Metoprolol
- Oncedaily heartselective blocker
- Proven to cut postMI deaths
- Tames pulse, pressure, palpitations
Product Information
Better health begins with the right choices.
Dr. M. Sharoyko
Internal Medicine Physician | MNr. 80134
Dr. Marina Sharoyko is a medical specialist in clinical pharmacology and internal medicine, with additional expertise in cardiology and physiology.
Description
Metoprolol is a medication belonging to the class of beta-blockers, commonly prescribed to manage high blood pressure. By slowing the heart rate and reducing the force of heart contractions, it helps the heart work more efficiently and reduces the pressure on the blood vessels. This makes it an option in both initial and long-term treatment plans for hypertension.
When blood pressure remains elevated over time, it increases the risk of serious health complications such as heart attack, stroke, or kidney damage. Metoprolol works by blocking the action of certain natural chemicals in the body, such as adrenaline, on the heart and blood vessels. As a result, it lowers the heart rate and eases the strain on the cardiovascular system.
Metoprolol is typically taken in tablet form once or twice a day. People taking Metoprolol generally do not feel its effects directly, but over time it helps protect the heart and blood vessels from the damage caused by prolonged hypertension. Consistent use is essential to maintain stable blood pressure levels and prevent complications, even if no symptoms are present.
Metoprolol may cause some mild side effects, such as fatigue, cold extremities, or dizziness, particularly when starting the medication. These usually diminish as the body adjusts. As with any blood pressure treatment, regular monitoring and medical follow-up are important to ensure safety and effectiveness.
General Information
Metoprolol is a beta1 selective blocker tablet that slows the heart and lowers blood pressure.
Metoprolol is used to treat high blood pressure (hypertension), chest pain due to reduced blood flow to the heart (angina), and chronic heart failure with reduced ejection fraction. It is also prescribed to control rapid heart rhythms such as atrial fibrillation, and to reduce the risk of death and recurrent heart attacks after a myocardial infarction.
By blocking beta1 receptors in the heart it reduces heartrate, contractility, and renin release, easing the heart's workload and stabilising rhythm.
Hypertension: 50 - 100 mg daily (succinate once daily or tartrate divided). Heartfailure: start 12.5 - 25 mg succinate once daily, titrate to 200 mg. PostMI: 100 mg twice daily.
Heartrate slows within an hour of the first dose; full blood pressure benefit accrues over 12 weeks, and heartfailure improvement over months.
If you miss a dose of metoprolol, take it as soon as you remember, but only if it's within 6 hours of your usual dosing time. If more than 6 hours have passed, skip the missed dose and take your next dose at the regular time. Do not take a double dose to make up for a missed one
Safety & Side Effects
- Common side effects include tiredness, slow heart rate (bradycardia), dizziness, cold hands and feet, and vivid dreams. Some people may also experience mild shortness of breath, gastrointestinal discomfort (such as nausea or diarrhea), or mood changes like depression.
- Rare but serious side effects may include severe bradycardia, heart block, worsening heart failure, or bronchospas, especially in individuals with asthma or chronic lung conditions.
- Allergic reactions are uncommon but require immediate medical attention and may present as skin rash, itching, hives, or swelling of the face, lips, or throat.
It is contraindicated in severe bradycardia, second or thirddegree heart block, cardiogenic shock, decompensated heartfailure, and hypersensitivity to the drug. Caution in poorly controlled asthma.
Yes, but some combinations require caution. Drugs like verapamil, diltiazem, digoxin, or clonidine can enhance the heart-slowing effects of metoprolol and increase the risk of bradycardia or heart block. CYP2D6 inhibitors such as fluoxetine or paroxetine can raise metoprolol blood levels, potentially intensifying side effects.
Metoprolol is used in pregnancy when needed but may slow fetal growth and heartrate; monitor. Small amounts enter breast milk but are usually safe.
Alcohol may exaggerate bloodpressure drop and cause dizziness; moderation advised.
Usage & Administration
Swallow metoprolol tablets whole with water. Do not crush, chew, or split extended-release (metoprolol succinate) tablets, as this can interfere with the controlled release of the medication. Take the medication at the same time each day, preferably with or immediately after food to improve absorption and reduce stomach upset.
Below 30 °C, in a dry place, out of children's reach.
Taking with or just after food improves absorption and reduces stomach upset.
Immediaterelease tablets may be split or crushed; succinate extendedrelease should not be altered.
Ordering & Delivery
To get [Product name], fill out a medical form or book a video consult with a doctor via Transtoyou. After approval, your prescription is sent to the pharmacy for fast delivery.
[Product name] requires a valid prescription, which is issued after the doctor reviewed your answered in the medical questionnaire or via a video consultation with the doctor.
After approval by a doctor from Transtoyou, the prescription of [Product name] is forwarded to an affiliated pharmacy and typically shipped within 1–2 working days.
For safety and legal reasons prescription medication (RX) and in this case [Product name] is non-returnable once shipped.
