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What is Metoprolol XL?

Toprol XL and the generic alternative metoprolol XL are beta-blocker medications that are used to treat angina, hypertension and to lower the risk of death or hospitalization through heart failure. Metoprolol XL works by blocking the action of natural chemicals in your body that affect the heart and blood vessels.

Always read the patient information and instructions carefully before using this medication.

• Metoprolol XL should be taken orally and is typically taken once daily. Follow your doctor’s directions about whether to take this medication with or without food.
• Swallow these tablets without crushing or chewing as this can release all of the drug at once increasing the chance of side effects. If you struggle to swallow these tablets whole, open the capsule and sprinkle the contents onto soft food (such as applesauce, yoghurt or pudding).
• Your doctor may initially prescribe you a low dose of this medication and then increase it. Do not change or increase your metoprolol dosage unless advised by a doctor.
• This medication is most effective when it is taken regularly. Try to take it at the same time each day and continue taking it even if you feel well. Metoprolol XL should not be used to treat chest pain or migraines when they occur.
• Inform your doctor if your condition does not improve or worsens.

Make sure to tell your doctor and pharmacist:

• If you have any drug allergies.
• Which other prescription and non-prescription medications you currently take.
• Your medical history, especially of heart rhythm problems, breathing problems, liver disease, allergic reactions, blood circulation problems, mental or mood disorders or myasthenia gravis.
• If you are pregnant, planning on pregnancy or breast feeding. This medication may harm an unborn baby.

Also be aware that:

• If you have diabetes, taking this medication may mask the fast or pounding heartbeat you associate with low blood sugar. Toprol XL may also make it harder to control your blood sugar and your diabetes treatment may need to be adjusted by your doctor.
• Metoprolol XL may make you dizzy or drowsy. You should not drive, operate machinery or do any other activity that requires alertness until it can be done safely.

Common metoprolol XL side effects may include but are not limited to:

• Dizziness.
• Tiredness, trouble sleeping or nightmares.
• Depression, confusion or memory problems.
• Diarrhea.
• Mild itching or rashes.

Contact your doctor if you experience any of the following Toprol XL side effects:

• Slow heartbeat or chest pain.
• Excessive tiredness, lightheadedness or the feeling that you might pass out.
• Shortness of breath.
• Rapid weight gain or swelling.
• A cold feeling in your hands or feet.

Q: What are the other names for Toprol XL?
A: Toprol XL is also known as Beloc-Zok and Betaloc CR internationally. These are the same brand name as Toprol XL and are not names for generic alternatives but different brand names internationally. The generic alternative of this medication is known as Metoprolol XL and is available in 25mg, 50mg and 100mg strengths.

Q: What happens if I miss a dose of Toprol XL?

A: If you miss a dose of this medication you should skip that dose and continue with your regular schedule. Do not take a double dose to make up for a skipped dose.