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stopping metoprolol rebound hypertension

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stopping metoprolol rebound hypertension
(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 stopping metoprolol rebound hypertension. Stoppingmetoprolol abruptly may cause your condition to become worse stopping metoprolol rebound hypertension.
• Call your doctor immediately if you experience shortness of breath stopping metoprolol rebound hypertension.
• Use caution when driving, operating machinery, or performing other hazardousactivities stopping metoprolol rebound hypertension. Metoprolol may cause dizziness or drowsiness stopping metoprolol rebound hypertension. If you experiencedizziness or drowsiness, avoid these activities stopping metoprolol rebound hypertension.

What is metoprolol?
• Metoprolol is in a class of drugs called beta-blockers stopping metoprolol rebound hypertension. Beta-blockersaffect the heart and circulatory system stopping metoprolol rebound hypertension.
• 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 stopping metoprolol rebound hypertension.
• Metoprolol may also be used for purposes other than those listed in thismedication guide stopping metoprolol rebound hypertension.

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 stopping metoprolol rebound hypertension.
• 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 stopping metoprolol rebound hypertension.
• Metoprolol is in the FDA pregnancy category C stopping metoprolol rebound hypertension. This means that it isnot known whether metoprolol will harm an unborn baby stopping metoprolol rebound hypertension. Do not take this medicationwithout first talking to your doctor if you are pregnant or could become pregnantduring treatment stopping metoprolol rebound hypertension.
• Metoprolol passes into breast milk in small amounts and may affect anursing baby stopping metoprolol rebound hypertension. Do not take metoprolol without first talking to your doctor ifyou are breast-feeding a baby stopping metoprolol rebound hypertension.

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

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

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

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

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 stopping metoprolol rebound hypertension.
• 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 stopping metoprolol rebound hypertension.
• Side effects other than those listed here may also occur stopping metoprolol rebound hypertension. Talk to yourdoctor about any side effect that seems unusual or that is especially bothersome stopping metoprolol rebound hypertension.

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 stopping metoprolol rebound hypertension.
• Drugs other than those listed here may also interact with metoprololor affect your condition stopping metoprolol rebound hypertension. Talk to your doctor and pharmacist before taking anyprescription or over-the-counter medicines, including herbal products stopping metoprolol rebound hypertension.

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

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