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coating metoprolol tablets
(me TOE proe lole)
Lopressor, Toprol XL

What is the most important information I should know about metoprolol?
• Do not stop taking metoprolol without first talking to your doctor coating metoprolol tablets. Stoppingmetoprolol abruptly may cause your condition to become worse coating metoprolol tablets.
• Call your doctor immediately if you experience shortness of breath coating metoprolol tablets.
• Use caution when driving, operating machinery, or performing other hazardousactivities coating metoprolol tablets. Metoprolol may cause dizziness or drowsiness coating metoprolol tablets. If you experiencedizziness or drowsiness, avoid these activities coating metoprolol tablets.


What is metoprolol?
• Metoprolol is in a class of drugs called beta-blockers coating metoprolol tablets. Beta-blockersaffect the heart and circulatory system coating metoprolol tablets.
• Metoprolol is used to reduce hypertension (high blood pressure), to treatchest pain (angina), to treat heart failure, and to reduce the risk that a heartattack will recur coating metoprolol tablets.
• Metoprolol may also be used for purposes other than those listed in thismedication guide coating metoprolol tablets.


What should I discuss with my healthcare provider before taking metoprolol?
• Before taking metoprolol, tell your doctor if you have
· asthma;
· a heart problem such as low blood pressure, a slow heart rate, heartblock, sick sinus syndrome, a pacemaker, heart failure, and others;
· diabetes;
· depression;
· thyroid disease;
· kidney disease;
· liver disease; or
· any type of circulatory disease coating metoprolol tablets.
• You may not be able to take metoprolol, or you may require a dosage adjustmentor special monitoring during treatment if you have any of the conditions listedabove coating metoprolol tablets.
• Metoprolol is in the FDA pregnancy category C coating metoprolol tablets. This means that it isnot known whether metoprolol will harm an unborn baby coating metoprolol tablets. Do not take this medicationwithout first talking to your doctor if you are pregnant or could become pregnantduring treatment coating metoprolol tablets.
• Metoprolol passes into breast milk in small amounts and may affect anursing baby coating metoprolol tablets. Do not take metoprolol without first talking to your doctor ifyou are breast-feeding a baby coating metoprolol tablets.


How should I take metoprolol?
• Take metoprolol exactly as directed by your doctor coating metoprolol tablets. If you do not understandthese instructions, ask your pharmacist, nurse, or doctor to explain them toyou coating metoprolol tablets.
• Take each dose with a full glass of water coating metoprolol tablets.
• Take metoprolol with food or immediately following a meal coating metoprolol tablets.
• Do not crush or chew the extended-release tablets and capsules (e.g.,Toprol XL) coating metoprolol tablets. The tablets can be divided in half if prescribed by your doctorand the half tablet should be swallowed whole, without crushing or chewing coating metoprolol tablets. These tablets are specially formulated to release the medication slowly in thebody coating metoprolol tablets.
• Do not stop taking metoprolol without first talking to your doctor coating metoprolol tablets. Stoppingmetoprolol abruptly may cause your condition to become worse coating metoprolol tablets.
• Store this medication at room temperature away from moisture and heat coating metoprolol tablets.


What happens if I miss a dose?
• Take the missed dose as soon as you remember coating metoprolol tablets. If it is almost time forthe next dose however, skip the missed dose and take only the next regularlyscheduled dose coating metoprolol tablets. Do not take a double dose of this medication coating metoprolol tablets.


What happens if I overdose?
• Seek emergency medical attention coating metoprolol tablets.
• Symptoms of a metoprolol overdose include a slow heart beat, shortnessof breath, fainting, dizziness, weakness, confusion, nausea, and vomiting coating metoprolol tablets.


What should I avoid while taking metoprolol?
• Use caution when driving, operating machinery, or performing other hazardousactivities coating metoprolol tablets. Metoprolol may cause drowsiness, dizziness, and blood pressure changes coating metoprolol tablets. If you experience drowsiness or dizziness, avoid these activities coating metoprolol tablets.
• Use alcohol cautiously coating metoprolol tablets. Alcohol may increase drowsiness and dizzinesswhile you are taking this medication coating metoprolol tablets.
• Tell your doctor and dentist that you are taking this medication beforehaving surgery coating metoprolol tablets.


What are the possible side effects of metoprolol?
• If you experience any of the following serious side effects, stop takingmetoprolol and call your doctor immediately or seek emergency medical treatment:
· an allergic reaction (difficulty breathing; closing of the throat;swelling of the lips, tongue, or face; hives);
· wheezing or shortness of breath;
· an unusually slow or irregular heartbeat;
· swelling of the feet and lower legs;
· leg pain or cramping;
· sudden weight gain (more than 2 pounds in one day or 5 pounds in oneweek);
· chest (heart) pain;
· unusually cold or blue feet and hands; or
· skin rash coating metoprolol tablets.
• If you experience any of the following less serious side effects, continuetaking metoprolol and talk to your doctor:
· fatigue or confusion;
· headache or dizziness;
· weak pulse or mildly slow heart rate;
· diarrhea, constipation, gas, nausea, or vomiting;
· depression; or
· nightmares coating metoprolol tablets.
• Side effects other than those listed here may also occur coating metoprolol tablets. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome coating metoprolol tablets.


What other drugs will affect metoprolol?
• Before taking metoprolol, tell your doctor if you are taking
· a heart medication such as nifedipine (Procardia, Adalat), reserpine(Serpasil), verapamil (Calan, Verelan, Isoptin), diltiazem (Cardizem, DilacorXR), clonidine (Catapres), digoxin (Lanoxin), doxazosin (Cardura), guanadrel(Hylorel), prazosin (Minipress), or terazosin (Hytrin);
· a diabetes medication such as insulin, glyburide (Diabeta, Micronase,Glynase), glipizide (Glucotrol), chlorpropamide (Diabinese), or metformin (Glucophage);
· a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Motrin,Advil, others), naproxen (Aleve, Anaprox, Naprosyn, others), ketoprofen (Orudis,Orudis KT, Oruvail), and others;
· a respiratory medication such as albuterol (Ventolin, Proventil, Volmax,others), bitolterol (Tornalate), metaproterenol (Alupent, Metaprel), pirbuterol(Maxair), terbutaline (Brethaire, Brethine, Bricanyl), or theophylline (Theo-Dur,Theochron, Theolair, others), and others;
· the stomach medication cimetidine (Tagamet, Tagamet HB); or
· prescription or over-the-counter cough medicines, cold medicines, ordiet pills coating metoprolol tablets.
• Drugs other than those listed here may also interact with metoprololor affect your condition coating metoprolol tablets. Talk to your doctor and pharmacist before taking anyprescription or over-the-counter medicines, including herbal products coating metoprolol tablets.


Where can I get more information?
• Your pharmacist has additional information about metoprolol written forhealth professionals that your may read coating metoprolol tablets.



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