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Beta blockers

Metoprolol

Also sold as: Lopressor, Betaloc

Prescription neededBeta blockers
Comes as:TabletInjection

Usual adult dose

Usual adult dose: 50 to 100 mg a day (standard tablets in two doses, long-acting tablets once a day), up to 200 mg. Heart failure: start very low (12.5 to 25 mg) as set by your doctor. Do not stop suddenly.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • tiredness
  • cold hands and feet
  • slow heartbeat
  • dizziness
  • trouble sleeping

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • very slow heartbeat
  • fainting
  • wheezing or breathlessness

Do not take it, or take care, if

  • Asthma (use with great caution)
  • Very slow heartbeat or heart block
  • Uncontrolled heart failure
  • Diabetes (can hide signs of low blood sugar; use with caution)
  • Do not stop suddenly

Interactions

Medicines that can react with this one.

Serious1 medicineDo not take these together unless your doctor says so.
  • Verapamil

    Together they can cause very slow heartbeat, heart block and heart failure.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

worsening heart failure (swollen legs)
Moderate3 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Diltiazem

    Together they can slow the heart too much and lower blood pressure.

  • Fluoxetine

    Fluoxetine raises metoprolol levels and can slow the heart too much.

  • Terbinafine

    Terbinafine can raise metoprolol levels; watch for slow heartbeat and dizziness.

Atenolol
  • Bisoprolol
  • Carvedilol
  • Propranolol
  • Check with my other medicines

    Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.