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Toprol XR (Metroprolol XR)

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Toprol XR (Metoprolol XR) - Sustained Release - is a beta blocker used to treat high blood pressure angina pectoris (chest pain) and congestive heart failure.

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About Toprol XR (Metroprolol XR):

Product Type: Blood Pressure

Brand name: Toprol XR Generic name: Metroprolol XR What is the most important information I should know about toprol? Do not stop taking toprol 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 toprol. Be sure the surgeon knows ahead of time that you are using toprol. Toprol 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 toprol. Toprol 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 toprol? Toprol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins). Toprol is used to treat angina (chest pain) and hypertension (high blood pressure). It is also used to treat or prevent heart attack. Toprol may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking toprol? Do not use this medication if you are allergic to toprol 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 Raynauds syndrome). Before taking toprol 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 toprol 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. Toprol 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. How should I take toprol? Take toprol exactly as it was prescribed for you. Do not take the medication in larger amounts or for longer than recommended by your doctor. Take this medication with a full glass of water. Take toprol at the same time every day. A Toprol XL tablet can be divided in half if your doctor has told you to do so. The half tablet should be swallowed whole without chewing or crushing. Chewing or crushing the pill could cause too much of the drug to be released at one time. Do not skip doses or stop taking toprol without first talking to your doctor. Stopping suddenly may make your condition worse. To be sure this medication is helping your condition your blood pressure will need to be checked on a regular basis. It is important that you not miss any scheduled visits to your doctor. If you need to have any type of surgery tell the surgeon that you are using toprol. You may need to briefly stop using toprol before having surgery. Toprol 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. Store toprol at room temperature away from moisture and heat. What happens if I miss a dose? Take the missed dose as soon as you remember. If your next dose is less than 4 hours away skip the the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of an toprol overdose may include uneven heartbeats shortness of breath bluish-colored fingernails dizziness weakness fainting or seizure (convulsions). What should I avoid while taking toprol? Toprol 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 toprol. What are the possible side effects of toprol? Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. Call your doctor at once if you have any of these serious side effects: • slow or uneven heartbeats; • feeling light-headed fainting; • feeling short of breath even with mild exertion; • swelling of your ankles or feet; • nausea stomach pain low fever loss of appetite dark urine clay-colored stools jaundice (yellowing of the skin or eyes); • depression; or • cold feeling in your hands and feet. Other less serious side effects are more likely to occur such as: • vomiting; • decreased sex drive impotence or difficulty having an orgasm; • sleep problems (insomnia); • tired feeling; or • anxiety nervousness. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect toprol? Before taking toprol tell your doctor if you are using: • digoxin (digitalis Lanoxin); • clonidine (Catapres); • ritonavir (Norvir); • terbinafine (Lamisil); • anti-malaria medications such as chloroquine (Aralen) or hydroxychloroquine (Plaquenil Quineprox); • medicine to treat depression or mental illness such as bupropion (Wellbutrin Zyban) fluoxetine (Prozac Sarafem) paroxetine (Paxil) thioridazine (Mellaril) and others; • an MAO inhibitor such as isocarboxazid (Marplan) tranylcypromine (Parnate) phenelzine (Nardil) or selegiline (Eldepryl Emsam); • a diabetes medication such as insulin glyburide (Diabeta Micronase Glynase) glipizide (Glucotrol) chlorpropamide (Diabinese) or metformin (Glucophage); • a heart medication such as nifedipine (Procardia Adalat) quinidine (Quinaglute Quinidex) propafenone (Rythmol) reserpine (Serpasil) verapamil (Calan Verelan Isoptin) diltiazem (Cartia Cardizem); • medicine for asthma or other breathing disorders such as albuterol (Ventolin Proventil) bitolterol (Tornalate) metaproterenol (Alupent) pirbuterol (Maxair) terbutaline (Brethaire Brethine Bricanyl) and theophylline (Theo-Dur Theolair); • a diuretic (water pill) such as amiloride (Midamor Moduretic) chlorthalidone (Hygroton Thalitone) furosemide (Lasix) hydrochlorothiazide (HCTZ HydroDiuril Hyzaar Lopressor Vasoretic Zestoretic) spironolactone (Aldactazide Aldactone) triamterene (Dyrenium Maxzide Dyazide) torsemide (Demadex) and others; or • cold medicines stimulant medicines or diet pills. If you are using any of these drugs you may not be able to take toprol or you may need dosage adjustments or special tests during treatment. There may be other drugs not listed that can affect toprol. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Generic Toprol XR (Metroprolol XR)

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