Lopressor

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Toprol XL (metoprolol) is a widely used beta blocker usually prescribed to treat hypertension, angina, and heart failure. It may also be given to prevent heart attack in patients at high risk for other reasons. The medication works by improving blood flow and reducing heart rate.

The XL in Toprol XL stands for extended release, meaning the medication is gradually released over the course of the day. Because of this, treatment with Toprol XL may differ from other medications with the same active ingredient being taken for the same condition, such as Lopressor.

Tablet integrity is also important in slow-release medications; chewing, crushing, dissolving and otherwise damaging the tablet will cause the medication to release quickly, reducing effectiveness and increasing risk of side effects. Toprol XL tablets which have a score line may be split if needed. Patients unable to swallow whole tablets should speak with a doctor about alternative treatments.

Taking Toprol XL

Toprol XL is usually a long-term treatment, introduced gradually until the ideal dosage is determined. It takes about a week for full effects of a given dose to be realized, likewise dosage adjustments. Patients starting this medication for the first time may feel tired and generally "run down" for the first few weeks as the body adjusts; this should gradually improve with time and continued treatment.

Treatment will vary to some extent depending on the condition being treated and other medications being taken. In all cases Toprol XL should be taken with or immediately following a meal.

For hypertension and angina:

  • Start with 25 to 100 mg per day for at least one week, when full effects can be seen.
  • If insufficient, dosage may be gradually increased weekly up to 400 mg per day.

For heart failure:

  • Start with 12.5 to 25 mg per day, for at least two weeks until full effects are known.
  • Dosage may be doubled every two weeks, if needed, up to 200 mg per day.

Treatment should continue for as long as the medication continues to provide benefit, often for years or decades. Treatment should not stop suddenly; dosage should be gradually reduced over the course of several weeks.

Other medications are often used along with Toprol XL to manage blood pressure, heart rate or the conditions causing them; determining the balance of these drugs for optimal patient results can be a complicated process. It is highly advisable to consult a doctor before adding, removing or adjusting these medications.

Side Effects & Other Considerations

Most people use Toprol XL with no adverse effects. Some individuals are, however, at greater risk of experiencing complications with this medication. Some things to keep in mind if taking Toprol XL, or any beta-blocker:

  • Beta-blockers may mask symptoms of hypoglycemia and hyperthyroidism.
  • Beta-blockers are not recommended in patients with chronic breathing ailments, such as asthma or COPD.
  • Beta-blockers inhibit the body's response to epinephrine. This can cause issues in those dependent on epinephrine to manage other conditions, as well as reduce effectiveness in emergency use of epi-pens for anaphylactic shock or when administered in severe asthma attacks.
  • Beta-blockers can change the way patients react to anesthesia; it is important that doctors be notified beta-blockers are being taken prior to surgery, including dental surgery.
  • Patients with kidney or liver impairment, or who have poor circulation, should discuss risks with a doctor before use.

As mentioned above, side effects, if experienced at all, typically occur at the start of treatment and fade away with the first week or two of use. The most commonly experienced side effects are:

  • Dizziness or lightheadedness
  • Heartburn
  • Cold hands and/or feet
  • Mild stomach upset
  • Tiredness
  • Runny nose

If the above side effects persist beyond the first few weeks of treatment or become severe enough to interfere with day-to-day life a doctor should be consulted.

Serious side effects are unlikely, but do, unfortunately, happen. Seek medical attention if experiencing:

  • Difficulty breathing
  • Fainting
  • Rapid or pounding heartbeat
  • Irregular heartbeat
  • Vision changes

Discuss potential risks with a doctor before starting treatment if pregnant or breastfeeding.

Lopressor

50mg metoprolol tartrate  100 Tab - $40.00
Pack Sizes Strength Price Cart
100 TabGeneric 50mg $40.00 Add
100 TabGeneric 100mg $44.00 Add
100 TabBrand 50mg $47.00 Add
100 TabBrand 100mg $64.00 Add
Online Doctor
No current Rx required
Lopressor Pack Sizes Strength Price Cart
112 TabletsGeneric 50mg $33.74 Add
Toprol XL Pack Sizes Strength Price Cart
Buy Lopressor 28 TabletsBrand 200mg $47.23 Add

Medicines have benefits and some have risks. Always read the label and use only as directed. If symptoms persist or you have side effects see your health professional.

Items with this symbol require a prescription be received by us before we can ship it to you. After checking out we will provide you with the information you need to send us your prescription.

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