This medication is a beta-blocker, prescribed for high blood pressure either alone or with other medications. It is also used for chest pain, migraine and hyperthyroidism. It reduces elevated blood pressure by relaxing blood vessels.
Contraindicated in patients with cardiogenic shock, severe heart diseases, anuria (absence of urination) and hypersensitivity.
PO- The recommended dose range is 10 to 300mg/day in divided doses.
It comes as a tablet to take by mouth, with or without food.
• Caution should be exercised in patients with history of heart attack, slow or irregular heartbeat, heart failure, chest pain, poor blood circulation, liver impairment, sugar, breathing problems, adrenal gland tumor (pheochromocytoma), any allergy, who are taking other medications, elderly, children, during pregnancy and breastfeeding.
• It may cause drowsiness, dizziness, or lightheadedness, do not drive a car or operate machinery while taking this medication.
• Avoid alcohol consumption.
• Avoid abrupt withdrawal.
• Central Nervous System :
Tiredness, dizziness, depression, confusion, short-term memory loss, headache, drowsiness, abnormal dreams and sleeplessness.
• Heart :
Shortness of breath, slow heart rate, palpitations, heart failure, swelling in the extremities, fainting, chest pain, and low blood pressure.
• Respiratory :
Wheezing and difficulty in breathing.
• Gastrointestinal :
Diarrhea, nausea, dry mouth, gastric pain, constipation, flatulence, digestive tract disorders, and heartburn.
• Hypersensitive Reactions :
Itching or rash.
• Miscellaneous :
Musculoskeletal pain, blurred vision, decreased libido, and ringing in the ear.
Avoid excess dosage.
Store it at room temperature and away from light (25°C).
A: Metoprolol is generally safe for use in elderly patients. When metoprolol was administered as monotherapy or in combination with other medications, it was effective in maintaining blood pressure in a majority of elderly hypertensive patients (1✔ ✔Trusted Source
Safety and efficacy of metoprolol in the treatment of hypertension in the elderly
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A: Metoprolol can pass through the blood-brain barrier (BBB) and have an impact on sleep quality by causing more awakenings and increasing the amount of awake time after onset of sleep (2✔ ✔Trusted Source
CNS-related side-effects with metoprolol and atenolol
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A: Metoprolol can cause a lowering of the heart rate and cardiac output. In some patients, this will lead to an excessive lowering of the heart rate and result in bradycardia (3✔ ✔Trusted Source
Metoprolol
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A: Yes, metoprolol causes weight gain as a side effect in the first few months of treatment. Consult a healthcare professional if rapid weight gain occurs while taking this medication (3✔ ✔Trusted Source
Metoprolol
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A: Do not stop taking this medication without consulting a healthcare professional. Sudden withdrawal of the drug may cause withdrawal symptoms like chest pain and a heart attack (4✔ ✔Trusted Source
Metoprolol
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