a bottle of Metoprolol tablets

Metoprolol is available as immediate-release metoprolol tartrate (Lopressor) or extended release metoprolol succinate (Toprol-XL). It is also found combined with hydrochlorothiazide (as Dutoprol in the metoprolol succinate form and Lopressor HCT in the metoprolol tartrate form).


Metoprolol belongs to the group of heart/blood pressure drugs known as beta-blockers. That means they work partly by blunting the action of adrenaline, the body’s natural fight-or-flight chemical. People normally respond to stressful situations with a rapid pulse, a pounding heart and an increase in blood pressure. Metoprolol helps block such reactions by slowing the heart rate and relaxing the blood vessels so the heart does not have to pump as hard.

This medication is usually prescribed for high blood pressure, chest pain, heart attacks, and prevention of a second heart attack. The extended release metoprolol is also used in combination with other medications to treat heart failure. Although the FDA has not specifically approved its use for other purposes, doctors sometimes prescribe it to treat irregular heart rhythms or tremors and to prevent migraine headaches.

People’s Pharmacy Perspective

Beta blockers have been around a long time and generally have low cost generics available. One word of caution, however: We have heard from a significant number of people that not all generic Toprol XL (metoprolol succinate) is created equal. Some people have seen their blood pressure skyrocket while others have developed irregular heart rhythms. See their stories.

Beta blockers such as metoprolol should probably not be considered as first-line treatments for high blood pressure (1,2). British hypertension experts reserve beta blockers almost as a last resort, when other blood pressure medicines don’t work (3). Since beta blockers have the potential to cause numerous side effects (and negatively impact blood fats), we agree that they should be used cautiously.

Beta blockers are valuable for managing chest pain and preventing another heart attack after someone has already had one. They may also be valuable when adequate blood pressure control is not achieved with other classes of drugs. You and your physician will need to decide if the benefits outweigh the risks. The information provided here is not a substitute for the medical advice or care of a physician or other health care professional.

Special Precautions

DO NOT stop taking metoprolol (Lopressor, Toprol-XL) suddenly without first talking to your doctor. Stopping abruptly may trigger potentially fatal heart problems.


Consult your doctor if you are pregnant or planning a pregnancy, or will be breastfeeding while taking this medication.

Who Should Avoid Metoprolol

Metoprolol is not recommended for some people: People who have had an allergic reaction to beta-blockers, metoprolol and people with certain serious heart problems, such as heart rates less than 45 beats per minute (for heart attack patients) or abnormal heart rhythms. The medication could occasionally lead to serious cardiac complications for these individuals. Note that only metoprolol succinate, the extended release tablet, is indicated for heart failure. Metoprolol tartrate is not recommended for people with heart failure.

Some people must be very carefully monitored if they take beta-blockers such as metoprolol. In general, people with heart failure must be extremely cautious if prescribed beta blockers because the medicine could lead to cardiac complications. Those prescribed metoprolol succinate are no exception; other medications they are on may need to be adjusted, and most importantly, they must be closely monitored for worsening of their heart condition.

Asthmatics and patients with other respiratory problems are especially vulnerable, as these drugs can make breathing worse. Metoprolol may be a little better than other beta-blockers in this regard, but monitor breathing carefully.

Diabetics should inform their physicians if they are taking metoprolol, since the medication may mask the signs of low blood sugar levels.

People with a history of depression should inform their doctors to ensure both their depression and beta-blocker therapy is well managed. Metoprolol is more likely to affect the nervous system than others in its class and may contribute to depression. People with a thyroid disorder should also be carefully monitored as metoprolol may mask signs of an overly active thyroid. Lastly, people with liver impairments may also need to be very carefully monitored.

Be certain to inform your doctor of any other conditions you may have. This information may affect your dose, whether you should even take this medication, or require you to take special tests during treatment.

