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QI am currently taking metoprolol 25 mg twice a day for chronic arrhythmiaI am also visiting Ethiopiaand the elevation is over 7,500 feet above sea levelI have been experiencing increased chest discomfort on the left side of my heartIs it safe to take a third dose while at this elevation?

Your doctor also needs to know if you have any of the followingAsthma or another lung condition Liver disease Diabetes Hyperthyroidisman overactive thyroidCongestive heart failure Certain types of irregular heartbeats.

ALopressormetoprololis in a class of drugs called beta-blockersBeta-blockers are used to treat chest painanginaand high blood pressurehypertensionBeta-blockers are also used to treat or prevent heart attackThey work by improving circulationblood flow through arteries and veinsand regulating heart rateIf you are experiencing a side effect or cannot tolerate metoprololconsult your physicianThere are many other beta-blockers availableOryour physician may decide to change to a different class of medicationThe most common side effects of metoprolol are dizzinessconstipationdiarrheadry mouthgasheadacheheartburnlightheadednessdrowsinessmuscle achesnauseaand trouble sleepingMore serious side effects of metoprolol are possibleDo not stop taking metoprolol without consulting your physicianPeople with hypertension or heart conditions may need to take medications for the rest of their lifeA healthy diet of whole grainsvegetablesand fruitsand moderate exercisecan also help lower blood pressure and prevent heart diseaseBurton DunawayPharmD.

The drug is also available as an extended-release tablet in doses of 2550100and 200 mgin both the generic form and under the brand names Lopressor and Toprol XL.

Types of drugs that interact with metoprolol includeAntidepressants including bupropionWellbutrinfluoxetineProzacSarafemand paroxetinePaxilAntimalaria drugs such as hydroxychloroquine Medications used to treat heartburn or other stomach conditionssuch as cimetidineTagametand ranitidineZantacSome heart medicationsincluding clonidineCataprespropafenoneRythmoland quinidineQuinagluteQuinidexAntihistamines like diphenhydramineBenadrylCertain HIV drugsincluding ritonavirNorvirSome antifungal medicationsincluding terbinafineLamisilCertain drugs used to treat mental illnessincluding thioridazineMellaril)

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AMetoprololbrand names LopressorToprolis used to treat high blood pressurehypertensionand chest painanginaIt is also used after a heart attackMetoprolol belongs to the group of drugs called beta-blockersThese drugs work by decreasing the heart rate and keeping the blood vessels relaxed so it is easier for the heart to pump blood throughout the bodyAccording to the package insertcommonly reported side effects of metoprolol include tirednessdizzinessdepressiondiarrheashortness of breathlow heart rateand rashThere are no reports of upper arm pain or muscle pain as a side effect of metoprololContact your doctor if you think you are having a side effect from your medication or if you develop a new or different symptomDo not stop or change the dose of your medication unless your doctor instructs you to do soUpper arm pain can be a sign of many conditionsincluding heart problemsYou may also get more information by using the Everyday Health Symptom Checker under Arm PainFor more specific informationconsult with your doctor or pharmacist for guidance based on your health status and current medicationsparticularly before taking any actionMichelle McDermottPharmD.

QI am taking metoprolol for high blood pressure and it is lowering my heart rateHow low can my heart rate get before I should be concernedIt is been running around 48.

AMetoprololLopressorToprol XLis classified in a medication class called beta blockersMetoprolol is approved for usein the United Statesfor the treatment of high blood pressureboth as a single medication or in combination with other blood pressure medicationsMetoprolol is also approved for the long-term treatment of anginachest painMetoprolol is also approved to increase the chance that a person will live longer after suffering from a heart attackMetoprolol is also occasionally used to prevent migraine headachesto treat irregular heartbeatand to manage movement disorders caused by medication used for mental illnesshoweverthese are not U.SFood and Drug AdministrationFDAapproved uses for metoprololMetoprolol works by slowing the heart rate and relaxing blood vesselswhich allows for smoother blood flowLisinoprilPrinivilZestrilis classified in a medication class called angiotensin-converting enzymeACEinhibitorsLisinopril is approved to treat high blood pressureboth as a single medication or in combination with other blood pressure medicationsLisinopril is also approved as add on therapy for the management of heart failure in people who are not responding to other medicationsLisinopril is also approved to use along with other treatments to improve survival in people who have just had a heart attackLisinopril is used to protect kidney function in people with diabetes and to prevent migraine headacheshoweverthese are not FDA-approved uses for lisinoprilLisinopril works by decreasing certain natural substances in the bodywhich allows for widening of blood vesselsleading to smoother blood flowBoth metoprolol and lisinopril may be used for other medical conditionsFor more specific informationconsult with your doctor or pharmacist for guidance based on your health status and current medicationsparticularly before taking any actionDerek DorePharmD.

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