Metoprolol vs metoprolol xl

Common Questions and Answers about Metoprolol vs metoprolol xl

toprol

I have taken Toprol xl 25 mg for about 5 years. My doctor switched me to metoprolol several months ago. When I filled my prescription this time, it was from a different mfg and I think I may be having problems with it as I just don't feel right. Could changing the mfg make a difference? ALSO, my doctor prescribed 50 mg to be cut in half for my prescribed 25 mg dose. Does cutting this tablet in half compromise the time release?
I take metoprolol and I have had hardly any side effects. It did make me alittle tired but I got use to it. Everybody is different when it comes to meds and side effects. For expample musikbox could not tolerate metoprolol and was switched to atenolol. For me it was the opposite. I could not function on atenolol and had to come off of it and I am having no problems with metoprolol.
The difference between Lopressor and Toprol XL is the release time (12 hrs vs 24 hrs). Since you're still taking your doses twice daily, you should experience the same results. If not, the generic Toprol XL 25 mg is available again.
I had that problem with the generic of Toprol XL. By evening, my heart rate would start to rise, and my pvcs/pacs would get worse. I went on line and found a message board about generic drugs, and many, many people had problems with that. You could call your doctor and tell him the generic isn't agreeing with you and ask if he could phone in a script "dispense as written". Hope this helps.
I'd recommend either a non-cardiac specific one like Inderal or a cardiac specific one like Toprol XL or Metoprolol, depending on what your primary complaints are. If you get mainly chest palps, chest pains etc., a cardiac specific one will suffice. I'd also recommend getting on a longer-lasting benzo. Lorazepam works great for me, and clonazepam (Klonopin) is another GREAT benzo. to stop the release of adrenaline through the body.
Many people report an increase in heart palpitations after switching from Toprol XL to its generic version, Metoprolol. My guess is that the generic version is ****, which is the case with many generics, despite what the FDA tells consumers.
What are the medical advantages/disadvantages of metoprolol vs. toprol besides the convenience? I am taking toprol in the a.m. but many of my palpitations are when I'm sleeping (I wake up in the middle of the night with them) and am wondering if taking the toprol in the evening would be more effective. I know that it is supposed to last 24 hours but it must tail off toward the end, which would be when I need it the most.
It may been just coincidence but after going on Atenolol last November due to Afib, I got more and more anxious, and had afib every week or so. Since January taking Metoprolol at noon (vs Atenolol late at night) I have had fewer Afib incidents.......and I am MUCH more relaxed.....but maybe this is just do to me working at being lerss stressed, giving up my moderate drinking, etc....
He refilled the RX I have been taking (50MG of Metoprolol Succinate, twice daily). Unfortunately the refill arrived as 50MG Metoprolol Tartrate. 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.
I began having tachycardia at age 12, and began having palpitations during my first pregnancy 7 years ago, and arrythmias almost 4 years ago. I am still taking Toprol XL 50mg daily, and my average heart rate is between 90-120 bpm. I would like to get pregnant within the upcoming year and was wondering what the risks are to my heart rate, if I can have a vaginal delivery, and if I would have any limitations during the pregnancy.
All of Toprol XL (or generic). My cardiologist had no problem having me make sudden changes. Assuming you are protected from blood clots, you might want to consider taking a half dose of Sotalol for a couple of days before dropping it completely in favor of Multaq. Or, better, discuss with your doctor.
and 2) did not agree with taking the calcium channel blocker just yet. Gave me RX for 25mg of Toprol XL (beta blocker) to try first. From what I have read...calciumm blockers have less side effects, but beta blockers are used more ofter. Cardio says I am on a low dose and shouldnt feel much side effects except dizzy the first few days. I am very confused what to do. Whether to listen to the cardio or the elelectrophysiologist.
The drug company data comparing Toprol XL and metoprolol shows that the level of the drug is much higher in one's system for the first couple hours after taking it. (http://www.toprol-xl.com/HCP/8_Pharmacology.asp) I suspect you are not tolerating those initial surges of drug very well. You might try taking your nightime dose right at bedtime and your morning dose at least 12 hours later.
