healthcare provider about all other medicines you may be taking, including prescription and non-prescription medicines, antacids, vitamins, and herbal supplements.
This medication has been licensed to treat a number of conditions. The uses for the immediate-release form include:
Uses for the extended-release form include treatment for:
The medication may also be recommended " off-label" for other reasons, such as treatment for migraines or anxiety. Metoprolol has not been licensed for use in children, although it is often used to treat specific conditions in children.
Metoprolol is part of a class of drugs called beta-adrenergic blocking agents, or beta blockers for short. As the name implies, these drugs block beta receptors, which are located in a number of places within the body, including the heart and blood vessels. These receptors are what stress hormones (such as adrenaline) attach to, causing certain reactions in the body. These reactions can include increases in:
- Heart rate
- The force with which the heart pumps blood
- Blood pressure (both systolic and diastolic).
Metoprolol helps to block a specific type of beta receptor called beta-1 receptors. By blocking them, the medication causes the reverse effect of these stress hormones. It decreases heart rate and both systolic and diastolic blood pressure, as well as the workload of the heart. This means that the heart requires less blood and oxygen to work properly.
Metoprolol is a beta-1 selective (or cardioselective) beta blocker. This means that it mostly blocks beta-1 receptors, especially at normal doses. However, it can block beta-2 receptors in the lungs to some extent, especially at higher dosages. This can lead to breathing problems, especially in people with asthma or similar conditions.
For people with congestive heart failure, the effects of this drug on the heart and blood vessels have been shown to result in a decrease in hospitalizations and loss of life from congestive heart failure.
When and How to Take Metoprolol
Some general considerations for when and how to take metoprolol include the following:
- The medication comes in tablet form. Depending on the form and your healthcare provider's recommendation, it is taken either once or twice a day.
- Metoprolol should be taken with or immediately after a meal.
- The extended-release tablets should not be crushed or chewed. However, they may be cut in half along the score line without causing any problems. The immediate-release tablets can be cut, chewed, or crushed if necessary.
- Metoprolol should be taken at the same time(s) each day to maintain an even level in your blood.
- For the medication to work properly, you have to take it as prescribed. Metoprolol will not work if you stop taking it.
- You should not stop taking the drug without first discussing it with your healthcare provider. Stopping it abruptly increases the risk for serious side effects (see Metoprolol Warnings and Precautions).
The dose of metoprolol your healthcare provider recommends will vary, depending on a number of factors, including:
- Your age
- The form (immediate-release or extended-release)
- The medical condition being treated
- Other medical conditions you may have
- Other medications you may be taking
- How you respond to metoprolol.
As is always the case, do not adjust your dose unless your healthcare provider specifically instructs you to do so.
What If I Take an Overdose?
People who take too much metoprolol may have overdose symptoms that could include but are not limited to:
If you happen to take too much, seek immediate medical attention.
How Should Metoprolol Be Stored?
Metoprolol should be stored at room temperature in a dry place. The tablets should be kept in an airtight, light-resistant container.
Keep this and all medications out of the reach of children.
What Should I Do If I Miss a Dose?
If you do not take your metoprolol as scheduled, take your missed dose as soon as you remember. If it is almost time for your next dose, skip the missed one and continue with your regular schedule. Never take a double dose.
Is There a Generic Version?
Both versions of this medication are available in generic form (see Generic Metoprolol for more information).
Who Makes Metoprolol?
Metoprolol is manufactured by a number of different companies, depending on whether it is the brand-name or generic version. Lopressor is manufactured by Novartis Pharmaceuticals, while AstraZeneca makes Toprol-XL. A number of companies make the generic versions of metoprolol, including:
- KV Pharmaceutical
- Mylan Laboratories
- Sandoz
- Teva Pharmaceuticals
- Watson Pharmaceuticals.
- Lopressor or generic metoprolol tartrate 50 mg
- Lopressor or generic metoprolol tartrate 100 mg.
The extended-release tablets also come in several strengths, including:
- Toprol-XL or generic metoprolol succinate 25 mg
- Toprol-XL or generic metoprolol succinate 50 mg
- Toprol-XL or generic metoprolol succinate 100 mg
- Toprol-XL or generic metoprolol succinate 200 mg.
|
|
Written by/reviewed by: Kristi Monson, PharmD; Arthur Schoenstadt, MD
Last reviewed by: Kristi Monson, PharmD;
|
Other Articles in This eMedTV Presentation
|
|
