Metoprolol succinate
Hypertension, Angina Pectoris ... show more
Drug Status
Government Approvals
US(FDA), UK(BNF)
WHO Essential Medicine
NO
Known Teratogen
No
Pharmaceutical Class
Beta-Adrenergic Blocker
Controlled Drug Substance
No

Metoprolol succinate
Summary
Metoprolol succinate is used to treat high blood pressure, chest pain (angina), and heart failure. It can also help prevent heart attacks.
Metoprolol succinate is a beta-blocker. It works by blocking certain signals in the heart, which slows the heart rate and reduces the heart's workload, thereby lowering blood pressure and preventing chest pain.
The dosage of Metoprolol succinate depends on the condition being treated. For high blood pressure, the starting dose is usually 25-100 mg once daily, with a maximum of 400 mg/day. For angina, it's 100-400 mg once daily. For heart failure, you start with 12.5-25 mg once daily and gradually increase to a target dose of 200 mg/day as tolerated. The medicine is taken orally, ideally with food.
Common side effects of Metoprolol succinate include tiredness, dizziness, depression, diarrhea, shortness of breath, slow heartbeat, and rash. More serious but less common side effects include worsening chest pain, heart attack, or heart failure.
Do not stop taking Metoprolol succinate suddenly without talking to your doctor, as this can cause serious heart problems. Avoid driving or operating machinery until you know how the medicine affects you. Also, avoid alcohol as it can increase the risk of side effects. If you have heart failure, tell your doctor if you gain weight or have shortness of breath.
Indications and Purpose
How does Metoprolol succinate work?
Metoprolol succinate is a beta-blocker that works by blocking certain natural chemicals in your body, like adrenaline, which affects the heart and blood vessels. This action slows the heart rate and relaxes blood vessels, reducing blood pressure and heart strain. Think of it like turning down the volume on a loudspeaker, making the heart work less hard. This helps treat high blood pressure, angina, and heart failure, improving heart health and reducing the risk of heart attacks.
Is Metoprolol succinate effective?
Yes, Metoprolol succinate is effective for treating high blood pressure, which is called hypertension, and certain heart conditions like angina, which is chest pain caused by reduced blood flow to the heart. It works by slowing the heart rate and relaxing blood vessels, which helps lower blood pressure and reduce heart strain. Clinical studies support its effectiveness in improving heart health and reducing the risk of heart attacks. Always follow your doctor's instructions to achieve the best results.
What is Metoprolol succinate?
Metoprolol succinate is a beta-blocker, which is a type of medication that affects the heart and circulation. It works by slowing the heart rate and relaxing blood vessels, which helps lower blood pressure and reduce heart strain. It's primarily used to treat high blood pressure, angina, and heart failure. Metoprolol succinate can also be used to prevent migraines and treat certain types of irregular heartbeats. Always follow your doctor's instructions when taking this medication.
Directions for Use
For how long do I take Metoprolol succinate?
Metoprolol succinate is usually taken long-term for managing chronic conditions like high blood pressure and heart problems. Your doctor will determine how long you need to take it based on your health needs and response to treatment. It's important to follow your doctor's instructions and not stop the medication without medical advice, as this could worsen your condition. Regular check-ups with your doctor will help monitor your progress and adjust your treatment as needed.
How do I dispose of Metoprolol succinate?
To dispose of Metoprolol succinate, take it to a drug take-back program or collection site at a pharmacy or hospital. They will dispose of it properly to prevent harm to people or the environment. If you can't find a take-back program, you can throw it in the trash at home. First, mix it with something undesirable like used coffee grounds, seal it in a plastic bag, and then throw it away. Always keep medications out of reach of children.
How do I take Metoprolol succinate?
Take Metoprolol succinate once daily, preferably with or right after a meal. Swallow the tablet whole without crushing or chewing it. If you miss a dose, take it as soon as you remember, unless it's almost time for your next dose. In that case, skip the missed dose and continue with your regular schedule. Do not take two doses at once. Avoid alcohol, as it can increase the risk of side effects. Always follow your doctor's specific instructions regarding your dosage and any dietary restrictions.
How long does it take for Metoprolol succinate to start working?
Metoprolol succinate starts working within a few hours of taking it, but it may take a week or more to see the full effects on blood pressure. For heart conditions, improvements might be noticed within a few days, but full benefits can take several weeks. Factors like your overall health and other medications can affect how quickly it works. Always take it as prescribed and attend regular check-ups to monitor your progress.
How should I store Metoprolol succinate?
Store Metoprolol succinate at room temperature, away from moisture and light. Keep it in a tightly closed container to protect it from damage. Avoid storing it in humid places like bathrooms, as moisture can affect the medication's effectiveness. Always keep it out of reach of children to prevent accidental ingestion. Check the expiration date regularly and dispose of any unused or expired medication properly. Follow your pharmacist's instructions for safe storage.
What is the usual dose of Metoprolol succinate?
The usual starting dose of Metoprolol succinate for adults is 25 to 100 mg once daily, depending on the condition being treated. Your doctor may adjust the dose based on your response and needs. The maximum recommended dose is typically 400 mg per day. For elderly patients or those with certain health conditions, dose adjustments may be necessary. Always follow your doctor's specific dosing instructions for your health needs.
