The succinate and tartrate forms of metoprolol both work the same way. They stop epinephrine also known as adrenaline from binding to beta receptors in your heart muscle, which results in your heart beating slower.
Beating slower and squeezing less forcefully decreases how hard your heart has to work, which in turn, lowers your blood pressure and improves chest pain. Since both drugs contain the same medicine, metoprolol succinate and metoprolol tartrate have similar side effects. Black box warning for metoprolol succinate and metoprolol tartrate: Do not abruptly stop taking metoprolol succinate or tartrate.
Stopping metoprolol suddenly may cause chest pain or heart attack myocardial infarction. Your healthcare provider will help you decrease the dose gradually if you need to stop metoprolol FDA, Fortunately, most of the common side effects are mild and generally well-tolerated.
Common side effects of both metoprolol succinate and metoprolol tartrate are similar. Still, the likelihood of having them varies slightly between the two forms of the medicine, as you can see in the table below UpToDate, n. Talk to your healthcare provider about additional side effects. The two forms of metoprolol also share the same serious side effects, including:.
Metoprolol tartrate has the additional serious side effect of potentially worsening heart failure. This list does not include all possible side effects and others may occur. Get medical advice from your pharmacist or healthcare provider for more information. Before starting metoprolol succinate or metoprolol tartrate, seek medical advice about potential drug interactions. Medicines that may interact with both forms of metoprolol include DailyMed, :. Alcohol has a potential drug interaction with metoprolol succinate, but not metoprolol tartrate.
Metoprolol succinate has an extended-release action that, when combined with alcohol, may not function properly. Alcohol can speed up the action of the drug and release metoprolol into your system faster than intended.
This list does not include all possible drug interactions with metoprolol and others may exist. Check with your pharmacist or healthcare provider for more information. Certain groups of people should avoid using metoprolol succinate or metoprolol tartrate, or use these medications with caution. Overall, these groups are the same for both forms of metoprolol. Like metoprolol tartrate, metoprolol succinate is used to treat high blood pressure and chest pain related to heart disease.
Metoprolol succinate comes as an extended-release oral tablet. When a drug is extended release, it means it releases into your body slowly. You usually take it once per day. Metoprolol tartrate is available as an immediate-release oral tablet. Metoprolol tartrate and metoprolol succinate are both available as generic drugs. Both medications are commonly prescribed and should be available in most pharmacies.
In most cases, generic forms of drugs cost less than their brand-name versions. The most current price estimates are available at GoodRx. If you have prescription coverage through your health insurance plan, the price you pay for these drugs may be lower. Because both drugs contain the same active medication, they cause similar side effects. The table below lists examples of side effects of metoprolol tartrate and metoprolol succinate. Metoprolol tartrate and metoprolol succinate both carry a boxed warning, the most serious warning from the FDA.
The FDA warns that either drug may cause worse chest pain or a heart attack if you stop taking it suddenly. This risk is higher in people with heart disease. If you need to stop taking either drug, your doctor will slowly lower your dosage over one to two weeks. Both drugs share similar drug interactions. Make sure you tell your doctor about all prescription and over-the-counter drugs, supplements, and herbs you take before you start treatment with a new medication.
Medications to control blood pressure :. Medications to treat heart disease :. If you have certain health issues, you should tell your doctor about them before you start treatment with metoprolol tartrate or metoprolol succinate. Both drugs carry warnings for the same health problems.
Discuss the following medical conditions with your doctor before taking metoprolol tartrate or metoprolol succinate:.
One drug cannot be substituted for the other. Both drugs come in different forms, are approved for different uses, and cause slightly different side effects.
Work with your doctor to decide which drug is best for you. In stable patients, metoprolol succinate tablets may be prescribed in A child or adolescent is diagnosed with hypertension when their average blood pressure is the same or higher than the 95th percentile for their age, sex, and height.
Beta-blockers like metoprolol are not the first class of drugs that the healthcare provider will reach for when treating kids with high blood pressure. However, it may be used in certain situations. If using metoprolol tartrate, the dose usually starts around 0. UpToDate, n. Most of the adverse effects of metoprolol are mild and transient.
For example, when first starting metoprolol, people might experience dizziness or headaches. While this might be an innocuous reaction to a new medication, metoprolol succinate brand name Toprol-XL and metoprolol tartrate brand name Lopressor do carry a black-box warning, the most serious warning from the FDA FDA, ; FDA, The label states that sudden discontinuation of the medication may exacerbate chest pain or cause a heart attack, with a higher risk among people with heart disease FDA, Other side effects of metoprolol include tiredness, depression, diarrhea, shortness of breath, wheezing, nausea, dry mouth, gastric pain, hives, weight gain, and constipation.
More serious, yet rare, side effects are heart block, low blood pressure, slow heart rate bradycardia , worsening asthma or other lung condition, worsening of heart failure, and masking of low blood sugar hypoglycemic response DailyMed, Both forms of metoprolol are considered pregnancy Category C and are present in breast milk.
There is not enough data to indicate whether it is safe to take during pregnancy or nursing, so talk to your healthcare provider.
There are countless articles about metoprolol on the internet but always turn to your healthcare provider for medical advice, especially when it comes to prescription drugs.
Last updated October 5, Written by Alexandria Bachert. Disclaimer If you have any medical questions or concerns, please talk to your healthcare provider.
Vitals Metoprolol, a beta-blocker, slows down the heart rate, improves blood flow to the heart, and decreases overall blood pressure. Beta-blockers can be used to treat and manage hypertension, heart attacks myocardial infarction , congestive heart failure, and chest pain angina. While most side effects of metoprolol are mild and transient like dizziness and headaches , serious adverse effects can occur.
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