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Dutoprol (Generic Metoprolol)

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WARNING

Without consulting your doctor, do not discontinue taking metoprolol. Chest pain or a heart attack may occur if metoprolol is abruptly stopped. Your dose will likely be gradually reduced by your doctor.

Why is this medication prescribed?

Metoprolol is used to treat high blood pressure either alone or in combination with other drugs. Moreover, it helps people survive heart attacks and angina by preventing chest pain. Heart failure can also be treated with metoprolol in combination with other drugs. Metoprolol belongs to a group of drugs known as beta blockers. It improves blood flow and lowers blood pressure by relaxing blood vessels and lowering heart rate.

High blood pressure is a common illness that, if left untreated, can harm the kidneys, brain, heart, blood vessels, and other organs. Heart disease, a heart attack, heart failure, a stroke, renal failure, eyesight loss, and other issues may result from damage to these organs. Making lifestyle modifications will help you control your blood pressure in addition to taking medication. These adjustments include quitting smoking, drinking alcohol in moderation, eating a diet low in fat and salt, keeping a healthy weight, and exercising for at least 30 minutes most days.

How should this medicine be used?

Metoprolol is available in oral tablet and extended-release (long-acting) tablet forms. The standard tablet is often taken once or twice daily, either before or right after meals. Typically, one dose of the extended-release pill is given each day. Take metoprolol at around the same time(s) every day to make it easier for you to remember to take it. Ask your doctor or pharmacist to explain any instructions on your prescription label that you are unsure about following. Take metoprolol precisely as advised. Never take it in larger or less amounts or more frequently than directed by your doctor.

Splitting the extended-release tablet is an option. Do not chew or crush the tablets; instead, swallow them whole or in half.

You might begin taking metoprolol at a low dose and then gradually raise it, according to your doctor.

Metoprolol regulates angina and high blood pressure but does not treat either condition. Metoprolol extended-release pills treat heart failure but does not cure it. You might not experience metoprolol’s full benefits for a few weeks. Even if you feel better, keep taking metoprolol.

Other uses for this medicine

Metoprolol is also occasionally used to treat and prevent movement and irregular heartbeats brought on by drugs for mental illness. Discuss the potential dangers of using this medicine for your illness with your doctor.

Ask your doctor or pharmacist for more details if you believe this drug should be used for something else.

What special precautions should I follow?

Before taking metoprolol,

  • If you have an allergy to metoprolol, acebutolol (Sectral), atenolol (Tenormin, in Tenoretic), betaxolol, bisoprolol (Zebeta, in Ziac), or carvedilol, inform your doctor and pharmacist right away (Coreg, Coreg CR), pindolol, propranolol (Inderal, Inderal LA, Innopran XL, in Inderide), sotalol (Betapace, Betapace AF, Sorine), timolol, any other drugs, or any of the components in metoprolol pills. Esmolol (Brevibloc). Get a list of the components from your pharmacist.
  • Inform your doctor and pharmacist about all prescription and over-the-counter drugs, vitamins, dietary supplements, and herbal products that you are now taking or intend to use. Incorporate any of the following: bupropion (Aplenzin, Forfivo, Wellbutrin, Zyban) (Aplenzin, Forfivo, Wellbutrin, Zyban), cimetidine, diphenhydramine (Benadryl), fluoxetine (Prozac, Sarafem, Selfemra, in Symbyax), hydroxychloroquine, paroxetine (Brisdelle, Paxil, Pexeva), propafenone (Rythmol), clonidine (Catapres), paroxetine (Paxil), quinidine, thioridazine, ranitidine (Zantac), reserpine, ritonavir (Norvir, in Kaletra), and terbinafine. Your physician might need to adjust the dosage of your drugs or keep a close eye on you for side effects.
  • Inform your physician if you suffer from a pheochromocytoma, slow heartbeat, heart failure, or circulatory issues (a tumour that develops on a gland near the kidneys and may cause high blood pressure and fast heartbeat). Your physician might advise against taking metoprolol.
  • Inform your doctor if you have or have ever had diabetes, severe allergies, hyperthyroidism, heart or liver problems, asthma, or any other lung conditions (an overactive thyroid gland).
  • Inform your physician if you are nursing a baby, intend to get pregnant, or are already pregnant. Call your doctor if you become pregnant while taking metoprolol.
  • Inform your doctor or dentist that you are taking metoprolol if you are undergoing surgery, including dental surgery.
  • You ought to be aware that metoprolol might make you sleepy. Prior to understanding how this drug affects you, avoid using machinery or driving a car.
  • Keep in mind that drinking alcohol can worsen the drowsiness brought on by this drug.
  • You should be aware that if you are allergic to various chemicals, using metoprolol may make your symptoms worse and that standard doses of injectable epinephrine may not be effective in treating your allergies.

What special dietary instructions should I follow?

If your doctor advises a low-salt or low-sodium diet, strictly follow the instructions.

What should I do if I forget a dose?

If you miss a dosage, take it as soon as you recall. If the next dose is soon due, skip the missed one and carry on with your regular dosing plan. To make up for a missing dose, do not take a second one.

What side effects can this medication cause?

Metoprolol’s negative effects could happen. If any of these symptoms are severe or do not go away, let your doctor know right once:

  • Feeling unsteady or lightheaded
  • Tiredness
  • Depression
  • Nausea
  • Mouth ache
  • Abdominal pain
  • Vomiting
  • Bloating or gas
  • Heartburn
  • Constipation
  • Itching or rashes
  • Chilly fingers and feet
  • Clogged nose

Certain adverse effects can be very harmful. Even though the following signs are unusual, you should call your doctor right once if you notice any of them:

  • Breathing difficulty
  • Wheezing
  • Edoema of the lower legs, ankles, feet, or hands
  • Gaining weight
  • Fainting
  • Irregular, hammering, or quick heartbeat

Further negative effects of metoprolol are possible. If you experience any strange issues while taking this medicine, contact your doctor right away.

You or your doctor can submit a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting programme online or by phone if you have a serious side event (1-800-332-1088).

What should I know about storage and disposal of this medication?

Keep this medication tightly closed in the original container and out of the reach of children. Keep it away from excessive heat and moisture at room temperature (not in the bathroom).

Although many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning. http://www.upandaway.org

Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medications website at http://goo.gl/c4Rm4p for additional information.

In case of emergency/overdose

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Moreover, information can be found online at https://www.poisonhelp.org/help. Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.

Overdose signs could include the following:

  • Dizziness
  • Fainting
  • Breathing or swallowing challenges
  • Edoema of the lower legs, ankles, feet, or hands

What other information should I know?

Do not miss any of your doctor’s appointments. Regular blood pressure checks will help you determine how metoprolol is working for you. You may be asked by your doctor to check your pulse (heart rate). Ask your doctor or pharmacist to show you how to take your pulse. Call your doctor if your pulse is either quicker or slower than it should be.

Never allow someone else to take your medication. If you have any queries regarding getting a prescription renewed, ask your pharmacist.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.

Brand names

  • Lopressor®
  • Toprol®
  • Toprol® XL
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