There are a few beta blockers with evidence in heart failure -- they are carvedilol, metoprolol XL, and bisoprolol (not really used in the US). Atenolol does not have any data to support its use in heart failure, so I would recommend a different agent (one of the above). Which one to choose depends on your blood pressure and ability to take twice daily dosing vs once daily. Chlorthalidone is a perfectly fine diuretic, if you have blood pressure room to tolerate it.
I have had years of putting up w/episodes of sustained PVC's, etc and finally gave in and tried Toprol XL 25mg but did not see a big improvement, if any. After looking at an EKG when I was having these sustained PVC's a couple of wks ago, my cardio said that I needed to be on a calcium channel blocker b/c they responded to the type of PVC's that I had..I wish I had asked if there were different types of PVC's.
She has had elevated cholesterol but has taken Lipitor for years and it is well-controlled. Her cardiologist increased her Toprol XL fr/25 mg/d to 25 mg BID, which had some transient positive effect that lasted ~2d b/f degrading back to pre-increase frequency. She asked her cardio about an EP study, but he's opted to cath her instead. Would a less invasive procedure such as a stress test or cardiac CT be reasonable b/f cath?
abnormally prolonged vs non-monotonic return to baseline vs different kinds of ectopy). I've also had "transitional pvcs" that disappear later. When my palps are exercise induced it is after short, ordinary activities like walking a block or two. They actually stay away for hours after long brisk walks and bike rides. But sometimes they return much later with a vengeance (like last night).
PVCs since the 80's, I am 29 yr old F, have gone to ER many times for SVT/ doc put me on Toprol XL 50 mg., I started meds 1/30/04 (I waited so long because I was more afraid of the meds than condition until recently when 1) I learned SVT can lead to clotting & 2) I started suffering horrible chest pain w/them). (Noraml echo.) I've had more problems ever w/the meds, I am very sensative to meds.
I took off until next Monday but then have afull week scheduled still taking 25MG Metoprolol XL as blood pressure has been up seems to be working fine and no itching this time very low dose This forum has been so very helpful as no one I know has this problem and I was so afraid of anything to do with my heart I am good thank God and the Doctors and grateful Thanks again for everyones encouragement and prayers Tom take care of yourself dont overdo rest relax enjoy Turkey Day Did you start a h
I'm 52, a nurse, on metoprolol for hypertension with the added benefit that it totally stopped all palpitations for the last year. Then a month ago I experienced some really strange sensations, a very irregular heartbeat like palpitations but what felt more like a vacuum sensation in my chest along with lightheadedness. It was very upsetting. EKG was normal, labs were normal, holter monitoring showed a heart rate from 49 to 156 with the biggest variations being during sleep.
Recent (1/4/99) visit to a family doctor (new) made my doctor nerves of my heart murmur and EKG results, followed by ECHO and visit to a cardiologist. Young cardiologist has put me on LISINOPRIL (ZESTRIL 5mg) and METOPROLOL (TOPROL XL 50MG) and a follow up visit in about a month. He wants me to have a MVR within a year or as soon as my family returns from India. Mean while he wants ECHO done every three months. TEE was performed to rule out vegetation in MV. Stress test was fine.
Young cardiologist has put me on LISINOPRIL (ZESTRIL 5mg) and METOPROLOL (TOPROL XL 50MG) and a follow up visit in about a month. He wants me to have a MVR within a year or as soon as my family returns from India. Mean while he wants ECHO done every three months. TEE was performed to rule out vegetation in MV. Stress test was fine. Following stress test he asked 30 minutes walk every day. I am 5 6 and 125 lb. My BP is normal @ 120/75 and HDL/LDL is 34/169.
Recent (1/4/99) visit to a family doctor (new) made my doctor nerves of my heart murmur and EKG results, followed by ECHO and visit to a cardiologist. Young cardiologist has put me on LISINOPRIL (ZESTRIL 5mg) and METOPROLOL (TOPROL XL 50MG) and a follow up visit in about a month. He wants me to have a MVR within a year or as soon as my family returns from India. Mean while he wants ECHO done every three months. TEE was performed to rule out vegetation in MV. Stress test was fine.
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