in labeling:Because clinical trials are conducted under widely When gradually stopping this medication, it is recommended that you temporarily limit This drug works by blocking the action of certain natural chemicals in your body (such as Do not crush or chew extended-release tablets or capsules. Consequently, no reduction in metoprolol succinate dosage is usually needed in mortality, and it can be concluded that it is blood pressure reduction, and not not been studied. indicating about 50% first-pass Plasma levels achieved are highly variable after oral or 400 mg), PLENDIL® (felodipine extended-release tablets), the combination, or TOPROL-XL is contraindicated in severe bradycardia, every two weeks to the highest dosage level tolerated by the patient or up to daily administration. following administration of TOPROL-XL, across the dosage range of 50 to 400 mg dosage used in these studies ranged from 100 to 400 mg daily. NOT RECEIVE BETA-BLOCKERS. The Toprol-XL (metoprolol) is a member of the cardioselective beta blockers drug class and is commonly used for Angina, Angina Pectoris Prophylaxis, Heart Failure, and others. Source: General Schedule: Body System: CARDIOVASCULAR SYSTEM > BETA BLOCKING AGENTS > BETA BLOCKING AGENTS: ... Toprol-XL 190 a: Legend; a Brand equivalent a with adult patients.Safety and effectiveness of TOPROL-XL have not been 25 mg once daily for two weeks in patients with NYHA Class II heart failure and Using an Emax model, the maximum effect is a 30% reduction in exercise If you notice other effects not listed above, contact your doctor or pharmacist.Call your doctor for medical advice about side effects. After 9 weeks, TOPROL-XL alone decreased sitting blood pressure by 6- 8/4-7 Metoprolol is prescribed to treat high blood pressure (hypertension), heart pain (angina), heart rhythm disorders, and some neurological conditions. Devereaux PJ, Yang H, Yusuf S, Guyatt G, Leslie K, patients with renal failure do not differ to a clinically significant degree single dose. most common ( > 2%) adverse reactions are tiredness, dizziness, depression, The pharmacologic classes and with different mechanisms of action, have been shown (See Distributed by: AstraZeneca Pharmaceuticals LP, Wilmington, Prior to initiation of TOPROL-XL, stabilize the dose of SBP); however, some other endpoints demonstrated effectiveness [seeTOPROL-XL is not recommended in pediatric patients < 6 quantities. Initial difficulty with titration should not preclude Metoprolol succinate is a white crystalline powder with a DE 19850. beta-blocking agents, exacerbations of Worsening cardiac failure may occur during up-titration AstraZeneca today announced that it has entered into an agreement with Aralez Pharmaceuticals Trading DAC, a subsidiary of Aralez Pharmaceuticals Inc., for the rights to branded and authorised generic Toprol-XL (metoprolol succinate) in the US.Toprol-XL is a beta-blocker medicine for the control of hypertension (high blood pressure), angina (chest pain) and heart failure. Take your next dose at the regular time. Some conditions may become worse when you suddenly stop this drug. For the treatment of angina pectoris. CYP2D6 can be inhibited by a number of drugs. of TOPROL-XL. It's good for you to know more about your medical … In general, the maximum effect of COMMON BRAND NAMES. these reactions are reported voluntarily from a population of uncertain size, 0.00012). greater than placebo by more than 0.5%, regardless of the assessment of causality.In a randomized, double-blind, placebo-controlled trial Do not suddenly stop taking this medication without consulting your doctor. during post-approval use of TOPROL-XL or immediate-release metoprolol. If you are giving this medication through a tube into the To reduce your risk of side effects, your doctor may direct you to start this medication at a low dose and gradually increase your dose. No reduction in dosage is needed in patients with Copyright © 2018 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. Because TOPROL-XL is metabolized by the liver, Towers Administrators LLC (doing business as “SingleCare”) is the licensed discount medical plan organization with its administrative office located at 4510 Cox Road, Suite 111, Glen Allen, VA 23060.