S Metoprolol

• High blood pressure
• Chest pain (angina pectoris)
• Irregular heart rhythm
• Migraine

When should one not use S Metoprolol

• If you have an allergy to this medicine or any of the ingredients of S Metoprolol.
• If you are suffering from a heart conduction problem (like AV block) or uncontrolled heart failure
• If you are suffering from sick sinus syndrome (abnormal heart rhythms due to malfunction of sinus node)
• If you have continuous chest pain that occurs when you are at rest, between midnight and early morning (Prinzmetal's angina)
• If you have reduced blood supply to your limbs (peripheral arterial disease)
• If you have severe asthma or Chronic Obstructive Pulmonary Disease (COPD)
• If you are suffering from untreated high blood pressure due to tumor in adrenal gland (pheochromocytoma)
• If you have a condition called metabolic acidosis (increased acidity in your body)
• If you are using medicines to treat irregular heart rhythm like disopyramide
• If you have diabetes associated with frequent low blood sugar levels (hypoglycaemia)
• If you are suffering from low blood pressure (hypotension)

Common side effects of this drug are:

• Low blood pressure when you stand
• Tiredness
• Slow heart rate
• Dizziness
• Headache
• Feeling sick
• Nausea
• Vomiting
• Stomach pain
• Shortness of breath

Other General Warnings

• You have asthma
• If you have diabetes, caution is required, Metoprolol may cause low blood sugar levels and also change the body's response to low blood sugar. You may not experience warning signs of low blood sugar such as increased heart rate, sweating, hunger pangs, headache, etc.
• You have a tumour of adrenal gland tissue (Pheochromocytoma)
• You have an overactive thyroid (a condition when thyroid gland produces too much of the thyroxine hormone)
• You are suffering from psoriasis
• You have a circulation-related problem in the toes, arms, legs or fingers
• You are suffering from a type of chest pain (Prinzmetal's angina)
• You recently had any heart attack, chest pain or heart surgery

How Does It Work?

Interactions with other medicines

• Medicines used to treat irregular heart rhythm (Amiodarone, disopyramide)
• Medicines used to treat pain or inflammation (Indomethacin, Sulindac, Diclofenac and Foctafenine)
• Medicines used to treat brain and mood disorders (Fluoxetine, Paroxetine and Bupropion)
• Medicines used to treat mental conditions (antipsychotic) like Thioridazine
• Medicines used to treat HIV (antiretroviral) like Ritonavir
• Medicines used to treat allergies (antihistamine) like Diphenhydramine
• Medicines used to treat malaria (Hydroxychloroquine, Mefloquine)
• Medicines used to treat fungal infection of skin (Terbinafine)
• Medicines used to treat acidity or ulcers (antacids) like Cimetidine
• Medicines used to treat heart problems (Digoxin)
• Medicine used in acute shock and severe allergic reaction (Epinephrine)
• Medicine used to reduce swelling of the nose (Phenylpropanolamine)
• Eye drops like other beta blockers
• Medicines used to treat depression and Parkinson's disease (Monoamine Oxidase inhibitors)
• Medicines used to lower down the blood pressure (Clonidine, Guanfacine, Moxonidine, Methyldopa, Rilmenidine)
• Medicines used to treat migraine (Ergotamine)
• Medicines used to treat chest pain (Nitroglycerine)
• General anaesthetics or local anaesthetic (Lidocaine)
• Medicines used to reduce blood sugar level like Insulin and oral antidiabetic medicines
• Medicines used to treat high blood pressure and benign prostatic hyperplasia (Prazosine, Tamsulosin, Terazosin, Doxazosin)
• Medicines used to treat tuberculosis (Rifampicin)

Interactions with food items

Overdose

• Symptoms of an overdose include low blood pressure, irregular heartbeat, heart failure, shock, loss of consciousness, coma, nausea, vomiting, bluish colour of the lips, tongue and skin, low levels of potassium or calcium in blood
• If you think you have taken too much of this medicine, contact your doctor immediately or visit the nearest hospital

Missed a Dose