| Information for
patients
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| Drug Information |
Metoprolol tartrate, the active ingredient in Metoprolol tartrate Tablets, is one of a group of medicines called beta-blockers. Beta-blockers slow the heart beat, lessen the force with which the heart muscle contracts and reduce blood vessel contraction in the heart, brain, and throughout the body.
•Metoprolol tartrate Tablets are used to treat a number of different conditions including:
High blood pressure
Angina (chest pain)
Some heart disorders, for example, heart attack or irregular heart beats.
•They can also be used as part of the treatment for an overactive thyroid gland.
•Metoprolol tartrate Tablets can be taken to help prevent migraine attacks. |
| Drug Alert |
| Alert |
•you think you may be allergic to metoprolol or to any of the other ingredients of Metoprolol tartrate.
•you are allergic to any other beta-blocker drugs,
•you have severe asthma or severe attacks of wheezing
•you have certain serious heart or blood vessel disorders which shouldn’t be treated with beta-blockers (your doctor should be aware of these),
•you have low blood pressure,
•you been told that you have high blood pressure due to a tumour near your kidney (phaeochromocytoma),
•you have been told that your blood is more acidic than normal (a condition called metabolic acidosis). |
| Before Consuming
the Medicine
|
| Avoid Drug |
•you think you may be allergic to metoprolol or to any of the other ingredients of Metoprolol tartrate.
•you are allergic to any other beta-blocker drugs,
•you have severe asthma or severe attacks of wheezing
•you have certain serious heart or blood vessel disorders which shouldn’t be treated with beta-blockers (your doctor should be aware of these),
•you have low blood pressure,
•you been told that you have high blood pressure due to a tumour near your kidney (phaeochromocytoma),
•you have been told that your blood is more acidic than normal (a condition called metabolic acidosis). |
| Drug Special Care |
•Do you suffer from asthma, bronchitis or any similar lung disorder?
•Do you have problems with your heart (such as slow heart rate) or circulation?
•Do you have diabetes?
•Do you suffer from any serious liver disease?
•Are you pregnant or breast-feeding?
•Have you ever had a severe allergic reaction to anything?
•Do you suffer from a rare form of angina called Prinzmetal''''s angina?
•Will you be having an operation which requires a general anaesthetic?
•Do you have psoriasis? |
| Drug Drug Interactions |
Metoprolol tartrate interacts with a large number of other medicines.Make sure your doctor knows if you are taking any of the following because you may need to change your treatment:
•Medicines for high blood pressure (including prazosin, clonidine and drugs called calcium channel blockers such as verapamil or diltiazem)
•Other beta-blockers (including those used in the form of eye drops)
•Drugs which affect the peripheral circulation (fingers and toes) such as ergotamine which can be used to treat migraine
•Medicines to treat depression
•Medicines to treat other mental illnesses
•Antiretroviral drugs used to treat AIDS and some other conditions
•Antihistamines (including medicines that you can buy without a prescription for hayfever and other allergies, colds and other conditions)
•Drugs to prevent malaria
•Medicines to treat fungal infections
•Medicines which affect liver enzymes, such as cimetidine used to treat stomach ulcers and rifampicin used to treat tuberculosis
•Medicines for heart problems including angina, such as amiodarone, digoxin, nitrates and anti-arrhythmic drugs
•Insulin and other drugs to treat diabetes
•Drugs called NSAIDs used to treat pain and inflammation
•A local anaesthetic called lignocaine.
Always tell your doctor or pharmacist about all the medicines you are taking. This means medicines you have bought yourself as well as medicines on prescription from your doctor. |
| Drug Pregnancy Interaction |
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| Drug Breast feeding Interaction |
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| Drug Machinery Interaction |
If you feel dizzy or sleepy, or if you have problems with your eyes when you start to take these tablets, do not drive or use machinery until these effects have worn off. |
| Drug More Information |
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| How to take the
Medicine
|
| Consumption Info |
•Be careful when drinking alcohol - it may affect you more than usual.
