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Doctor insights on: Is It Safe To Take Metoprolol With Propanolol

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Typically, between propranolol & toprol (metoprolol) which is safer & has less long term side effects?

Typically, between propranolol & toprol (metoprolol) which is safer & has less long term side effects?

Toprol (metoprolol) but: Propanalol may be the preferable drug for certain diagnoses. U r md knows, please check with him. ...Read more

Dr. Prakash Deedwania
728 Doctors shared insights

Metoprolol (Definition)

Metoprolol belongs to the calss of medications know as beta-blockers. It has many functions, including lowering pulse and blood pressure. It can also be used in people who have weak heart muscles to stop/slow the progression of the disease and perhaps even ...Read more


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I take metoprolol 25 MG for anxiety. Dr. says propranolol may be more affective. What is the difference?

I take metoprolol 25 MG for anxiety. Dr. says propranolol may be more affective. What is the difference?

Propranolol: The effectiveness of a beta blocking drug for helping anxiety is related to its ability to cross the blood-brain barrier which, in turn, is related to it's lipophilic vs hydrophilic properties. Both drugs cross, but propranolol does it better, so may be more effective in some people. ...Read more

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What are the differences between Metoprolol and Propranolol? Which is better for treating hypertension of 150/100? What dosage should I take?

What are the differences between Metoprolol and Propranolol? Which is better for treating hypertension of 150/100? What dosage should I take?

No need: To be specific, it gets down to preferences: I prefer cardio-selectives = beta 1 like metoprolol (personally I prefer Bystolic), but sometimes nonselectives= beta 1 & 2) like propranolol are preferred ...Read more

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Which would be safer for an 18 y/o with imma proprietor sinus tachycardia? Propranolol 60 mg ER or toprol (metoprolol) 50 mg xr?

Which would be safer for an 18 y/o with imma proprietor sinus tachycardia? Propranolol 60 mg ER or toprol (metoprolol) 50 mg xr?

Safety: Either one is extended release, which is "less safe" until you know the proper dosage for you. Given the choice, toprol (metoprolol) has fewer side effects in most people. ...Read more

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On propranolol 20 mg 2x a day for SVT (wpw), &hbp. I need one that lasts longer but can't take er. Toprol (metoprolol) was to strong even at 25 mg. Any suggestion?

On propranolol 20 mg 2x a day for SVT (wpw), &hbp. I need one that lasts longer but can't take er. Toprol (metoprolol) was to strong even at 25 mg. Any suggestion?

Switch propranolol?: You need to discuss your problem with the physician (p) who is prescribing your Propranolol to you. It is best for p, who knows your history and you best, to make any changes in cardiac therapy, especially for a patient with a svt. Good luck. ...Read more

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Lightheaded from propranolol & lopressor (metoprolol tartrate). Taking only propranolol for Wolff Parkinson white syndrome. Doc said I still must take it. What should I do?

Lightheaded from propranolol & lopressor (metoprolol tartrate). Taking only propranolol for Wolff Parkinson white syndrome. Doc said I still must take it. What should I do?

Need assessment: The class of med you're taking are beta-blockers which may be very useful for WPW. But your symptoms need to be sorted out since the adverse effects of these drugs can cause your symptoms, either by excessively lowering your BP and/or heart rate. Alternate doses or beta-blockers, or even a different class of anti-arrhythmic agent may be considered. An electro-physiologic study may be useful too ...Read more

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Why is propanolol or metoprolol contraindicated to patients who have asthma and copd?

Why is propanolol or metoprolol contraindicated to patients who have asthma and copd?

Beta-blockers: They are beta-blockers and may cause bronchial constriction which exacerbates asthma and copd. We treat asthma with beta-agonists (albuterol etc) which are exactly the opposite. That being said, metoprolol in particular is a selective drug and many asthmatics/copd-ers are able to take it if needed for heart disease without any ill effects. Talk to your doctor. ...Read more

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What is the difference between metoprolol and propranolol?

What is the difference between metoprolol and propranolol?

Metoprolol: They are both beta blockers, metoprolol has a slightly longer half time and is more beta specific. In general they are fairly similar in practice. One or the other may be a bit more effective for an individual problem. ...Read more

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Is it true that metoprolol is less likely to cause problems in asthmatics than propranolol?

Is it true that metoprolol is less likely to cause problems in asthmatics than propranolol?

Yes: Metoprolol is more cardio-selective (works more selectively on the heart) when Propranolol is not selective. One study showed that patients on cardio-selecive beta block had a mild reduction in lung function (fev-1) of around 7% but responded to bronchodilator better. ...Read more

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How good bystolic vs propranolol, toprol (metoprolol) or other bb medicines? Benefits or side effects please? Thanks

How good bystolic vs propranolol, toprol (metoprolol) or other bb medicines? Benefits or side effects please? Thanks

Most beta specific: Bystolic (nebivolol) is the beta blocker with the most b-1 receptor specificity. As a result it doesn't have as much side effects. Less fatigue and less impotence. ...Read more

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Lopressor (metoprolol tartrate) 25 mg made me feel bad. Propranolol made me feel fine but I need a selective beta blocker. Which should I try?

