Symptoms of an overdose of this drug can include: If you think you’ve taken too much of this drug, call your doctor or seek guidance from the American Association of Poison Control Centers at 800-222-1222 or through their online tool. Treatment with this drug is often started in the hospital with the intravenous formulation as soon as possible after a heart attack. Some brands have a score line to help you break the tablet and make it easier to swallow. Swallow the capsule whole and do not crush, chew, break, or open it. Lopressor comes in two strengths: 50 milligrams (mg) and … So did you actually crush or chew it, or did you swallow the part you bit off? Lopressor is metoprolol tartrate, while Toprol-XL is metoprolol succinate. Talk to your healthcare provider before breastfeeding. Check the information leaflet for your brand to see if you can do this. This can be harmful or prevent the drug from working well. If you take them at the same time as metoprolol, they may cause dangerous narrowing of blood vessels. Metoprolol should be taken with a meal or just after a meal. It also comes in an injectable form that’s only given by a healthcare provider. This puts a strain on the heart and increases the body’s oxygen demand. If you develop these symptoms, call 911 or go to the nearest emergency room. The elderly may be less sensitive to the antihypertensive effects of the drug, however, reduced excretion may increase generally the potency of beta-blockers in this population. Metoprolol is available in the form of a tablet and an extended-release tablet. You should always consult your doctor or other healthcare professional before taking any medication. https://www.the-hospitalist.org/hospitalist/article/124093/crush-or-not-crush Because metoprolol reduces blood pressure, you may get even less blood to these parts of your body. Examples of these drugs include: Clonidine must be carefully managed if it’s combined with metoprolol. Administer metoprolol with meals or directly after eating. Both versions of metoprolol belong to a class of drugs called beta-blockers. When should you not take metoprolol? breathing problems such as shortness of breath, cough, and wheezing, bradycardia (heart rate that’s slower than normal), Cold hands and feet. For people with asthma or COPD: Generally, people with asthma or chronic obstructive pulmonary disease (COPD) shouldn’t take metoprolol. Dosage for people younger than 6 years hasn’t been established. For seniors: Seniors may need a smaller dosage of metoprolol at first. Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date. An interaction is when a substance changes the way a drug works. I could crush it and put it in apple sauce? Metoprolol (generic Lopressor) is a beta blocker that is sometimes prescribed to lower blood pressure and reduce the risk of heart attacks, strokes, and kidney problems in people with hypertension.If your doctor prescribes you this medication, he or she may also encourage you to implement a regular exercise routine. Read about the link between these conditions and the treatment…, © 2004-2021 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Take apical pulse before administering. Don’t stop taking metoprolol suddenly. Oxford researchers plan a COVID-19 reinfection human challenge trial, How COVID-19 has changed the face of the natural world, Mouse study reveals brain pathways linked to Parkinson's, Fifteen good foods for high blood pressure. Take the medicine at the same time each day. It comes as immediate-release and extended-release oral tablets, and extended-release oral capsules. Ask a doctor before using this medicine if you are breast-feeding. Keep these considerations in mind if your doctor prescribes metoprolol oral tablet for you. For children: The immediate-release form of the drug has not been established as safe or effective in children. Serious side effects and their symptoms can include the following: Metoprolol oral tablet can interact with other medications, vitamins, or herbs you may be taking. Taking it again could be fatal (cause death). To help avoid interactions, your doctor should manage all of your medications carefully. The dose of this medicine will be different for different patients. For people with liver disease: Liver disease may affect your dosage. Metoprolol is a treatment and not a cure for the conditions it is used to treat. Metoprolol, which is sold under the brand name Lopressor, is in a group of drugs called beta-blockers 1.Metroprolol is mainly prescribed to treat high blood pressure and angina, according to Drugs.com 1.Metoprolol may increase potassium levels in the body, according to Drugs.com 1 2.Taking metoprolol with potassium chloride may cause further increase in potassium levels in your blood 1 2. Take metoprolol with food. That means two things: If you’re pregnant and have high blood pressure, speak with your healthcare provider about your treatment options during pregnancy. Metoprolol is a beta blocker and with asthma it is given with caution as it usually increases symptoms. Don’t crush the extended-release tablet. If you stop taking the drug or don’t take it at all: You risk: Also, if you suddenly stop taking metoprolol for high blood pressure, chest pain, or after a heart attack, you raise your risk of heart attack. Don't chew or crush it. Metoprolol is used to treat angina and hypertension (high blood pressure).It is also used to lower your risk of death or needing to be hospitalized for heart failure.. Metoprolol injection is used during the early phase of a heart attack to lower the risk of death. If you only broke it and swallowed it, the website says it's okay. