Metoprolol xl 50 mg
Common Questions and Answers about Metoprolol xl 50 mg
toprol
If he was prescribed 100 mg Toprol XL once/day it should be the same as taking metoprolol tartrate 50 mg 2/day. We are not physicians nor pharmacists and you should consult one or both about drug substitutions and dosage equivalents.
I took Toprol xl for a time - 25 mg. I could not take a pill all at once, because my bp would drop too low. The nurse finally told me to break the pill in half and take half in the morning and half at night. That worked a little better. I ended up eventually on Atenolol which I have taken for 6 years. I take it in divided doses, as my bp or hr goes up or down. If my hr and bp are too low, I delay a dose. But I never just skip it.
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 don't think Metoprolol makes them worse. What I have seen on myself, however, is that it doesn't work at all. I took up to 50 mg a day. I switched temporarily now to Toprol XL to see if that's the answer since the generics seem to have no effect.
I understand Metoprolol SR and Toprol XL are equivalent, the Metoprolol being the generic, and much lower in cost. I've taken both, albeit it has been at least 6 years since I last used the brand-name Toprol XL.
I guess I'm 'lucky" as far as HR goes. If I take 100 mg twice a day of Metoprolol my rest HR goes into the 70s at rest. I have been trying lower dose to see if that reduces the dream problem I have.
I have taken 100/100 mg morning and night. The only problem I had was initial dizziness when I stood from a seated position, due to low blood pressure. I also had problems with dreams (and still have at 50 mg, my current dose, I'm now also on a calcium channel blocker) and general fatigue. My body adjusted to the low BP and the dizziness subsided, but the fatigue remained.
New cardio. was on atenolol 25 mg 2x daily for aortic valve disorder, but had issues of impotence and very very low heart rate, as well as numerous palpitations. Cardio swithced me to metoprolol xl 25mg 1x daily. my heart rate has gone from the high 50's to the high 80's from yesterday to today. Is this normal? I believed that the xl on the metoprolol was extended release, and that the dosage should do the same thing as far as hr and bp. by has gone from 116/68 to 138/89.
If you are good about taking medications, Metoprolol Tartrate is perhaps a quarter of the cost of the Toprolol XL, except you have to take it twice a day. I take mine every 12 hours, at dinner and upon rising; 5 and 5 is easy to remember.
My pharmacacy switched my "Toprol XL 50 mg" to a Generic one called "Metoprolol Succinate ER 50 mg" (manufactured by Sandoz) in December 2007. I have been on some form of Beta Blockers for years and I thought nothing of it. Within a week I was at my eye doctor because my left eye went from 20/20 to 20/60 and was so blurry that I felt like I had suntan lotion or something in it. Since then I have been to so many doctors because things just kept getting worse.
The prescribing info claims 14% reduction for a 50 mg dose, the lowest tested. Its commonly prescribed as high as 200 mg, so our 25 mg is very low.
For what its worth, the effect of beta blockers seems to wear off with me as I run further. When I tried a 50 direct acting metoprolol tablet prior to running, I couldn't get pulse above 120 for the first 2 miles. By mile 6, I was as 145 or so, although I still didn't feel very good.
Hi again tom_h,
Oh ok I see and it's really helping you? Apparently beta-blocker are not increasing the chance to survive after a heart attack and better antihypertensive drugs like the Ace inhibitor are better?
Anyway, my cardiologist put me again on the Propranolol and increase my dose to 40 mg day. I was on 50 mg day of Metoprolol.
I did 2 days on 40 mg of Propranolol and I had the same side-effects than on the metoprolol...
I was struggling with side effects from Cardiezem and asked to have my medicine changed, so I was put on 50 mg Metroprolol Tartrate per day, but began to suffer some nasty side effects--headaches, dizziness, nausea, abdominal cramps, lucid dreams, runny nose, and my heart rate dropped from 75-85 bpm to 45 to 55 bpm's depending on what I was doing. When I would sleep it dropped into the low 40's, and I couldn't focus at work, couldn't exercise.
I have taken Metoprolol as high as 100 mg twice a day... more recently only 100 mg and now 50 mg once a day. I have added a calcium channel blocker --- I'm not getting better :(
I have had no problem with a glass or two or wine or beer with meals, or even one with a snack. I agree the recommendation is to abstain from drinking alcohol. I'm sure I've told my cardiologist I have a drink "now and then" and I don't recall any outcry form him.
I find your healthcare system amazing, the problem is the cost. In Norway, Metoprolol extended release 100 mg costs $6.50 for a bottle of 100, on an ordinary prescription (not co-paid by the government).
I have to agree with tom_h. I have taken Metoprolol Succinate (Toprol XL) for many years. I went as high as 150 mg, but it never had really any effect on my BP - that is why it was originally prescribed for me and I dropped it because it was useless for that purpose. Now I am taken it again (50 mg) for Pac's/Pvc's and it reduces the number I have each day.
I've been on 50 mg metoprolol twice a day for the last three months with no side effects at all except that my resting heart rate is somewhat low in the forties but even that has not caused any problems. I have not had the vivid dreams or tiredness that some people mention. Funny thing though, I have had more PVCs than I did before!
All the best to you.
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.
t take care of the high HR. I take both Metoprolol and Diltiazem, 50 mg and 240 mg respectively. They seem to work well together. Maybe you can take a lower dose of Metoprolol along with the Diltiazem, perhaps at a higher dose.
Your post implies you nightmares are gone now that you are off of the BB... the CCB may also have that side effect.
When I made that same switch a few years ago, I went from 100mg Toprol XL once a day to 100mg metoprolol succinate once a day. Neither my doctor nor my pharmacist ever suggested that I would need to split the dose. My understanding is that metoprolol succinate is an extended release formuation that substitutes directly for Toprol XL. But ask your doc or a pharmacist to make sure. I'm off of the drug entirely now, so I don't worry with it anymore.
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