Difference between metoprolol and metoprolol tartrate

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Hi, Can someone tell me what the difference between Metoprolol and Metoprolol Tartrate is? Thank You in advance!
I took 2 different versions of metoprolol, Toprol (metoprolol tartrate) and Toprol XL (metoprolol succinate). The second one is the extended release version. Toprol made my symtoms worse but Toprol XL worked fairly well in controlling my conditions, PVC's and PSVT. I was taking 50 mg a day in both cases. The only thing that affected me was a slight feeling of dizziness at times and some mental fatigue.
Following are my observations on day two of substituting Atenolol 25 mg twice a day for Metoprolol 25 mg twice a day.. both are regular, for Metoprolol it is called Tartrate, I think the Atenolol comes in only one normally longer lasting form. Today in the early afternoon, following my third 25 mg dose of Atenolol at about 9 AM, I noticed some dizziness when I rose from a time sitting.
I was prescribed Metoprolol Tartrate (50mg/2XD) last Monday due to HBP. When I went back to my doctor for a follow up on Friday, he also decided to put me on Xanax (PRN) and Celexa (10mg/1XD). I always research any medication I take, and have been reading that the Metoprolol Tartrate and the Citaprolam are a bad combination and can lead to extremely low blood pressure or even heart stoppage.
Because of the recent shortage of metoprolol succinate, my general practitioner refilled my prescription as metoprolol tartrate, but without informing me of the change. I was previously taking 25 mg in the am and 12.5 mg in the evening of the generic Toprol XL. Now I am taking 25 mg in the morning of generic Lopressor, and another 25 in the evening, but less than a full 12 hours apart. For example I will take the 25mg at 7 am, another 12.5 at 2pm and another 12.5 at around 6 or so.
Regarding Metoprolol vs Atenolol, I believe all Metoprolol is sold as Metoprolol Tartrate, but it depends if you take the extended release version or not. I know in Norway, you can get both, but I would not exaggerate if I said that 99% is sold in the extended release version. The drug is the same - but in extended release the pills/capsules are made to slowly release the active substance.
I am now on Norpace XR and I may face the same issue with my medigap policy as far as the difference in cost between XR and regular. I think the regular tablet can be taken 3 times a day, and the XR 2 times per day. I, also, will discuss this with my cardio when I see him in a couple of weeks. Do you actually get to SEE your doctor when you have a problem?
Okay my story goes like this....I was given metoprolol tartrate 50 mg a day to 75 a day for PVCs in 2009. I have taken it since. I was doing better and seeing my cardiologist/electrophysiologist twice a year and still do. Lately the PVCs are on the loose again. I mean they never went entirely away but it seemed the med 'tamed' the rhythm and even calmed down any fast heartbeat along with it. So about three weeks ago the PVcs started in very moderately.
Now as I understand it, the difference between the two is Metoprolol Succinate is Extended Release and Metoprolol Tartrate is Immediate Release...is this a big deal? Not sure if this was planned or an oversight.
Yes, I agree. I've mentione before here that there are probably many people misdiagnosed with panic disorder that are really experiencing a cardiac anomoly. I'd add that SVT is often fleeting, and by the time the patient gets an EKG, the event has passed. With nothing to see, the patient is diagnosed with having a panic attack. It was good that you persevered and it was "caught on tape" so to speak.
I'm not sure what else I can take at this point to balance the electrolytes. What can be done if it's adrenaline related? I stopped the metoprolol, so I'm not on any BB. Thanks for your insight.
My TEE was not a normally scheduled appointment, it came just 3 months after my last one because of a sudden onset of symptoms when I had never had any before. There was a stark difference between the 2 tests (echo and TEE) but my Dr told me it may have been like that for some time but just not picked up by the echo. Jjc2005 - thanks for the response. We have no family history of heart related issues on either side of my family. Not sure where I got my wonderful genetics from.
Amlodipine Besylate, 5 MG 1 x day Aspirin, 325 MG 1 x day Hydrochlorothiazide 25 MG 1 x day Isosorbide Mononitrate 60 MG 1 x day Lisinopril 40 MG 1 x day Metoprolol Tartrate, 50 MG 2 x day Niacin, 500 MG 1 x day at bedtime Simvastatin, 20 MG 1 x day at bedtime I usually feel OK in the morning within an hour of taking the first load of these. But as the day progresses, my walking range before the chest pain hits has become shorter and shorter.
I am on beta blockers (Metoprolol Tartrate 25MG 2x a day) from the 1st endocrinologist's and then for about 2 weeks I also filled the endocrinologist's prescription for (Methimazole 10MG 1x a day). Now before I went to this hospital clinic I wasted all this money on endocrinologist shopping and then found off the internet about an internist.
I just went through a brutal episode last afternoon/evening...lasted for 4-5 hours, and the sensations kept changing...flip flops, thumps, hard beats...even feeling a series of 10 beats in a row in my throat?!? Were they all PVCs? PACs?...Then the anxiety mounts, and I start wondering if this is THE EPISODE that will never end...
the endo just keeps saying dont worry about the #s ill look after them..also i take metoprolol tartrate for my heart i have disrythmia..and my heart goes soo fast without my pills...i also have restless leg syndrom the dr put me on meds for that too but they dont help..he also put me on sleeping pills ..i am not one for taking any pain meds i feel they are just a bandage that hides the true problems..i do things as naturaly as i can..as for the symtoms of hyper..
He determined that my difficulty with swallowing was due to nerve damage on the right side of my throat, but a neck CT scan a year ago turned up no tumor or suspicious lesion in my neck (and no lymphadenopathy, I believe). I asked him about the swelling under my left jaw that was noticed by different healthcare professionals, and he begrudgingly ordered a neck MRI with contrast (gadolinium).
Now I am back to square one, restarting low dose of synthyroid and trying different heart meds. No one will say the thyroid and heart are connected.... but I sure do ( or should I say my body does). good lluck , keep posting and know you are NOT alone. There is another post in 2006 from Soooo confused who had the same issue. I really thought I was alone til I read that since I not hyper but have all those symptoms. Lets all figure out how to resolve this since drs aren't....
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