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. Tablet Do not divide, crush, chew or disperse3,4 1,4 Alternate bisphosphonate available as injection3 ALLOPURINOL Allopurinol-Apotex Tablet Scored, may be halved3 DB-Allopurinol Tablet Scored, may be halved3 ALUMINIUM HYDROXIDE Alu-Tab Tablet Film coated. Metoprolol is a beta-blocker that affects the heart and circulation (blood flow through arteries and veins). This in turn helps decrease blood pressure and reduce chest pain. This drug can cause a severe allergic reaction. If you have severe pain, talk with your doctor. Metoprolol Succinate extended-release tablets are scored and can be divided; however, do not crush or chew the whole or half tablet. If <50 bpm or if arrhythmia occurs, withhold medication and notify health care professional. Without these signals, it becomes more difficult to recognize low blood sugar levels. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional, University of Illinois-Chicago, Drug Information Group, Metoprolol may interact with other medications, Important considerations for taking metoprolol, The Recovery Room: News beyond the pandemic — April 23. All possible dosages and forms may not be included here. This information is not a substitute for medical advice. If you do, you may experience worse chest pain, a jump in blood pressure, or even have a heart attack. A doctor may still prescribe it, but with careful monitoring. You can cut the immediate-release tablet. Examples of calcium channel blockers include: Drugs used to treat depression and other mood disturbances are processed in your body by the same systems as metoprolol. Can hide symptoms of low blood sugar, so be careful taking Toprol XL (metoprolol succinate) if you have diabetes. Metoprolol can be divided in half if told to do so by your healthcare provider. Metoprolol is taken orally daily at the same time every day unless specified differently by your healthcare provider. If you take too much: You could have dangerous levels of the drug in your body. Yes, you can split or crush metoprolol tartrate. Always speak with your doctor or pharmacist about dosages that are right for you. Is there a link between COVID-19 and Parkinson’s disease? I was taking 1/2 tab twice a day. Symptoms can include: If you develop these symptoms, call 911 or go to the nearest emergency room. Swallow the half-tablet whole, without chewing or crushing. Too much of the drug in your body can be dangerous. It works by relaxing blood vessels and slowing heart rate to improve blood flow and … Don’t store this medication in moist or damp areas, such as bathrooms. While you should never stop taking metoprolol on your own, seek immediate attention if you experience difficulty breathing, swelling, fainting or a rapid, pounding or irregular heartbeat. Metoprolol oral tablet can cause certain side effects. Beta-blockers work by preventing norepinephrine (adrenalin) from acting on beta receptors in blood vessels and in the heart. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. For people with poor circulation: If you have poor circulation in your feet and hands, it may become worse when taking metoprolol. This is the most serious warning from the Food and Drug Administration (FDA). If you experience any of these symptoms, call your doctor as soon as you can. What is the link between anxiety and high blood pressure? Using these drugs with metoprolol could increase the levels of metoprolol in your body. Talk to your doctor about other drug options that may work for you. Dr. Bennett Werner answered. Ask Your Own Pharmacy Question. Metoprolol comes as immediate-release and extended-release tablets, and an extended-release capsule. Metoprolol Tartrate should be taken with a meal or just after a meal. Metoprolol succinate Toprol XL b,Tablet Slow-release f Mifepristone Mifeprex Tablet Oxytocic ... crushed—can clog feeding tube; can administer sevelamer carbonate (Renvela) packets via feeding tube Tacrolimus Prograf b,Capsule Immunosuppressive j Continue to take metoprolol even if you feel well. Certain foods are scientifically shown to reduce high blood pressure, including berries, bananas…, Anxiety may cause high blood pressure, and high blood pressure may also cause anxiety. For women who are breastfeeding: Metoprolol enters the breast milk and could be passed to your baby if you breastfeed while taking this drug. j'ÁÚ¹h¢±&c_ËI}÷pHöQ~cÔM)ne±Ê§8ì%3C¡LÄàÜÔÐpÖ:eSÍÕ1+ÒQ:gÂAh?