Stopping the drug suddenly while also taking metoprolol can cause a big jump in blood pressure.
Generally, the effects of metoprolol start soon after taking the medication.
Metoprolol ER is used alone or combined with other medications to treat high blood pressure.
The extended-release tablet may be split. Also, caution must be exercised in patients that have a history of noncompliance as abrupt cessation of the drug can lead to withdrawal syndromes including angina and myocardial infarction. SPS Specialist Pharmacy Service - The first stop for professional medicines advice. Do not crush or chew extended-release tablets or capsules. Care should also be taken when beta-blockers are given in combination with sympathetic ganglion blocking agents, other beta-blockers ie eye drops or MAO inhibitors.
It should be noted that the use of this medication will affect some laboratory monitoring. Doctors often prescribe beta-blockers for people with cardiovascular conditions or those who have had a heart attack. Assess routinely for signs and symptoms of HF dyspnea, rales crackles, weight gain, peripheral edema, jugular venous distention.
Ask your doctor before use if you are taking the following medications:
The increased levels may cause more side effects, such as confusion and an irregular heart rhythm called QT prolongation.
Like other agents prescribed for the treatment of depression, Cymbalta can cause sexual dysfunction or decreased libido.
However, studies of the drug in pregnant animals have shown risk to a fetus.
Increasing muscle weakness is a possibility and may result in death if respiratory muscles are involved.
In many cases, the patient should receive a lower dose of the CNS depressant initially if the patient is not likely to be compliant with avoiding alcohol.
The most common side effect with warfarin is bleeding from any site such as bruising easily, bloody nose, blood in urine or stool. If you have these types of conditions and your show prescribed metoprolol for you, it may be at a lower dose, and your doctor will monitor you regularly while you are taking this medication.
However, this is not a common side effect.