Brand
name: Lopressor
Pronounced: low-PRESS-or
Generic name: Metoprolol tartrate
Other brand name: Toprol-XL LOPRESOR (Lopressor, Metoprolol Tartrate,
Toprol)
Why is Lopressor prescribed?
Lopressor, a type of medication known as a beta blocker, is used in
the treatment of high blood pressure, angina pectoris (chest pain,
usually caused by lack of oxygen to the heart due to clogged arteries),
and heart attack. When prescribed for high blood pressure, it is effective
when used alone or in combination with other high blood pressure medications.
Beta blockers decrease the force and rate of heart contractions, thereby
reducing the demand for oxygen and lowering blood pressure.
Occasionally doctors prescribe Lopressor for the treatment of aggressive
behavior, prevention of migraine headache, and relief of temporary
anxiety.
An extended-release form of Lopressor, called Toprol-XL, is prescribed
for high blood pressure, angina, and heart failure.
Most important fact about Lopressor
If you have high blood pressure, you must take Lopressor regularly
for it to be effective. Since blood pressure declines gradually, it
may be several weeks before you get the full benefit of Lopressor;
and you must continue taking it even if you are feeling well. Lopressor
does not cure high blood pressure; it merely keeps it under control.
How should you take Lopressor?
Lopressor should be taken with food or immediately after you have
eaten.
Take Lopressor exactly as prescribed, even if your symptoms have disappeared.
Try not to miss any doses. If Lopressor is not taken regularly, your
condition may worsen.
If you miss a dose...
If it is within 4 hours of your next dose, skip the one you missed
and go back to your regular schedule. Never take 2 doses at the same
time.
Storage instructions...
Store Lopressor at room temperature in a tightly closed container,
away from light. Protect from moisture. Store Toprol-XL at room temperature.
Lopressor side effects
Side effects cannot be anticipated. If any develop or change in intensity,
inform your doctor as soon as possible. Only your doctor can determine
if it is safe for you to continue taking Lopressor.
* Side effects may include:
Depression, diarrhea, dizziness, itching, rash, shortness of breath, slow heartbeat,
tiredness
Why should Lopressor not be prescribed?
If you have a slow heartbeat, certain heart irregularities, low blood
pressure, inadequate output from the heart, or heart failure, you should
not take Lopressor.
Special warnings about Lopressor
If you have a history of congestive heart failure, Lopressor should
be used with caution. If you are taking the extended release form of
Lopressor, Toprol-XL, to relieve heart failure, the condition may temporarily
be worsened as your dosage is increased. Be sure to alert your doctor
to any signs of worsening heart failure such as weight gain or increasing
shortness of breath. If you have peripheral vascular disease, use Toprol-XL
with caution.
Do not stop Lopressor abruptly. This can cause increased chest pain
and heart attack. Dosage should be gradually reduced.
If you suffer from asthma, seasonal allergies or other bronchial conditions,
or liver disease, Lopressor should be used with caution.
Ask your doctor if you should check your pulse while taking Lopressor.
This medication can cause your heartbeat to become too slow.
This medication may mask some symptoms of low blood sugar in diabetics
or alter blood sugar levels. If you are diabetic, discuss this with
your doctor.
If you have pheochromocytoma and your doctor prescribes Toprol-XL,
you will first need to take an alpha-blocking drug (a different type
of blood pressure medication).
Lopressor may cause you to become drowsy or less alert; therefore,
driving or operating dangerous machinery or participating in any hazardous
activity that requires full mental alertness is not recommended until
you know how you respond to Lopressor.
Notify your doctor or dentist that you are taking Lopressor if you
have a medical emergency, or before you have surgery or dental treatment.
Notify your doctor if you have any difficulty in breathing.
Possible food and drug interactions when taking Lopressor
If Toprol-XL LOPRESOR (Lopressor, Metoprolol Tartrate,
Toprol) is taken with certain other drugs, the effects of
either could be increased, decreased, or altered. It is especially
important
to check with your doctor before combining Lopressor with certain high
blood pressure drugs such as reserpine (Ser-Ap-Es).
Other medications that might interact with Lopressor include:
Albuterol (Proventil, Ventolin)
Amiodarone (Cordarone)
Barbiturates such as phenobarbital
Calcium channel blockers such as Calan and Cardizem
Cimetidine (Tagamet)
Ciprofloxacin (Cipro)
Clonidine (Catapres)
Epinephrine (EpiPen)
Fluoxetine (Prozac)
Hydralazine (Apresoline)
Insulin
Nonsteroidal anti-inflammatory drugs such as Motrin and Indocin
Oral diabetes drugs such as Glucotrol and Micronase
Paroxetine (Paxil)
Prazosin (Minipress)
Propafenone (Rythmol)
Quinidine (Quinaglute)
Ranitidine (Zantac)
Rifampin (Rifadin)
Special information if you are pregnant or breastfeeding
The effects of Lopressor during pregnancy have not been adequately
studied. If you are pregnant or plan to become pregnant, inform your
doctor immediately. Lopressor appears in breast milk and could affect
a nursing infant. If Lopressor is essential to your health, your doctor
may advise you to discontinue breastfeeding until your treatment with
Lopressor is finished.
Recommended dosage for Lopressor
ADULTS
Overdosage
Any medication taken in excess can cause symptoms of overdose. If
you suspect an overdose, seek medical attention immediately.
* The symptoms of Lopressor overdose may include:
Asthma-like symptoms, coma, heart failure, irregular heartbeat, low blood pressure,
nausea and vomiting, shock, slow heartbeat, stopped heart