Ó{ zt(n²£´Ô5CæÍÆrh\3þñâ$Þh=BlcPê¥ÏD8|âÏ\ø+O] >J,Ô&|2uX8"\ø´c#tƹÃ\XjKÓ^NÆ´1æKUìÇ¡k'@ö¡Ix(Ú8Á©O=I«ðøQ ÃÃq©åÑLß. This medication changes how your heart beats, so it can have a range of effects. If you miss doses or don’t take the drug on schedule: Not taking metoprolol every day, skipping days, or taking doses at different times of day also come with risks. Can crush; mix powder with 5-10mL water, and give immediately.4 The different salt forms enable the drugs to be used to treat different conditions. Certain allergies may exacerbate any reactions to the drug, this can include being unresponsive to epinephrine. PO . damaging your blood vessels or main organs, such as your lungs, heart, or liver. That might increase your risk for a heart attack. Your dosage should be gradually decreased under a doctor’s supervision. This causes blood vessels to relax. This drug has a black box warning. Metoprolol oral tablet can be used either as a short-term drug or a long-term drug. I also can't take much for dose of Metoprolol as it's primary purpose is for blood pressure but it is also used as one of first line drugs for Afib. Taking metoprolol with reserpine and monoamine oxidase inhibitors (MAOIs) may increase or add to the effects of metoprolol. Do not confuse metoprolol tartrate with metoprolol succinate. At higher doses, metoprolol can block different receptors on the breathing passages. … Metoprolol tartrate is an immediate-release version of metoprolol. For people with diabetes: Metoprolol may eliminate tremors and reduce heart rate. Call your doctor right away if you have serious side effects. Metoprolol Succinate extended-release tablets are scored and can be divided; however, do not crush or chew the whole or half tablet. Call 911 if your symptoms feel life-threatening or if you think you’re having a medical emergency. Because metoprolol affects your heart rate, you should stop taking it before you’re given dipyridamole to help ensure an accurate test result. The extended-release form of this drug can be used to treat high blood pressure in children 6 years of age or older. Don't do it again: From Astra-Zeneca (the manufacturer) "Toprol XL tablets are scored and can be divided in 2, however do not crush or chew the whole or half tablet." You may briefly store the drug at temperatures as low as 59°F (15°C) and as high as 86°F (30°C). Don’t crush the extended-release tablet. You shouldn’t crush or chew Lopressor. Metoprolol is in a class of medications called beta blockers. To find out how this drug might interact with something else you’re taking, talk to your doctor or pharmacist. Swallow the tablets whole with a drink of water. NDA 19-962 /S-032 Page 3 METOPROLOL SUCCINATE EXTENDED-RELEASE TABLETS TABLETS: 25 MG, 50 MG, 100 MG, AND 200 MG Rx only DESCRIPTION Metoprolol succinate, is a beta1-selective (cardioselective) adrenoceptor blocking agent, for oral administration, available as … They’re also available as generic drugs. Don't stop taking this medicine suddenly. These headaches are a sign that the medicine is working. Metoprolol may be used as part of a combination therapy. They may decrease blood pressure too much when combined with metoprolol. Do not chew or crush your half tablet. Both forms of metoprolol — metoprolol tartrate (Lopressor) and metoprolol succinate (Toprol-XL) — are used to: However, metoprolol tartrate is also used to treat and prevent heart attacks, while metoprolol succinate is also used to treat heart failure. Metoprolol Succinate extended-release tablets intended for once daily administration. Symptoms can include, hands and feet that are cold and may be painful, Very slow heart rate (severe bradycardia), tiredness that gets progressively worse each day, feelings of hopelessness or worthlessness, lack of interest in hobbies you once enjoyed, antihistamines, including diphenhydramine, antimalarial drugs, such as hydroxychoroquine and quinidine. It also comes in an injectable form that’s only given by a healthcare provider. Taking metoprolol 25 mg tablets can cause some more common serious side effects that affect how your body functions 2. What to do if you miss a dose: If you miss a dose, just take the next dose as planned. Disclaimer: Our goal is to provide you with the most relevant and current information. Metoprolol oral tablet is available as generic drugs and as brand-name drugs. That means you may have to take it with hydrochlorothiazide or chlorthalidone. Taking it with food will allow your stomach to digest it better. You can take metoprolol with or without food, but it’s best to do the same each day. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. Blood pressure is often raised because blood vessels are tightened. Examples of drugs that can cause interactions with metoprolol are listed below. However, you can cut the tablet along the score marks (the groove on the tablet) if your doctor recommends a smaller dose. However, you can cut the tablet along the score marks (the groove on the tablet) if your doctor recommends a smaller dose. Doctors sometimes use this combination under close supervision. Swallow Toprol XL (metoprolol succinate) whole. Metoprolol is a prescription drug. But if your symptoms are severe, call 911 or go to the nearest emergency room right away. Combined with metoprolol, calcium channel blockers may slow your heart rate even more. Dipyridamole is used for heart testing. Swallow the capsule whole and do not crush, chew, break, or open it. