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 did ask the Pharmacist about having the Metoprolol 50 mg XL but in the Canada they don't do 25 or 50 XL dose... the XL dose are 100 mg and 200 mg only... Well thanks for your answer ;-) Take care of you!!!
I have a wonderful (and high profile) cardiologist in Boston (who performed the ablation). He put me on flecainide (worked up to 75mg/day) and 50mg/day metoprolol. It worked at first - not a blip. But then I started having frightening episodes of SVT, which brought me to the ER, and eventually hospitalization. He took me off the flecainide which seemed to be the cause of the SVT. I also have atrial flutter now.
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.
When I was first started on Inderal in the early 80's, there were no generics available. Once the 20mg tablets became available in generic form, my doctor preferred on stay on the "regular" brand. I'm not sure it makes a difference, but it might be worth testing it out. Can you go back to the regular version for a month or so, to see if it works better. At one point I was taking the 80SR, but found it necesary to supplement with a 20mg tablet for breakthroughs.
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.
I have taken Toprol XL 50 for several years, not to control high blood pressure or other cardiac condition, but because I have had 4 serious public speaking related crash and burn episodes (one landed me in the ER) that my cardiologist said was likely a-fib. My pharmacy switched me to the Sandoz generic in Sept 2007 and all seemed to be going well until January 2008 when I started having arrhymias, mostly at bedtime (lying flat), causing me to sleep in a chair a number of nights.
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.
Did you ever get the two types of Metoprolol straightened out? The two are similar in weight vs. strength, but I thought that the Succinate was only taken once a day. The Tartrate is much cheaper of the two. I also take 50mg/2X a day of this. MVP would affect blood flow, but I doubt it would have an affect on rate. Of course, the last time I checked, there was no "M.D." after my name, so it's just a guess. Keep us informed of what you find. Oh...
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.
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 gone in step fashion from 200 mg a day to 100 mg and to 50 mg. 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.
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.
I wonder if they broke down the risk associated with different kinds of abnormal heart rate recovery (e.g. 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.
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?
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.
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'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.
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
Repair of the mitral valve vs. replacement with a bioprothesis or mechanical valve can only be determined in the operating room. If the damage is not repairable then it is replaced. The bioprothesis valve is from either a pig or cow and lasts about 10 years. The advantage is that long-term anticoagulation is not required. The disadvantage is that it will need replaced. The mechanical valve (usually a St. Jude's) lasts for a lifetime but requires anticoagulation with coumadin.
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.
Repair of the mitral valve vs. replacement with a bioprothesis or mechanical valve can only be determined in the operating room. If the damage is not repairable then it is replaced. The bioprothesis valve is from either a pig or cow and lasts about 10 years. The advantage is that long-term anticoagulation is not required. The disadvantage is that it will need replaced. The mechanical valve (usually a St. Jude's) lasts for a lifetime but requires anticoagulation with coumadin.
The cardiologist put me on 50 mg of toprol XL daily. The cardiologist sent me for an echo and it came back normal. When I went back to the cardiologist for a followup, I asked if the toprol could be giving me a funny feeling in my chest. He suggested that maybe I was now hypersensitive and I told him I didnt think so. In fact, I asked if I really needed the medicine, since I had only one episode and it might not happen again.
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