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Doctor insights on: Toprol Metoprolol Xl

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Dr. Prakash Deedwania
725 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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Half life toprol (metoprolol) xl?

Half life toprol (metoprolol) xl?

Toprol (metoprolol) xl: The half time has a range as with most drugs 8-12h is approximate range tho higher doses may have slightly longer half times with this agent. ...Read more

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How much toprol (metoprolol) XL is an overdose of it?

Toprol (metoprolol) dose: Maximum dose is 200 mg/day. The dose must be adjusted based on heart rate (pulse) and blood pressure for each person. Usual goal is a pulse of 60 with a BP of 120/80. A well tolerated dose by one person may be an "overdose" in another person if it causes the pulse or blood pressure to fall too low. ...Read more

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How much is a typical dose of toprol (metoprolol) XL?

How much is a typical dose of toprol (metoprolol) XL?

Toprol (metoprolol) dose: Anywhere from 12.5 to 200 mg per day and individualized. ...Read more

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What could happen if you overdosed on toprol (metoprolol) XL 50 mg?

What could happen if you overdosed on toprol (metoprolol) XL 50 mg?

If you are having: Thoughts about killing yourself, get seen at the nearest emergency room now. Have a friend or relative drive you or call 911 for emergency services for transport. You can call the National suicide hotlines 24/7 at 1-800-suicide (1-800-784-2433) or 1-800-273 – talk (1-800-273-8255) for support. ...Read more

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What are the pros and cons of toprol (metoprolol) XL (beta blocker)?

What are the pros and cons of toprol (metoprolol) XL (beta blocker)?

Mixed: Pros: effective in lowering BP; effective in treating and preventing fast heart rhythms; effective in patients who have Heart Failure at high doses. Cons: can cause fatigue, lethargy, and slow heart rate; can cause dizziness; can cause depression or worsen depression in some patients. I would not recommend it as first line therapy in an otherwise healthy person unless there are other issues. ...Read more

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What is the definition or description of: Toprol (metoprolol) XL overdose?

Toprol XL OD: Toprol overdose sx's & signs may include nausea/vomiting, slow or uneven heartbeat (bradycardia or atrioventricular block), shortness of breath (with hypoxia), dizziness, weakness, or fainting, hypotension, heart failure, & coma. ...Read more

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What would be a titrate schedule to get off of Toprol (metoprolol) XL 12.5 mg?

What would be a titrate schedule to get off of Toprol (metoprolol) XL 12.5 mg?

Just stop taking it.: 12.5 mg is the lowest dose of Toprol (metoprolol) XL available. Assuming u take it once per day, the tapering schedule would be to just stop. If u r taking it twice per day, then switch to once per day for 2 or 3 days, then stop (u cut total 24-hr intake by 1/2 for 2-3 days, then in 1/2 again for 2-3 days, etc. Until u are at the lowest dose; then stop). ...Read more

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Generally, would someone need to slowly titrate down from 200 to 100 mg. Toprol (metoprolol) xl?

Generally, would someone need to slowly titrate down from 200 to 100 mg. Toprol (metoprolol) xl?

Yes: It is generally advisable to reduce doses gradually over 1 - 2 weeks before discontinuing to reduce/avoid rebound hypertension/ heart problems. Please work with your doctor for a safe discontinuation of toprol (metoprolol) particularly if you have been on it for a long time for hypertension treatment. Report any irregular heart beats, increase anxiety/ dizziness/fainting when discontinuing toprol (metoprolol). Take care. ...Read more

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What is the next option if your b/p is still 170/100 with 80bpm and you are on the max dose of toprol (metoprolol) xl?

What is the next option if your b/p is still 170/100 with 80bpm and you are on the max dose of toprol (metoprolol) xl?

Add another drug: If your blood pressure is 170/100 on the maximum dose of toprol, (metoprolol) you will probably need not one new drug, but two. The next drug most docs would add is a diuretic or an angiotensin converting enzyme inhibitor. ...Read more

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Switching off of toprol (metoprolol) XL 100 mg dosage. Is it correct to cut dosage in half for 1 week (50 mg), then 25 mg week 2, and 25 mg ever other day week 3?

Switching off of toprol (metoprolol) XL 100 mg dosage. Is it correct to cut dosage in half for 1 week (50 mg), then 25 mg week 2, and 25 mg ever other day week 3?

Yes: Tapering dose is appropriate, but rate of taper varies with each individual patient, depending on reasons started and reasons for stopping. It may be appropriate to reduce faster if side effects, or if substituting another rate/bp drug. Perhaps the taper will take longer if used to treat ischemic disease. Work with your doctor. ...Read more

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Is there any long term effects for taking toprol (metoprolol) xl?

Is there any long term effects for taking toprol (metoprolol) xl?

I am sure there: Are short and long term effects of any medication including toprol (metoprolol). But your doctor has determined that its benefits outweigh its side effects. It is a complex decision when your doctor starts a medication, based upon extensive education, training, and experience. If you have any doubts about his judgment, you should ask him to clarify why he chose this med for you, or get another opinion. ...Read more

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Is it safe to take toprol (metoprolol) xl 25 mg and smoke maijuana?