Warnings and Precautions
Can I take Metoprolol succinate with other prescription drugs?
Metoprolol succinate can interact with other medications, increasing the risk of side effects or reducing effectiveness. Major interactions include other blood pressure medications, which can cause excessively low blood pressure, and certain antidepressants, which can increase Metoprolol levels in the blood. Always inform your doctor about all medications you take to prevent interactions. They can adjust your treatment plan to ensure it's safe and effective. Regular monitoring helps manage any potential interactions.
Can Metoprolol succinate be taken safely while breastfeeding?
Metoprolol succinate is generally considered safe to use while breastfeeding. It does pass into breast milk, but in small amounts that are unlikely to harm the baby. However, always consult your doctor before taking any medication while breastfeeding. They can provide personalized advice based on your specific situation. If you notice any unusual symptoms in your baby, such as unusual sleepiness or feeding difficulties, contact your healthcare provider.
Can Metoprolol succinate be taken safely while pregnant?
The safety of Metoprolol succinate during pregnancy is not well-established. Limited evidence suggests it may be used if the benefits outweigh the risks. Some studies indicate potential effects on fetal growth. Always discuss with your doctor if you're pregnant or planning to become pregnant. They can help determine the safest treatment plan for you and your baby. Your doctor will weigh the potential benefits and risks before prescribing Metoprolol succinate during pregnancy.
Does Metoprolol succinate have adverse effects?
Adverse effects are unwanted reactions to a medication. Common adverse effects of Metoprolol succinate include fatigue, dizziness, and slow heart rate. These effects are generally mild. Serious side effects, like severe allergic reactions or heart problems, are rare but require immediate medical attention. If you notice any new or worsening symptoms, contact your doctor. They can help determine if the symptoms are related to Metoprolol succinate and advise on the best course of action.
Does Metoprolol succinate have any safety warnings?
Yes, Metoprolol succinate has important safety warnings. It can cause a slow heart rate, which is called bradycardia, and low blood pressure, which is called hypotension. These effects can be serious if not monitored. Stopping the medication suddenly can worsen heart conditions. Always follow your doctor's instructions and report any unusual symptoms. If you experience dizziness, fainting, or difficulty breathing, seek medical help immediately. Regular check-ups are important to ensure the medication is working safely.
Is it safe to drink alcohol while taking Metoprolol succinate?
It's best to limit alcohol while taking Metoprolol succinate. Alcohol can increase the risk of side effects like dizziness and low blood pressure. This happens because both alcohol and Metoprolol can lower blood pressure. If you choose to drink, do so in moderation and be aware of how your body reacts. If you experience dizziness or lightheadedness, avoid alcohol and talk with your doctor. They can provide personalized advice based on your health condition.
Is it safe to exercise while taking Metoprolol succinate?
Yes, you can exercise while taking Metoprolol succinate, but be mindful of how your body feels. This medication can lower your heart rate and blood pressure, which might affect your exercise capacity. Start with light to moderate activities and avoid strenuous exercises until you know how the medication affects you. If you feel dizzy or unusually tired, stop exercising and rest. Always consult your doctor about your exercise routine while on Metoprolol succinate.
Is it safe to stop Metoprolol succinate?
No, it's not safe to stop Metoprolol succinate suddenly. Doing so can worsen your heart condition or cause a rapid increase in blood pressure. If you need to stop taking it, your doctor will likely suggest gradually reducing the dose. This helps prevent withdrawal symptoms and keeps your condition under control. Always talk with your doctor before stopping Metoprolol succinate. They will guide you on how to safely make any changes to your medication.
Is Metoprolol succinate addictive?
No, Metoprolol succinate is not addictive or habit-forming. It does not cause dependency or withdrawal symptoms when you stop taking it. This medication works by affecting your heart and blood vessels, not your brain chemistry, so it doesn't lead to addiction. You won't experience cravings for Metoprolol succinate or feel compelled to take more than prescribed. If you have concerns about medication dependence, rest assured that Metoprolol succinate doesn't carry this risk.
Is Metoprolol succinate safe for the elderly?
Yes, Metoprolol succinate is generally safe for the elderly, but they may be more sensitive to its effects. Older adults are more vulnerable to side effects like dizziness and low blood pressure. These effects can increase the risk of falls. Doctors often start with a lower dose and monitor the elderly closely. Regular check-ups are important to ensure the medication is working safely. Always follow your doctor's instructions and report any unusual symptoms.
What are the most common side effects of Metoprolol succinate?
Side effects are unwanted reactions to a medication. Common side effects of Metoprolol succinate include tiredness, dizziness, and a slow heart rate. These effects are usually mild and may improve as your body adjusts to the medication. If you experience new symptoms after starting Metoprolol succinate, they might be temporary or unrelated to the medication. Always talk with your doctor before stopping any medication. They can help determine if the side effects are related to Metoprolol succinate.
Who should avoid taking Metoprolol succinate?
Don't take Metoprolol succinate if you have severe heart block, which is a condition where the heart beats too slowly, or if you have severe heart failure. These are absolute contraindications. Use caution if you have asthma or chronic obstructive pulmonary disease, which are relative contraindications. In these cases, the benefits must outweigh the risks. Always consult your doctor about your medical history before starting Metoprolol succinate to ensure it's safe for you.