Taking the Medicine

Metoprolol is best absorbed when taken with or right after meals. Food may reduce the risk of digestive tract upset and taking the drug at roughly the same time each day allows your body to maintain a constant level of the medication in your blood stream. This medication should be taken with a full glass of water. Avoid alcohol while on metoprolol because it could increase drowsiness or dizziness. Do not take calcium supplements or antacids within two hours of metoprolol because they may reduce absorption.

If surgery is scheduled, ask your surgeon and anesthesiologist to see if your beta blocker dose will need to be adjusted. Never stop taking metoprolol suddenly. Your doctor must reduce your dose gradually to prevent serious heart problems.

Adverse Effects and Interactions

Common Side Effects

  • anxiety, nervousness
  • dizziness or vertigo
  • sleep problems (daytime drowsiness or insomnia)
  • tired feeling
  • abdominal pain or diarrhea
  • decreased sex drive, impotence, or difficulty having an orgasm
  • arthritis or gout pain
  • elevated triglycerides and lower HDL cholesterol; a lipid test before treatment and periodically thereafter would be prudent.

Serious Side Effects

Obtain emergency medical care if you experience these signs of a potential allergic reaction:

  • breathing difficulties
  • swelling in your face, lips, tongue, or throat

Call your doctor promptly if you experience any of these serious side effects:

  • feeling light-headed, fainting
  • worsening depression, memory loss or mood swings
  • wheezing, worsening asthma
  • feeling short of breath, even with mild exertion
  • extra-slow or uneven heartbeats
  • stomach upset, low fever, lack of appetite, dark urine, pale-colored stools, jaundice (yellowing of the skin or eyes)
  • swelling of your ankles or feet
  • cold feeling in your hands and feet
  • hives, itchiness, rash, increased susceptibility to sunburn

There may be other side effects not listed here. Talk to your doctor if your condition worsens and ask about any side effect that seems unusual or is especially bothersome. Never stop taking any beta blocker medication abruptly unless you are under very close medical supervision. Angina or a heart attack could occur.

Drug Interactions

  • celecoxib (Celebrex): This NSAID could reduce the effectiveness of metoprolol and make you retain sodium and fluid.
  • cimetidine (Tagamet): The combination could slow heart rate.
  • clonidine (Catapres): If you are on both blood pressure medications, do not suddenly discontinue either medicine, as the increase in blood pressure could be life threatening.
  • diclofenac (Cataflam, Voltaren): This NSAID could reduce the effectiveness of metoprolol and make you retain sodium and fluid.
  • dolasetron (Anzemet): The combination increases the risk of heart rhythm disturbances.
  • etodolac (Lodine): This NSAID could reduce the effectiveness of metoprolol and make you retain sodium and fluid.
  • fenoprofen (Nalfon): This NSAID could reduce the effectiveness of metoprolol and make you retain sodium and fluid.
  • flurbiprofen (Ansaid): This NSAID could reduce the effectiveness of metoprolol and make you retain sodium and fluid.
  • hydralazine (Apresoline), propafenone (Rythmol), quinidine, and calcium channel blockers (verapamil (Calan), diltiazem (Cardizem CD)): These are also heart/blood pressure medications, which would have increased effects if given together with metoprolol. Taking beta-blockers with calcium channel blockers is generally not advised since the combined effects may lead to serious heart problems. If they must be taken together, the dose of one or both medications may need to be reduced and cardiac function should be carefully monitored.
  • ibuprofen (Advil, Motrin): This NSAID could reduce the effectiveness of metoprolol and make you retain sodium and fluid.
  • indomethacin (Indocin): This NSAID could reduce the effectiveness of metoprolol and make you retain sodium and fluid.
  • insulin: Adding a beta-blocker such as metoprolol to the diabetes injection insulin can increase the risk of low blood sugar and make it harder to detect.
  • ketorolac (Toradol): This NSAID could reduce the effectiveness of metoprolol and make you retain sodium and fluid.
  • meloxicam (Mobic): This NSAID could reduce the effectiveness of metoprolol and make you retain sodium and fluid.
  • naproxen (Aleve, Naprosyn): This NSAID could reduce the effectiveness of metoprolol and make you retain sodium and fluid.
  • propylthiouracil or methimazole (Tapazole): Beta-blockers may make treatment of thyroid disorders more complicated. Your physician will need to monitor such conditions closely.
  • saquinavir (Invirase): The combination can increase the risk of irregular heart rhythms.
  • sulindac (Clinoril): This NSAID could reduce the effectiveness of metoprolol and make you retain sodium and fluid.

