Doctor insights on:
Toprol Metoprolol Xl
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
Toprol (metoprolol) dose: Anywhere from 12.5 to 200 mg per day and individualized. ...Read more
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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
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
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
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?
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
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
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
Is it safe to cut a toprol (metoprolol) XL 50 mg tablet in half? Need to drop dosage to 25 mg and still have a 90 day supply of the 50 mg tablets.
Likely: Most come as scored tablets and can be split. Best would be to ask your pharmacist. ...Read more
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
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
Yes: The 2 medications are in the same class beta blockers, and work similarly, but they are different medications. ...Read more
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
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
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
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
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?
Having several intolerable side affects with toprol (metoprolol) xl. Also could not tolerate lisonoprol. Are there any more tolerable meds to treat high BP?
I am changing from toprol (metoprolol) XL to atenolol because of side effects--is the transition easy?
Yes: But make sure to do it under your cardiologist's guidance. ...Read more
Can I switch back to toprol (metoprolol) XL and stop taking losartan this weekend? I may be having interaction problems with altace
Yes: But clear it with your physician first. ...Read more
HX Nstemi Aug10, distal LAD occlusion, med therapy Crestor20mg, Toprol (metoprolol) XL 100 mg, Plavix75mg, Nov13, TC100LDL60HDL35TG60 LpPLA244 Lpa50 recommendations?
What's your Question: Looks like your numbers are pretty good with a good drug regimen. See your cardiologist, looks like he is doing a good job! ...Read more