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. Swallow the capsule whole and do not crush, chew, break, or open it. This drug may cause nausea. It comes with serious risks if you don’t take it as prescribed. If you need to stop taking the drug, first talk to your doctor. Do not stop using the medicine or change the time you use it in order to avoid the headaches. Generic drugs usually cost less than the brand-name versions. Don’t double your dose. However, you can cut Lopressor tablets in half. Examples of MAOIs include: Taking heart rhythm drugs with metoprolol can slow down your heart rate too much. In some cases, they may not be available in all strengths or forms as the brand-name drugs. This narrows the passages, which worsens asthma or COPD. Alpha-blockers also lower blood pressure. A class of drugs is a group of medications that work in a similar way. Metoprolol can pass into breast milk and may cause dry skin, dry mouth, diarrhea, constipation, or slow heartbeats in your baby. For pregnant women: Metoprolol is a category C pregnancy drug. MNT is the registered trade mark of Healthline Media. Metoprolol can be used safely in geriatric patients, however some patients may have unpredictable responses to beta-blockers. This medicine may cause headaches. By relaxing the blood vessels, beta-blockers help to lower the heart rate and decrease the heart’s demand for oxygen. These drugs are often used to treat similar conditions. The dosage may then increase gradually. There haven’t been enough studies done in humans. Variable: Metoprolol is a beta blocker and the dose range can be quite variable. Treatment with the oral medication as noted below is begun if your body tolerates the intravenous dosing. Toprol XL (metoprolol succinate) tablets can be divided, but not crushed. A black box warning alerts doctors and patients about drug effects that may be dangerous. Your body may process this drug more slowly. Be sure to tell your doctor about all medications, vitamins, or herbs you’re taking. They may also increase lightheadedness or slow your heart rate more. Some may be better suited for you than others. It may take a few weeks before you start to notice the benefits of the medication. ... Anafranil 25mg, and I want to take less than 25 the first night, there is no splitting line, but in the manual it says you can … Don’t take this drug again if you’ve ever had an allergic reaction to it. Tremors and an increased heart rate are signs of low blood sugar. Stopping metoprolol is not recommended. There are other drugs available to treat your condition. Your blood pressure might fluctuate too often. Ergot alkaloids, such as dihydroergotamine, narrow blood vessels to treat headaches. Customer reply replied 5 years ago. Extended-release tablets should be swallowed whole; do not break, crush, or chew. MAOIs can continue to interact with metoprolol for up to 14 days after taking them. Research in animals has shown adverse effects to the fetus when the mother takes the drug. They’re both metoprolol, but they contain different salt forms. Last medically reviewed on June 28, 2018, The diet has a strong influence on blood pressure. Do not crush or chew This medicine is designed to be released slowly (Long acting) If crushed, the resident may receive the full dose faster than expected Diltiazem CD Metoprolol CR Felodipine ER Sinemet CR Enteric Coated Usually has EN or EC in the medicine name Do not crush The coating may protect the stomach or ensure drug delivery It can, for example, make you feel very tired, even if you have gotten enough rest and have not engaged in strenuous activities. Examples of these drugs include: Other drugs that are processed in the body the same way as metoprolol include: These drugs can all increase the level of metoprolol in the body. Your dosage, form, and how often you take the drug will depend on: These tablets are not approved for use in this age group. Metoprolol succinate is an extended-release version of metoprolol, so it remains in your bloodstream for a longer time. The more common side effects that can occur with metoprolol include: If these effects are mild, they may go away within a few days or a couple of weeks. The List of Oral Dosage Forms That Should Not Be Crushed, commonly referred to as the "Do Not Crush" list, contains medications that should not be crushed because of their special pharmaceutical formulations or characteristics, such as oral dosage forms that are sustained-release in nature. A prescription for this medication is not refillable.You or your pharmacy will have to contact your doctor for a new prescription if you need this medication refilled. Examples of these drugs include: Like metoprolol, these drugs are used to treat high blood pressure and several other heart problems. Metoprolol should be taken with a meal or immediately after food. Stopping the drug suddenly while also taking metoprolol can cause a big jump in blood pressure. The two brand-name forms of metoprolol (as well as the different generic forms) are different versions of the medication. If you are taking these medicines and you experience an angina attack, you must go to the hospital right away. If they’re more severe or don’t go away, talk to your doctor or pharmacist. The site is … Store at room temperature between 68°F and 77°F (20°C and 25°C). Take it either with a meal or right after a meal. All rights reserved. Your doctor may start you on a lowered dosage so that too much of this drug does not build up in your body. Dosage for people younger than 18 years hasn’t been established. Your doctor can tell you more. Metoprolol oral tablets are available as the brand-name drugs Lopressor and Toprol XL.
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