Metoprolol

Metoprolol is a medication used to treat high blood pressure (hypertension), angina (chest pain), and heart-related conditions. It helps slow the heart rate, reduce blood pressure, and lower strain on the heart. If you’ve been prescribed metoprolol, here’s what you need to know.

What is metoprolol?

Metoprolol is a beta-blocker that helps manage heart conditions by controlling heart rate and blood pressure.

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How does metoprolol work?

Metoprolol blocks beta receptors in the heart, slowing the heart rate and reducing blood pressure, which helps improve circulation and reduce strain on the heart.

What is metoprolol used to treat?

Metoprolol is commonly prescribed for:

  • High blood pressure (hypertension)
  • Angina (chest pain caused by reduced blood flow to the heart)
  • Preventing heart attacks and improving recovery after a heart attack
  • Managing irregular heart rhythms (arrhythmias)
  • Preventing migraines (in some cases)

Who can take metoprolol?

Metoprolol is suitable for most adults with heart-related conditions, as prescribed by a doctor.

Who might not be able to take metoprolol?

Metoprolol may not be suitable if you:

  • Have severe asthma or chronic obstructive pulmonary disease (COPD)
  • Have low blood pressure (hypotension)
  • Have a slow heart rate (bradycardia) or heart block
  • Have circulatory problems (such as Raynaud’s disease)

Can I take metoprolol if I’m pregnant or breastfeeding?

Metoprolol isn’t usually recommended during pregnancy or breastfeeding, as it may affect the baby. Speak to your doctor about safer alternatives.

What if I miss a dose?

If you forget a dose, take it as soon as you remember. If it’s close to your next dose, skip the missed one—do not take two doses at once.

How effective is metoprolol?

Metoprolol is highly effective at lowering blood pressure, reducing angina symptoms, and preventing heart-related complications when taken consistently.

What should I do if I take too much?

Taking too much metoprolol can cause dangerously low blood pressure, slow heart rate, dizziness, or fainting. If you think you’ve taken too much, seek emergency medical help immediately.

What dose of metoprolol is usually taken?

  • For high blood pressure: 50mg to 100mg once or twice daily
  • For angina: 50mg to 100mg once or twice daily
  • For heart attack prevention: 100mg twice daily
  • For arrhythmias: 50mg to 100mg daily, as prescribed

Your doctor will determine the correct dose based on your condition.

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What are the side effects of metoprolol?

Common side effects include:

  • Dizziness or lightheadedness
  • Fatigue or drowsiness
  • Cold hands and feet
  • Nausea

Serious side effects, such as worsening heart failure, difficulty breathing, or severe dizziness, require urgent medical attention.

How should I take metoprolol?

Metoprolol is taken as tablets, usually once or twice daily, swallowed whole with water.

When should metoprolol be taken?

Metoprolol should be taken at the same time each day, with or without food.

What are the brand names for metoprolol?

Metoprolol is available as a generic medicine, but some branded versions include:

  • Betaloc
  • Lopressor
  • Toprol-XL (extended-release)

Final thoughts

Metoprolol is an effective medication for high blood pressure, angina, and heart-related conditions, but it should be taken exactly as prescribed. If you experience side effects, speak to your doctor or pharmacist.

Always consult a medical professional
This article is for informational purposes only and is not a substitute for medical advice. Always consult a healthcare professional before starting, stopping or changing any medication. If you have concerns about your medication or experience side effects, speak to your doctor or pharmacist immediately.

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