We aren't doctors of course. That said my cardiologist said that Metoprolol doesn't work like that. You need to build up the dosage in your body for it to function properly. You're taking the time release version of Metoprolol, so the results of a dose are drawn out more so the the standard Metoprolol.
I took Toprol xl for a time - 25 mg. I could not take a pill all at once, because my bp would drop too low. The nurse finally told me to break the pill in half and take half in the morning and half at night. That worked a little better. I ended up eventually on Atenolol which I have taken for 6 years. I take it in divided doses, as my bp or hr goes up or down. If my hr and bp are too low, I delay a dose. But I never just skip it. So I might take between 1-1/2 tablets over the day, sometimes 2 pills. I don't think you're supposed to just stop it.
I have taken 50 mgs of toprol XL for 12-13 years. It is a very safe and a good medication in my opinion. The XL means that it has an Extended Life .. in other words one pill is supposed work for at least 24 hours i think... but anyway... I dont know why the doc would say just use it when your rate is fast.. if you took one a day ....your heart rate should stay pretty regular Id think.. but Im not a doctor... I dont really know about taking it occassionally... doesnt make alot of sense to me.. sorry im not much help..Claytex
Claytex you are right about the 24 hour deal but sometimes it is necessary to take it more often like in my case I take 125mg twice a day. I am no cardiologist but I have been taking toprol xl for the last 7 years and it seems that the only side effect is being tired but it could be the heart failure making me tired :)
Toprol XL is designed to release over a 24 hour time period...so instead of taking immediate release metoprolol twice a day one can take the same dosage once/day. Literature states one to two weeks of continuous treatment before results can be expected. I've been on it for over a year (150mg/day, divided dose)) with no apparent side effects...I've experimented with the dosage, from 100mg to 200 mg/day, once/day and divided dose twice/day) to get me to a comfortable heart rate of 60-70 bpm at rest.
I have severe anxiety and my heart rate fluctuates. After wearing a halter monitor for 24hours and now knowing my heart rate rises to 140 in my sleep and when sitting and also I had an echocardiogram and it came back normal which is good so I know my heart is ok and this is due to my anxiety . I was given Toprol XL 25 mg to take but I am afraid to take it. I know its my anxiety talking but is it safe to take when it is for anxiety and to steady my heart rate?Also how does it make you feel?
Toprol XL is the time release version of Metoprolol. It's a commonly prescribed beta blocker for hypertension, and arrhythmias. Metoprolol has a side effect of slowing down the heart rate. I have no idea why it would be prescribed for anxiety. 25mg is a very small dose. I've been on as high as 200mg, and my cardiologist has prescribed dosages as high as 400mg. I would suspect that you will feel little to no difference in taking 25mg. I would explore why your heart rate is elevated in your sleep. It may not be from anxiety, but a sign of Obstructive Sleep Apnea. I went through the same problem, and was prescribed metoprolol to slow it down. It was discovered several years later that I had a severe case of sleep apnea, and my heart rate was elevated trying to circulate the oxygen starved blood. Snoring at night is often but not always an indicator of sleep apnea, but you don't have to snore to have OSA.