Atenolol: Try atenolol - 12.5 to 100 mg (25 to 50 mg are the most usual doses). Atenolol is a beta 1 specific beta blocker that has the least ability to cross the blood brain barrier of all available beta blockers. It has no intrinsic sympathomimetic activity. It is intrinsically long acting and generally is given as a once a day dose. It's also dirt cheap! ...Read more

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Docs are switching me from toprol (metoprolol) XL 12.5 to propranolol ER 60mgs and I'm worried my BP and pulse will drop to low? Mission is to help w anxiety.

Docs are switching me from toprol (metoprolol) XL 12.5 to propranolol ER 60mgs and I'm worried my BP and pulse will drop to low? Mission is to help w anxiety.

Probably Fine: If you are basically healthy (no heart or lung problems) this should be fine, however I am a bit curious about the choice of treatment. Have you had a diagnostic evaluation of your anxiety? Beta blockers help with the physical symptoms of anxiety but may not help the cognitive (worried thoughts) symptoms. ...Read more

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Propranolol 60 mg ER vs toprol (metoprolol) 25 mg er. Which lowers blood pressure most?

Propranolol 60 mg ER vs toprol (metoprolol) 25 mg er. Which lowers blood pressure most?

Ford v Chevy v Dodge: This is a question best addressed w/your doctor. Both are good blood pressure lowering medications that also keep your heart from beating too fast (beta blocker class). Toprol (metoprolol) has more studies recently regarding benefit in heart failure. Of course, cost can play into decision, too, although both are available as generics for $4/mo (http://i.Walmartimages. Com/i/if/hmp/fusion/customer_list. Pdf). ...Read more

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Can beta blockers such as propranolol or toprol (metoprolol) help prevent ventricular fibrillation in susceptible individuals?

Can beta blockers such as propranolol or toprol (metoprolol) help prevent ventricular fibrillation in susceptible individuals?

Beta Blockers: Yes. Beta blockers are antiarrythmic medications as well as an anti-hypertensive medication. It counteracts the effects of catacholamines like Epinephrine which can cause tachycardia, hypertension and in susceptible individuals ventricular fibrillation. ...Read more

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What would you recommend as best beta blocker with least side effects to treat my SVT? Propranolol & metoprolol made me too dizzy.

What would you recommend as best beta blocker with least side effects to treat my SVT? Propranolol & metoprolol made me too dizzy.

Dose dependent: It's not so much the med as the dose - since the side effect of all BBs is to lower BP. If your BP becomes too low, you'll get dizzy. That said, the BB I like the best for SVT is nadolol. The usual dose is 20-80 mg once a day, but for you, I'd recommend starting at 10 mg once a day and if you tolerate it, think about increasing the dose. ...Read more

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Propranolol safety in 18y/o male with tachycardia & high bld. Press? Life expectancy decreased? Side effects? Toprol (metoprolol) vs propranolol?

Propranolol safety in 18y/o male with tachycardia & high bld. Press? Life expectancy decreased? Side effects? Toprol (metoprolol) vs propranolol?

This is so common: That I despair of accurate diagnosis. Your heart and BP at 18 are controlled by the limbic system of the brain---a computer that organizes your ability to adapt to environment. Defective oxidative metabolism causes the computer to send out unnecessary signals through the sympathetic nervous system. Commonest cause is vitamin b1 and magnesium deficiency from ingestion of sugar and sweeteners. ...Read more

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Does propranolol or toprol (metoprolol) XR shorten life in patients with tachycardia? I'm 18 and on toprol (metoprolol). Doc wants me on propranolol now

Does propranolol or toprol (metoprolol) XR shorten life in patients with tachycardia? I'm 18 and on toprol (metoprolol). Doc wants me on propranolol now

NO: Neither shorten life if taken as directed. Toprol (metoprolol) and propanolol are quite similar medications. You should have no problem switching from one to the other. ...Read more

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My pcd just switched my inderal (propranolol) 40mg to metoprolol 25 mg ER once at night because my blood pressure and heart rate was low is That a good switch?

My pcd just switched my inderal (propranolol) 40mg to metoprolol 25 mg ER once at night because my blood pressure and heart rate was low is That a good switch?

Beta blockade: Low BP & HR without symptoms should be ignored, overall the blockade should be similar at the doses cited, Consider an agent with ISA eg pindolol ...Read more

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Inderal (propranolol) could be contributing to confusion in my 88 yr old mother. Is there a water-based beta blocker less apt to do so? Not metoprolol or atenolol..

Inderal (propranolol) could be contributing to confusion in my 88 yr old mother. Is there a water-based beta blocker less apt to do so? Not metoprolol or atenolol..

Atenolol: Atenolol is the most hydrophilic (least lipophilic) of the betablockers, crossing the blood brain barrier less than any other. If your grandmother can't tolerate atenolol, then she can't be on any beta blocker at all. Here is one of many articles on the subject: http://www. Ncbi. Nlm. Nih. Gov/pubmed/2865153. ...Read more

Dr. Marilyn Cox
769 Doctors shared insights

Propranolol (Definition)

Treats high blood pressure, angina (chest pain), irregular heartbeat, migraine headaches, tremors, and lowers the risk of repeated heart attacks. This medicine ...Read more