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Details Betaloc CR (Toprol XL / Lopressor) Generic Name: Metoprolol Succinate Packets of 30 x 190 mg Tablets Manufactured by AstraZeneca Use This group of medicines is known as beta-adrenergic blocking agents, beta-blocking agents, or, more commonly, beta-blockers. Beta-blockers are used in the treatment of high blood pressure (hypertension). Some beta-blockers are also used to relieve angina (chest pain) and in heart attack patients to help prevent additional heart attacks. Beta-blockers are also used to correct irregular heartbeat, prevent migraine headaches, and treat tremors. Dosage The dose of beta-blocker will be different for different patients. Follow your doctor's orders or the directions on the label . The following information includes only the average doses. If your dose is different, do not change it unless your doctor tells you to do so. Do not miss any doses. This is especially important when you are taking only one dose per day. Some conditions may become worse if this medicine is not taken regularly. Side effects Check with your doctor as soon as possible if any of the following side effects occur; Less common - breathing difficulty and/or wheezing; cold hands and feet; mental depression; shortness of breath; slow heartbeat (especially less than 50 beats per minute); swelling of ankles, feet, and/or lower legs. Rare - back pain or joint pain; chest pain; confusion (especially in elderly patients); dark urine”for acebutolol, bisoprolol, or labetalol; dizziness or lightheadedness when getting up from a lying or sitting position; fever and sore throat; hallucinations (seeing, hearing, or feeling things that are not there); irregular heartbeat; red, scaling, or crusted skin; skin rash; unusual bleeding and bruising; yellow eyes or skin”for acebutolol, bisoprolol, or labetalol. Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome; More common - decreased sexual ability; dizziness or lightheadedness; drowsiness (slight); trouble in sleeping; unusual tiredness or weakness. Less common or rare - anxiety and/or nervousness; changes in taste for labetalol only; constipation; diarrhea; dry, sore eyes; frequent urination for acebutolol and carteolol only; itching of skin; nausea or vomiting; nightmares and vivid dreams; numbness and/or tingling of fingers and/or toes; numbness and/or tingling of skin, especially on scalp for labetalol only; stomach discomfort; stuffy nose. Precautions Make sure your doctor is aware of all medications that you are taking and have taken in the past, and knows your complete medical history before taking this medicine. The presence of other medical problems may affect the use of the beta blockers. Make sure you tell your doctor if you have any other medical problems. Do not stop taking this medicine without first checking with your doctor . Your doctor may want you to reduce gradually the amount you are taking before stopping completely. Some conditions may become worse when the medicine is stopped suddenly, and the danger of heart attack is increased in some patients. This medicine may cause some people to become dizzy, drowsy, or lightheaded. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert . If the problem continues or gets worse, check with your doctor.