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Generic Toprol XL®

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Product Overview

Metoprolol ER (generic Toprol XL)

  • What is metoprolol ER?
    Metoprolol ER (generic Toprol) is the extended-release version of metoprolol - a prescription medication used to treat high blood pressure, chest pain (angina), and heart attacks. Metoprolol ER is a type of drug called a beta-blocker, which means that it reduces your heart rate and blood pressure, takes strain off of your heart, and improves cardiovascular function.

    Looking for a safe, effective way to keep your blood pressure under control? Talk to your doctor about whether metoprolol may be right for you.

  • What are the most common side effects of metoprolol ER?
    When taking metoprolol, you may experience mild side effects, including low energy or drowsiness, cold hands and feet, digestive problems, shortness of breath, and itchiness. Rarely, more severe side effects may occur, including dizziness, diarrhea, slowed heart rate, low blood pressure, and depression.

    This is not a full list of side effects. If you’re concerned about additional side effects from metoprolol ER, talk to your doctor directly.

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Frequently asked questions about metoprolol ER

What is metoprolol ER?

Metoprolol ER is the extended-release version of metoprolol - a prescription medication used to treat high blood pressure, chest pain (angina), and heart attacks.

It is a type of drug called a beta-blocker, which means that it reduces your heart rate and blood pressure, takes strain off of your heart, and improves cardiovascular function.

Looking for a safe, effective way to keep your blood pressure under control? Talk to your doctor about whether metoprolol may be right for you.

What is metoprolol ER used to treat?

Metoprolol ER treats conditions related to the heart and blood vessels. It can be used to treat high blood pressure - either on its own or in combination with other medications your doctor prescribes.

Metoprolol ER is used in the long-term treatment of angina pectoris, chest pain that occurs when the heart muscles don’t get the amount of blood they need. This is often due to plaque buildup in the arteries. It can be used following a heart attack to increase a patient’s chances of survival.

It may also be used to prevent migraine headaches and to treat irregular heartbeat and movement disorders caused by medications for mental illness. Metoprolol ER may also be prescribed for other uses.

How does metoprolol ER work?

Metoprolol ER belongs to a category of medications known as beta-blockers. Beta-blockers block the effects of the hormone adrenaline (or epinephrine). This relaxes and dilates your blood vessels, improving blood flow and lowering your blood pressure. Beta-blockers also relax the muscles in your heart, causing it to beat more slowly and less powerfully. This also contributes to lowering blood pressure, as well as reducing your heart’s workload.

Metoprolol ER (metoprolol succinate) contains the same active ingredient as the immediate-release tablet (metoprolol tartrate), but contains a different salt form. While they both treat the same conditions, metoprolol succinate allows it to stay in your system longer so you have to take it less frequently while receiving a more steady dose.

Because of the speed with which it is administered, Metoprolol tartrate may be more effective as a treatment for conditions requiring immediate release of the medicine, such as acute heart attacks, while metoprolol succinate may be more effective as a treatment for conditions like chronic heart failure. Ask your doctor which dose form may be right for you.

What are the most common side effects of metoprolol ER?

While there are some common side effects associated with metoprolol, it is important to remember that your doctor prescribed this medication because they believe that its ability to keep your blood pressure under control outweighs any adverse side effects it may cause.

However, you may still experience some common metoprolol side effects. These may include:

  • Low energy or drowsiness
  • Cold hands and feet, due to reduced blood flow
  • Diarrhea
  • Constipation
  • Shortness of breath or wheezing
  • Itchiness or rash

Contact your doctor if these side effects are severe or do not go away.

More severe side effects of metoprolol may include:

  • Dizziness
  • Slowed heart rate (bradycardia)
  • Low blood pressure
  • Depression

Call your doctor if any of these side effects persist or worsen, or if you experience any other side effects.

Tell your doctor if you are pregnant, breast feeding, have other medical conditions, or are taking any other medications.

This is not a complete list of side effects associated with metoprolol ER. For a complete list of metoprolol ER side effects, visit the National Institutes of Health’s DailyMed page for Metoprolol ER for more information.

How long does it take for metoprolol ER to work?

When taken for high blood pressure, you can expect to take metoprolol ER for one week before your doctor can see an effect.

When taken for chest pain or to prevent a second heart attack, metoprolol ER has a preventative effect. It is important to take it regularly as prescribed, not just when you feel symptoms.

Even if you don’t feel any different, the medication is still working. Remember that high blood pressure rarely causes physical symptoms, so metoprolol may still be working - even if you don’t feel any different.

Do not stop using metoprolol suddenly, or your condition could worsen. You may even put yourself at increased risk of having a heart attack. Ask your doctor how to safely stop using this medicine.

What is the typical starting dose of metoprolol ER?

Metoprolol ER is intended for once daily administration. The usual starting dose is between 25 and 100 mg per day and will be individualized to your needs depending on the condition you are treating, your age, and other factors. After monitoring your body’s response to the treatment the doctor may increase your dose incrementally until a minimum effective dose has been established.

Do not crush or chew this medication. Doing so can release all of the drug at once, increasing the risk of side effects. Read all instructions on the packaging label and take metoprolol ER only as prescribed.

Can I get metoprolol ER online?

Yep! With SesameRx, you can get medication delivered right to your door starting at just $5 per month - without insurance. Our fully-integrated prescription service lets your doctor write you a prescription (or refill an existing one) during your virtual or in-person visit. That way, you can focus on getting better and not worry about how and when you’ll get your prescription.

Please note that all prescriptions are at the discretion of your provider.

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