Not every drug interaction could be listed here. Do not start any new medications or make changes to your treatment without first consulting your prescribing physician.


1. Lindholm, L. H., et al. “Should Beta-Blockers Remain First Choice in the Treatment of Primary Hypertension? A Meta-Analysis.” Lancet 2005; 366:1545-1553.

2. Kaplan, N.M., and Opie, L.H. “Controversies in Hypertension.” Lancet 2006; 367:168-176.

3. Beevers, D.G. “The End of Beta-Blockers for Uncomplicated Hypertension?” Lancet 2005; 366:1510-1512.

Be certain to consult a physician about your health, especially with regard to any signs or symptoms that may require diagnosis or medical attention. Information provided is not a substitute for the medical advice or care of a physician or other health care professional.

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  1. Raymond
    Summerville, SC

    So my doctor I went to see after being on Metoprolol Succinate ER 25 mg for several years said that I can come off of them. I was told to monitor my progress and at first not told that I should wean off the medication. I knew that I should be weaned off of it based on what I’ve researched. I went to see him but ended up speaking with the Physican Assistant. I told her about how cold my hands and feet were and also of a drop in overall body temp. I wanted to tell her that I thought it could be an adverse side effect of the Metoprolol. She agreed but wanted to check with the Dr since my blood pressure reading was good. He basically said I should come off. He told her I was on so little that it I could just stop. I pretty told her that was not right and she said to try 1 every other day for a week and then half every other day for the following week. I did my own research and just been taking half for about a week now. I didn’t think I should skip days but wondering where to go next. Should I be halfing the half and take that for a week and stop? I was wondering if anyone could offer advise, the dr’s and a pharmacist I also spoke with, didn’t really give me a proper direction to take.

  2. Lindsay
    New Zealand

    Just to balance these comments, I’ve been taking Metoprolol Succinate at 100mg / day for about two years and have not suffered any ill-effects at all, so it doesn’t affect everyone badly. I was put on Metoprolol as a preventative measure after years of hypertension and a Myocardial Infarction (heart attack), and it’s controlling my blood pressure perfectly.

    One day recently I missed a single dose, and late that same day I had quite severe angina (the first in over a year) and had to use my GTN (Nitrolingual) spray twice to ease it off. So, I won’t be stopping my Metoprolol anytime soon.

    So, just because the people who report problems with a drug seem to be in the majority here doesn’t mean that it causes problems for everyone.

  3. Jeffrey

    Metoprolol makes me sluggish, sleepy and depressed.

  4. Charles
    Cortland, NY

    I had been on Metoprolol for a while and started having orthostatic hypotension. My doctor changed me to a different drug combination. I started having extreme muscle weakness. I checked with 3 doctors: it is a group setting, and they all said it was not my meds.

    After 18+ months with this major problem, I did my research on my meds. Of the 12 I was on, for hypertension, depression, fluid retention, and high cholesterol, 8 caused muscle fatigue. I dropped the 8 drugs. Within 4 days the muscle fatigue disappeared. I refused to take these 8, and the doctor had to replace the hypertension drugs. I am now doing serious research on all the drugs I take and have serious input on what I take. I print out info and recommendations on my anti-hypertension drugs. We as patients have rights, and one is to refuse our meds if they are doing us more harm than good, and if the side effects are worse or more detrimental than the doctor alludes to. Have the doctor prescribe something else. If he refuses, then change doctors. They are working for you, the patient.