•If you are going to have a general anaesthetic, tell the doctor or dentist in charge that you are taking Metoprolol tartrate.
•If you are diabetic, take particular care with your blood sugar control since Metoprolol tartrate may make you less aware of low blood sugar levels.
•The doctor will want to keep an eye on your heart and thyroid function while you are taking Metoprolol tartrate.You might also need regular eye examinations. |
| Drug quanitty |
The usual doses are:
High blood pressure
The usual starting dose is 100 mg a day. This can be increased by your doctor if necessary.
Angina (Chest pain)
The usual dose is 50-100 mg taken two or three times a day.
For other conditions, the usual total daily dose is between 100 and 200 mg. Your doctor will
choose a suitable starting dose and monitor your progress.
•Swallow your tablets whole with a drink of water.
•Do not stop taking your tablets suddenly as this may cause your condition to get worse. Ask your doctor first.
•Metoprolol tartrate is not recommended for children.
•People with liver problems may be told to take a lower dose. |
| Drug Dose |
The doctor will tell you how many Metoprolol tartrate Tablets to take and when to take them.The dose
you are prescribed will depend on the condition you have and how severe it is. Always follow
the doctor’s instructions carefully. The dose will be on the pharmacist’s label. Check the label
carefully. If you are not sure, ask your doctor or pharmacist. Keep taking your tablets for as
long as you have been told, unless you have any problems. In that case, check with your doctor. |
| Excess Drug Consumption |
If you accidentally take too many Metoprolol tartrate tablets, tell your doctor at once or contact your nearest hospital casualty department.Take your medicine pack with you so that people can see what you have taken |
| Forgot Drug Consumption |
If you forget to take a dose, take it when you remember and then take your next dose at the usual time.However, it is important not to take two doses at the same time |
| Stop Drug Consumption |
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| Possible Side
Effects
|
| General Information |
•Headache, dizziness, or unusual tiredness.
•Slow heart beat.
•Low blood pressure which might make you faint or dizzy.
•Feeling short of breath when exercising.
•Feeling or being sick, stomach ache |
| Common Drug Side Effects |
•Sleep disorders such as sleepiness, sleeplessness or nightmares.
•Feeling less alert.
•Coldness, numbness or tingling in your hands and feet.
•Depression.
•Muscle cramps
•Heart failure or irregular heart beat.
•Water retention (oedema).
•Breathlessness or wheeziness (bronchospasm).
•Diarrhoea or constipation.
•Skin rash and/or itching |
| Rare Drug Side Effects |
•Weight gain.
•Hallucinations or personality disorders.
•Dry or sore eyes or problems with vision.
•Tinnitus or hearing problems.
•Gangrene.
•Runny nose, dry mouth.
•Changes in the results of liver function tests.
•Bruising or increased sensitivity of the skin to sunlight, worsening of psoriasis.
•Increased sweating, loss of hair.
•Impotence or loss of libido.
•Painful joints.
•Chest pain. |
| Very Rare Drug Side Effects |
•Confusion
•Abnormal levels of certain types of fats such as cholesterol or triglycerides in the blood.
•Abnormal curvature of the penis with painful erections (known as Peyronie’s disease)
•Retroperitoneal fibrosis where abnormal scar tissue occurs behind the membrane that lines the cavity of the abdomen. This may present with pain in the back, groin or the lower abdomen.
•Hepatitis |
| Drug Side Effects Symptoms |
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| How to Store the
Medicine
|
| How to Store the Medicine |
Store in a dry place. Keep out of the reach and sight of children. Do not take Metoprolol tartrate Tablets after the expiry date which is printed on the outside of the pack. If your doctor tells you to stop taking the tablets, please take any unused tablets back to your pharmacist to be destroyed.Do not throw them away with your normal household water or waste.This will help to protect the environment |
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