Metoprolol succinate ER

generic for Toprol XL

Metoprolol succinate ER Warnings

Do not stop taking this medication without consulting your doctor. Some conditions may become worse when you suddenly stop this drug. Some people who have suddenly stopped taking similar drugs have had chest pain, heart attack, and irregular heartbeat. If your doctor decides you should no longer use this drug, he or she may direct you to gradually decrease your dose over 1 to 2 weeks.

When gradually stopping this medication, it is recommended that you temporarily limit physical activity to decrease strain on the heart. Get medical help right away if you develop chest pain/tightness/pressure, chest pain spreading to the jaw/neck/arm, unusual sweating, trouble breathing, or fast/irregular heartbeat.
  • Do not chew or crush before swallowing.
  • It is very important that you take or use this exactly as directed. Do not skip doses or discontinue unless directed by your doctor.
  • May cause drowsiness and dizziness. Alcohol and marijuana may intensify this effect. Use care when operating a vehicle, vessel (e.g., boat), or machinery.
  • Read the boxed warning information for this medication.

Lactation Warnings

  • LIMITED DATA SUGGEST MINIMAL EXCRETION; MONITOR FOR BRADYCARDIA & HYPOTENSION

Pregnancy Warnings

  • Reports of intrauterine growth retardation; monitor fetus/infant heart rate