    • Maria
      New Jersey

      I had the same problem after taking for almost one year, and I ended up tearing my acl in my knee when I climbed on my ladder because my legs had gotten so weak. I also had issues with very cold hands and feet. Now for some reason my BP has gone crazy again, and they handed me the same meds after telling them I did not do well on them. I can’t take this again, and it was very hard to wean off of them.

  5. Catherine
    Bewthlehem PA

    I am reading about the experiences with metropolol. My husband has been on high doses of bisoprolol and of metropolol over the past 8 months. The doctor prescribes extended release form and then tell him to take it twice a day. An 80-yer old man does not clear the drugs efficiently from his system, one pharmacist said that for him a 12-hour half-life could well be 18 hours. And yet, he gets another dose fed to him before the first dose is even half-way cleared from his body, on and on, every day, day after day — the drug builds up and up in his body.

    He first got confused, then constipation one day, diarrhea the next day, his belly put on flab, then the rash started, a horrible bright red supporating rash, with broken blisters, the palms of his hands became like leather, his finger tips lost all feeling, and split open, then he developed tremors of his hands and feet/lower legs, then most recent thing to happen, swelling. At first his right hand was swollen, that extended to his forearm, then that subsided, then his feet, then his lower legs. Along the way, I read Dr. Sinatra’s The Sinatra Solution, and I began giving him some l-carnitine, and some ubiquinol — had been giving him some magnesium in the powder drink form for several years. Meanwhile, the doctor who prescribed this stuff to an eighty year old — who I might add is also a polio survivor who ought not be given sedating drugs — did not seem to “get it” that these drugs at these ridiculous doses were destroying our lives.

    All this because the man had atrial fibrillation, which led to a lower ejection fraction. And yet, why start at the highest possible dose even for a man half his age? And why ignore the clinical literature that shows good results for both atrial fibrillation and for heart failure from nutriceuticals like ubiquinol, l-carnitine, d-ribose and adequate intra cellular magnesium — the latter well known since the 1940’s? Joyce’s comment that the doctors do not know anything about the drugs is accurate — my daughter who went to vet school to become a horse doctor had several semesters of pharmacology, and had to learn the mechanism of action of every drug they were likely to utilize for the animals. Her sister, who went to medical school and became a family physician, said — “we did not have to learn the mechanism of action, only when to give the drug.” The pharmaceuticalization of our so-called medical “care” system is criminal, in my opinion. But who am I? However why don’t the powers that be pay attention to the physicians with decades of experience and good credentials like Marcia Angell, John Abramson, Jerome Kassirer, and Jay S. Cohen who have written extensively on exactly this topic?

  6. Gretchen
    Carson City, Nv.

    I’m not even sure why my doctor chose metoprolol as my only problem was moderate BP and a somewhat fast heartbeat (which I’ve had as long as I can remember) . He put me on 100mg of the extended release one a day–Why such a high dose to start? I recently found out this drug can affect cholesterol and blood glucose levels and does not mix well with thyroid meds. I told my new doctor I was concerned and she prescribed Bystolic 5mg. This med costs over $123.00– per month! It is also a beta-blocker with many of the same side effects. I can’t afford it and I certainly don’t want the same side effects I’m trying to get away from. Doctors don’t seem to know much about the drugs they give us. I’m losing confidence in our medical care system. I’m a 71 yr. old female.

  7. Joyce

    I am having diarrhea issues and also bladder infections and bladder urgency issues with no infection as well as urine retention and incontinence if I bend over. I do have aches and pains and a feeling of fullness when I eat as well as sometimes feeling nauseaus and having trouble sleeping. Loss of appetite and gained 5 pounds in 2 months. Going to a urologist Monday to see if I have an inflamed bladder but really thinking it may be the metoprolol. This is my last hope to take BP meds as I have had issues with every other ones I have taken. But, I cannot put up with these issues anymore. I will speak with my doc to let him know that I am going to wean myself off this med. I have been on it about 6 months and been very tired and no energy and that’s not me.

