Metoprolol helps to keep your blood pressure under control.
It is also used to treat angina pectoris (chest pain), heart failure (weakness and inability of the heart to pump blood), and irregular heartbeats.
This medicine may also be used to reduce risks of complications after a heart attack.
It may also be used to treat overactive thyroid gland.
Metoprolol may also help prevent migraine.
Take Metoprolol exactly as directed by your doctor or according to the instructions on the label. Do not take more or less than instructed by your doctor.
Ask your doctor or pharmacist about whether you should take this medicine with or without food. Different preparations of this medicine may be taken differently. Try to take it at the same time each day.
If you are taking the extended-release type of tablets (usually labelled as “XL”, “ER”), swallow it whole. Do not divide, chew or crush the tablets.
The dose of this medicine will be decided by your doctor. Your doctor will advise you on the dose and course of the treatment depending on your condition and response to the medication.
Metoprolol must be taken regularly for it to be effective. Continue taking this medicine even when you feel better. Do not stop taking it unless instructed by the doctor, as stopping it suddenly could worsen your condition.
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and return to your normal schedule.
DO NOT double a dose under any circumstances.
If you often forget to take your medicine, let your doctor and pharmacist know.
Alert your doctor if you have the following conditions:
- heart block
- uncontrolled heart failure
- severely slow heartbeat
- abnormal heart rhythm
- poor blood circulation due to a blood vessel disorder
- untreated phaeochromocytoma (tumour in the adrenal glands)
as Metoprolol may not be suitable for you.
Inform your doctor if you have the following conditions:
- bronchospasm (breathing distress caused by narrowing of the airways), or other lung diseases
- thyroid problems
- muscle weakness disorder
- psoriasis (a type of skin disease that is caused by itchy patches of thick, red skin and silvery scales)
- liver disease
Let your doctor know if you are pregnant or breastfeeding.
If you are going for an operation, including minor surgery and dental work, always inform your doctor or dentist that you are taking Metoprolol.
Be sure to check with your doctor or pharmacist before giving Metoprolol to an elderly person. Elderly people may be more sensitive to the side effects.
Why is it important to keep my appointments with the doctor?
Keep your appointments with your doctor. Your doctor needs to monitor your condition and check your response to the medication regularly.
- Routine monitoring of heart rate and blood pressure may be needed while you are being treated with this medicine.
- Your doctor may also need to monitor the electrical activity of your heart. Your doctor will advise you how often you need to have these tests.
What lifestyle changes can I make to improve my blood pressure?
Regular exercise and eating a healthy diet will help lower your blood pressure and improve your overall health. Engage in physical activity (e.g. walking) at least 30 to 60 minutes on most days of the week. If you have not exercised for a long time, start with light exercises such as slow walks. Speak to your doctor about what type of exercise would be suitable for you. Follow a healthy diet plan by eating more fruits, vegetables, whole grains and low-fat dairy products and reduce your intake of foods high in saturated fat, cholesterol and sodium. Cutting down on deep-fried foods and using less salt when cooking can kick-start your healthy diet.
If you smoke, you should try to quit. Smoking is harmful to your blood pressure, heart and overall health. Speak to your doctor or pharmacist about ways to kick your smoking habit.
Try to keep stress levels under control as stress will cause your blood pressure to go up.
Metoprolol may cause dizziness. If affected, do not drive or take part in any activity in which you need to be alert.
Other side effects include any of the following: headache, nausea, vomiting, constipation, stomach wind, dry mouth, stomach pain, blurred vision, muscle pain, cold hands or feet, difficulty sleeping, confusion, nightmares, lack of sexual desire, swelling of the ankles, feet or hand; ringing in the ears.
Some side effects may need immediate medical help. Alert your doctor quickly if you experience any of the following:
- rashes, breathlessness, swollen eyes
- slow or irregular heartbeat
- severe dizziness, fainting or passing out
Inform your doctor if any of these side effects do not go away or are severe, or if you experience other side effects.
Inform your doctor and pharmacist if you are taking any of these medicines:
- other medicines for high blood pressure e.g. verapamil, clonidine, prazosin, reserpine
- medicines for heart disease e.g. quinidine, digoxin, propafenone
- medicines for pain and inflammation e.g. indometacin
- medicines to treat depression e.g. fluoxetine, paroxetine
- medicines for diabetes e.g. insulin
- medicines to block pain and other sensations e.g. cyclopropane, trichlorethylene
- ergotamine (medicine for migraine)
This list does not include all medicines that may interact with Metoprolol.
Always notify your doctor and pharmacist if you are taking any other medicines, including herbal tonics such as traditional Chinese medicines, supplements and medicines that you buy without a prescription.
Store in a cool, dry place away from the reach of children.
Medicines must not be used past the expiry date.