Toprol XL
Toprol XL

Toprol XL review

Toprol XL can be prescribed in its generic form as metoprolol. It is also prescribed as Lopressor. These medications are part of the family of medicines known as beta blockers. Toprol XL is most commonly used for the treatment of angina and hypertension, and often used to treat a heart attack or used as a preventative medication after the occurrence of a heart attack.

Toprol XL is generally tolerated well by most patients, however, a thorough medical evaluation is necessary before prescribing this medication. Patients with medical histories which include Raynaud’s syndrome or other circulation problems, heart block, sick sinus syndrome, slow heart rate, or other heart related health problems, or pheochromocytoma can not take this medication. Patients with medical histories that include asthma, emphysema, chronic bronchitis, depression, diabetes, low blood pressure, liver disease, congestive heart failure, kidney disease, thyroid disorders, or myasthenia gravis may not be able to tolerate Toprol XL or may require continuous and careful monitoring while undergoing drug therapy with this medication.

The American Food and Drug Administration rated Toprol XL as a pregnancy risk category C. Women who are pregnant, likely to become pregnant, or nursing should avoid this medication. It has been proven to cause fetal damage and the medicine passes through the mother’s breast milk, potentially harming a nursing infant.

Patients should follow the instructions provided by the pharmacist when taking this medication. If the patient should miss a dose, the dose should be taken as soon as possible. However, if it is almost time for the next scheduled dose, the missed dose should be skipped and the dosing should continue with the next regular dose. Taking too much Toprol XL or taking doses too close together might result in an accidental overdose. If an overdose is suspected, the patient should be taken to the nearest emergency medical treatment facility. Symptoms of an overdose are likely to include weakness, dizziness, blue finger and toe nails, uneven heart rhythm, respiratory distress, fainting, convulsions, and coma or death.

Some patients may experience side effects, especially when starting Toprol XL. Side effects are most likely mild and require no medical treatment outside informing the prescribing physician. The most common mild side effects include fatigue, anxiety, insomnia or other related sleep disturbances, vomiting, and sexual dysfunction.

Other more serious side effects require immediate medical attention. Facial swelling, swelling of the throat or tongue, hives, and difficulty breathing are signs of a serious allergic reaction and require urgent medical care. Other serious, potentially life threatening side effects include slow heart rate, uneven heart rate, ankle swelling, swelling of the feet, shortness of breath, depression, cold extremities, or nausea with lack of appetite, low fever, dark urine, clay colored stools, stomach distress, and jaundice require immediate medical attention.

Patients should advise the prescribing physician of all medications they take prior to taking Toprol XL. Patients should always advise their prescribing physicians of any change in their medications while taking Toprol XL, including changes in over the counter or prescription drugs, herbal remedies, and vitamin supplements. Medicines with known hazardous reactions with Toprol XL include ritonavir, clonidine, anti-malaria medications, terbinafine, digoxin, medications for depression or mental illness, some smoking cessation medications like bupropion, heart medications, diabetes medications including oral and injected medicines, diuretics, MAO inhibitors, asthma medicines, known stimulants, cold medicine, and diet pills.

Toprol xl has the following structural formula:

Chemical structure of toprol xl

• Molecular formula of toprol xl is C15H25NO3
• Chemical IUPAC Name is 1-[4-(2-methoxyethyl)phenoxy]-3-(1-methylethylamino)propan-2-ol
• Molecular weight is 267.364 g/mol
Toprol xl available : 25mg tablets, 50mg tablets, 100mg tablets, 200mg tablets

Generic name: Metoprolol

Brand name(s): Beloc, Betaloc, Lopresor, Lopresoretic, Lopressor, Metroprolol, Prelis, Selo-Zok, Seloken, Selopral, Toprol

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