  8. Gloria

    I have been taking metoprolol ER for 3 weeks. The side effects were awful. My doctor originally wanted me to start of with 12.mg a day and then changed to 1/2 2x a day. I also take Amiodarone. The side effects were still too much to bear, esp. the headaches.

    So I have just began taking 12.5 mg 1/2 hour after I take my Amiodarone. Is this working for anyone? I was afraid to reduce it but I have. Feel better in the morning but this is day one.

  9. Mia
    Sussex nj

    This is one BP med I will never take again metaproplo is horrible
    I had weakness in my legs after about 7 months on this drug.
    I tore my ACL in my knee I really think that this drug weakened my leg muscles and cause my knee injury.
    I started to ease off the meds slowly finally got off but it had such a drug addicted effect not good finally went away after 11 days of hell .

    • Kate

      I take 12.5 mg ( 1/2 tablet) / day. It took me close to 4 weeks to adapt to this med- I had a very hard time with nausea, fatigue, dizziness, pretty extreme, I barely left the house. Then after about 3- 4 weeks all those side effects went away. It works very well for me- blood pressure averages 107/ 67, heart rate 60. I think it’s key to drink lots of water- a full glass when you take it & plenty more throughout the day.

  10. Wayne

    My best friend was prescribed the metoprolol and he went from an active 77yo person to a totally inactive person in a matter of weeks. Granted it lowered his blood pressure but now he has no desire to do anything and sleeps all the time and is depressed over the whole situation. The side effects are not worth it. I’m seeing online that Bystolic has a lot fewer side effects and people say it changed their lives after being stuck on metoprolol. It’s not generic and is more expensive but the reviews say it’s worth it. We’re waiting for his nephrologist to make the change in his meds so he can start to enjoy life again. Metoprolol is bad news!

  11. Paul

    For whoever might find this relevant, I was diagnosed with chronic lone atrial fibrillation more than a decade ago and have been on metoprolol tartrate and a blood thinner (now Pradax) ever since. Everything under control – my pulse reads 61 according to my Fitbit – and I diligently take my meds (I’m 72). However, if I forget to take the metoprolol in the morning, anxiety, irritability, and even expressions of anger show through by early afternoon (at 25mg. twice a day) and my wife quickly sees it. On the other hand, I have more physical and mental energy when I forget my meds. The cardiologist had me back on the holter monitor for a couple of days and we meet again in a couple of weeks to discuss the result and a more optimal calibration of the metoprolol dosage.
    Oh, Chantix and metoprolol did not mix well.

  12. Dwayne

    I’ve been on it about three weeks now after ablation for tachycardia and ICD placement. I’ve had two or three episodes while on the medication I used to tach at high as 260 but the last previous episodes were no higher than 126 so I guess it’s working either that or the ablation. However I believe the ablation make the episodes more frequent the. Prior to the ablation. But I feel a lot of palpitations now. Other forums say that’s normal after any heart surgery for at least three months so time will tell right !!!

  13. Deanna E.

    I was put on monitor box and it recorded some heart blips. I do not have high blood pressure or feel the blips. I passed the stress test but there was some irregularity on one side of the heart. Cardiologist put me on metropolol tartrate 25mg .
    I got vertigo was changed to one pill in half twice day. Do not have high blood pressure. I am 78. Very active person. I want off this med. Now I feel dizzy, off balance, constipated can’t sleep gained 5 lb in 3 months. How do I get off it? I am afraid to stop it. This generic med cost $1.65 for 30 days. I wonder where it is coming from. My insurance does not cover it at all. It is my body and I don’t want to take this. Am I being stupid?

    • The People's Pharmacy

      Please talk with your doctor about discontinuing. It should not be done suddenly.

      • Bart

        That is a very low dose. How much lower would the Doctor administer to wean someone off such a low dose?

    • Brenda

      No you are not stupid I’m on this after heart surgery. I’m like you to many side effects I just want to feel normal I’m asking to get off them too

  14. salam

    which is good? propranolol or metoral?

