Generic Name: metoprolol

What is the most important information I should know about metoprolol?

Do not stop taking metoprolol without first talking to your doctor. Stopping suddenly may make your condition worse.

If you need to have any type of surgery, you may need to temporarily stop using metoprolol. Be sure the surgeon knows ahead of time that you are using metoprolol.

Metoprolol can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol, which could increase drowsiness and dizziness while you are taking metoprolol.

Metoprolol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.

Hypertension often has no symptoms, so you may not even feel that you have high blood pressure. Continue using this medicine as directed, even if you feel well. You may need to use blood pressure medication for the rest of your life.

What is metoprolol?

Metoprolol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).

Metoprolol is used to treat angina (chest pain) and hypertension (high blood pressure). It is also used to treat or prevent heart attack.

Metoprolol may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking metoprolol?

Do not use this medication if you are allergic to metoprolol, or if you have:

• a heart problem such as heart block, sick sinus syndrome, or slow heart rate;

• pheochromocytoma; or

• problems with circulation (such as Raynaud's syndrome).

Before taking metoprolol, tell your doctor if you have:

• congestive heart failure;

• asthma, bronchitis, emphysema;

• diabetes;

• low blood pressure;

• depression;

• liver or kidney disease;

• a thyroid disorder; or

• myasthenia gravis.

If you have any of these conditions, you may not be able to use metoprolol, or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Metoprolol can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.