Is it safe to take toprol (metoprolol) xl 25 mg and smoke maijuana?

Opposing effects: Marijuana is a beta stimulant, hence it will raise your heart rate whereas metoprolol is a beta receptor blocker. When drugs have opposing effects it is rarely symmetrical and sometimes unmasks other effects of one of the drugs. While probably not dangerous, there will be interaction and modified effects. We thought beta blockers and cocaine were dangerous but were wrong, we know less about THC ...Read more

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What is the treatment for toprol (metoprolol) XL overdose?

Combination: If ingested within 2 hours of receiving treatment, activated charcoal will be given. Otherwise, the physician will use Atropine if patient is bradycardic and glucagon to enhance contractility. If refractory to the aforementioned drugs, then calcium and Insulin with dextrose can be administered. ...Read more

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What are the withdrawal symptoms of toprol (metoprolol) xl?

What are the withdrawal symptoms of toprol (metoprolol) xl?

Stopping Toprol (metoprolol) XL: The most common symptom of stopping Toprol (metoprolol) is an elevated heart rate or tachycardia. You may also see an elevated blood pressure. In order to stop the Toprol (metoprolol) it is usually advised to wean off slowly to prevent the elevated heart rate. I would recommend discussing with you doctor before stopping any medicine. ...Read more

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Is there a difference between toprol (metoprolol) XL and atenolol?

Is there a difference between toprol (metoprolol) XL and atenolol?

Yes: The 2 medications are in the same class beta blockers, and work similarly, but they are different medications. ...Read more

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What to do if I crushed my toprol (metoprolol) XL (metroprolol er)?

Don't do it again: From Astra-Zeneca (the manufacturer) "Toprol XL tablets are scored and can be divided in 2, however do not crush or chew the whole or half tablet." Don't do it again. ...Read more

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What is the difference between inderal 40mg and toprol (metoprolol) XL 50?

What is the difference between inderal 40mg and toprol (metoprolol) XL 50?

Subtle: Inderal is more lipophilic than toprol (metoprolol) - it crosses the blood brain barrier more readily than toprol (metoprolol). Thus it's better for migraine and stage fright but can cause more fatigue and depression. Toprol (metoprolol) is more beta 1 specific than inderal. That makes it a better drug for someone who may have COPD or mild asthma. ...Read more

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What are the daily maximum dosages for lopressor and toprol (metoprolol) xl?

What are the daily maximum dosages for lopressor and toprol (metoprolol) xl?

Beta blockers: Lopressor is metoprolol tartrate, which is the short acting version and should be taken every 6 or 8 hours. Toprol xl is metoprolol succinate, which is the long acting version and can be taken once daily or divided into 2 doses per day. In each case, the maximum daily dose is approximately 400mg per day. In most cases, the dose is gradually increased until the desired treatment effect is reached. ...Read more

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Can I take excerdin with toprol (metoprolol) XL I take Excedrin for my migranes

According: According to drugs. Com, high doses of Aspirin (excedrine contains aspirin, tylenol (acetaminophen) and caffeine) can interact with toprol xl causing toprol xl to be less effective at controlling high blood pressure. Low dose Aspirin does not seem to have this effect. Also, both toprol (a beta blocker) and Aspirin can increase the chance of bleeding, so you may want to speak with your doctor before combining these two medications. There may be safer alternatives available for treatment of your migraines. ...Read more

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Toprol (metoprolol) XL 50mg upped to 150mg, 100 morning 50, bedtime. Took morning dose for first time today and BP is 116/45 pulse 55. Is diastolic too low?

No: Typically if your diatolic is 40 or less I will start getting concerned. As long as you do not have symptoms you can cont with current dose of toprol (metoprolol) with BP of 116/45 and hr of 55. ...Read more

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Having several intolerable side affects with toprol (metoprolol) xl. Also could not tolerate lisonoprol. Are there any more tolerable meds to treat high BP?

Having several intolerable side affects with toprol (metoprolol) xl. Also could not tolerate lisonoprol. Are there any more tolerable meds to treat high BP?

Yes: There are many classes of medications that are used to treat high blood pressure. You have only tried two of them. You can try a calcium channel blocker or thiazides next. Discuss with your doctor. Also, weight loss and low salt diet may help. ...Read more

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Could I take Benadryl while taking toprol (metoprolol) xl?

Could I take Benadryl while taking toprol (metoprolol) xl?

Yes you can: There are no interactions between two medications. However, Benadryl (diphenhydramine) can cause drowsiness so don't drive while taking it. ...Read more

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Has anybody switched patient from toprol (metoprolol) XL to lopressor?

Has anybody switched patient from toprol (metoprolol) XL to lopressor?

Long & short of it: Generic toprol XL is metoprolol succinate. Generic Lopressor is metoprolol tartrate. Toprol is the long acting formulation of same medication. So if you want short acting for part of the day when the medicine is needed, use lopressor. ...Read more

Dr. Alok Agrawal
218 Doctors shared insights

Toprol (Definition)

Metoprolol is a beta blocker which is a kind of rhythm ...Read more


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