  15. salam

    thanks for your data

  16. Kathy

    how long does side effects last when just getting on metropolol?

  17. david
    metairie la.

    I take metoprolol er succinate 25mgs. twice a day.my heart rate is in a normal range sometimes and other times anywhere between 100-110.do not know what to do about this,doctor will not adjust my meds.

  18. Sophie

    I was prescribed metoprolol 50mg for my supraventricular tachycardia and it makes me SOOOO sleepy. I am so exhausted and tired all of the time. I can’t even think straight because I’m so tired and my brain is just so fuzzy from the meds. It does help my heart flutters quite a bit but the side effects are just too much to handle.

    • Diana

      I know your post is from a few years back but if you see this reply can you let me know if you were put on an alternative medication. I am having the exact experience now. Was diagnosed with SVT and prescribed this med but the side effects are horrible. I am in college and it’s really interfering with my studies and life in general. If you could share from your experience I would appreciate it. Thank you

  19. alisha

    I’ve been having panic attacks and anxiety. Went to the doctor and he prescribed me Prozac and that made it worse. I stopped taking it after 2 weeks! Was sent to cardiologists and had a sonogram and stress test. He said my heart is good but my heartbeat is too high. He prescribed me motpolol tratrat 25mg take half in morning and half in evening. It’s been almost 2 weeks on it and I can barely breath and my chest hurts. The last 2 days I have cut them in quarters and take one quarter in morning and one at night. Hoping the side effects wouldn’t Be so bad. Has not helped! Called the dr and waiting on him to call me back. Can I just stop taking them after only being 2 weeks on them? I can’t go everyday not catching my breath and my chest hurting.

  20. Helen

    I forgot to mention, this is the best article I was able to find that really told me everything I was asking about metoprolol. Thank you SO much!

    • alisha

      I meant metoprolol

  21. Helen

    My dr put me on Metoprolol, low dose, for atrial fib. I have a bovine aortic valve & pacemaker, & one blockage. I had extreme fatigue to the point I would cry because I had to get out of bed. I finally just stayed in bed for about 3 weeks & could not function because I was so tired. I came off and still have fatigue but not like /w the toporol. It did my 90 yr old Mother the same way.

    I’m 77 and this was 3 yrs ago. My valve will be 11 yrs old in July 2015 & functions well. There are just some meds we have to say NO to! We know our bodies better than the Dr’s & just have to let them know what’s going on.

    My drs also try to make me take cholesterol lowering drugs but after one day, my legs & muscles ache & I can’t take… My cholesterol has been 240 since I was 22 yrs old!!

  22. Joan T.
    Palm Coast, FL.

    When I first started Metoprolol and Lisinopril, I was not told to take them separately. I took them together at night. As a result, my heartbeat was so loud that I could not lie on my side to sleep. On my own, I decided to separate the two – one in the A.M. and one in the P.M. (Lisinopril in the P.M.) and the loud beating STOPPED. Be your own advocate.

  23. Neal

    I was prescribed metoporol extended release following heart bypass surgery several months ago. The cardiologist said that despite some problems from propanorol taken long ago for migraines, it would be safe. I asked for the lowest dose possible and got it reduced from 50mg to 25mgXL.

    Disclaimer – As I also take a half dose of plavix (37.5mg), aspirin 81mg, atorvastatin 10mg, and so forth, I could not attribute any side effects from metoporol with certainty.

    I do have somewhat of a runny nose, cold extremities, and a low pulse, none of which impede my daily activities. And like I said, for myself or anyone else on multiple substances, we react in individual ways. But after over 6 months on this stuff, I don’t have any side effects that reduce the quality of my life.

    Just returned from 5.5 mile jog, trim and fit with lots of energy. In fact, I have been trying without success to gain weight, but no matter what I do, the needle is stuck.

    My plan is to get off the metoporol and atorvastatin by the 2nd year post surgery. I was already told I could stop taking plavix. Male in early 60s in excellent health.

