HOW TO USE: Use this medication exactly as prescribed. Try to use it at the same time(s) each day. Do not suddenly stop using this medication without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped.

SIDE EFFECTS: You may experience dizziness, lightheadedness, drowsiness, and blurred vision as your body adjusts to the medication. Use caution engaging in activities requiring alertness. Because metoprolol reduces blood circulation to the extremities, your hands and feet may be more susceptible to the cold. Dress warm. Inform your doctor if you develop: breathing difficulties, easy bruising or bleeding, swollen hands or feet, confusion, depression, a sore throat. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Before taking this drug, tell your doctor if you have a history of: heart disease, kidney disease, liver disease, asthma, bronchitis, emphysema or other lung disease, diabetes, an overactive thyroid gland. You may want to check your pulse every day while taking this medication. Discuss with your doctor what changes in your pulse rate mean. Before having surgery, tell the doctor or dentist you use metoprolol. This drug should be used only if clearly needed during pregnancy. Beta blockers do appear in breast milk. Consult with your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription drugs you may use, especially of: diuretics, cold preparations and nasal decongestants, reserpine, other heart or blood pressure medications, St John's wort. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include nausea, vomiting, headache, slow heartbeat, severe drowsiness, dizziness, difficulty breathing, or fainting.

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

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