  24. Todd

    Was taking moexpril and metoprolol from 2005 to 2012. Started gaining weight in 2008. Had a major hemorrhage stroke in 2012; they all are major. When I started in 2000 on zesteril, my starting BP was 131 over 90. No telling what BP was when I had the stroke. Took half a maxifed with the BP medicine and woke up a month later more dead than alive.
    I was a very strong person also as in power and strength. All of that is gone with a lot more now. Still take metoprolol and lispronil with ampoldine bysilate. The key information to remember is that the doctors may know less than the patients or the internet. Beware or suffer my fate. The only benefit of the stroke was the incredibly strange trip that went on for about six or seven weeks. Beyond imagination or belief.

  25. Nancy

    I am having trouble with constipation since going on METOPROLOL ER SUCCINATE 25MG . What do you suggest?

    • Ann

      Nancy.. try something natural.. prune juice it works

  26. Keith

    The doctor put me on this med in the hospital and was taking 2 months after. I stopped my meds as I got a back back ache and constipation which I think were from Lipitor and Plavix. Somewhere along the line I stopped the Metoprolol too. I called the doctor about the back ache and had to wait 2 months to see him. All this time I was not on any of the meds. When I finally saw the doc, he had a fit we argued about it and finally he refused to be my doctor.

    My new doctor put me on Metoprolol 50 mg and after 1 day I was dizzy and had breathing problems. Now I also have bad insomnia. All the nurse would say is keep taking the med and drink lots of water, then call back in a week. Frankly I have no inkling to take the med anymore. Somewhere somehow I also developed driving phobias.

    Whats frustrating is neither doctor was willing to try a different med. They seem to be adamant that metoprolol is the right one and too bad so sad for me. Looks like the second doctor is going to be dropped too.

  27. andrea

    Hi I’ve been experiencing the same thing. I recently got off metoprolol and ever since then I’ve been super anxious. It’s been about 5 days. And I can’t stand it. How long do you have the anxiousness?

    • anna
      new york

      Doctors give you meds based on which big pharma is giving them money or some type of perks…..that is why they do it…find another doctor until you get one who listens and will either put you on a med that works for you and you are happy with or seeks a doctor to help you lower your pressure without. Sometimes this means going to a naturepath….who is not a MD. Don’t give up. you have a right to your health…the doctor is paid the bigs buck to take great care of you …don’t accept one who does not…

    • Dale Haagenstad

      Two to three months to getback to normal.

    • Rick

      How did you stop? I was on 25 mg, I have cut down 1/2, then again to 6.25 mg,/day extended release. After 2weeks, still have elevated press/ pulse at times… I started taking metoprolol 5 months ago…thks

  28. Genet

    I’m recently taking 150 MG Metroprolol succinate every day. It doesn’t work effectively. My heart rate is good in 60 but sometimes my BP get high with no reason. I started with 25 MG then to 50 mg then to 100 and now 150 mg. It’s early in the morning (4:30 am) I woke up with pounding heart beat my Bp is 182/105 heart rate 92. I have no side effect with this medication, and I’ve been taking it for around 2 months. I can’t wait to make appointment with my doctor this morning and change to another medication.

    • Dale Haagenstad
      United States

      I think you may be on too much at 150mg. I was on 100, then 50 then 25 then 12.5…. Now off and just on Lisiniprol and feel great. Been very anxious and up tight since getting off the metroprolol. Takes two or three months to get right when getting off. Body not use to normal heartrate I think.

  29. M

    I was on 25mg of Metoprolol twice a day for about 2 months. My doctor told me to stop them cold turkey, as I wasn’t on them for very long in the first place. I decided to do a short wean process (about five days) and have been off them mostly for about two weeks now. I have been incredibly anxious since then, and have had at least two episodes of tachycardia (once at about 120 bpm, another nearing 140). I am curious how long these effects will last, and if I should just go back on the pill? I’ve been reading that getting off of these pills can be dangerous, and I don’t know if I have passed that window of danger or not.

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