Although these side effects are rare, it is important to consult with your physician for proper evaluation if you are experiencing anything unusual or bothersome while taking metoprolol.

Information about Toprol.
Be careful driving or operating machinery until you know how TOPROL-XL affects you.
This is not a complete list of possible side effectsIf you notice other effects not listed abovecontact your doctor or pharmacist.
To prevent chest paina second heart attackor migraine headachesit is very important to take this medication regularly as prescribedThis drug should not be used to treat chest pain or migraines when they occurUse other medications to relieve sudden attacks as directed by your doctorfor examplenitroglycerin tablets placed under the tongue for chest paintriptandrugs such as sumatriptan for migrainesConsult your doctor or pharmacist for details.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effectsMany people using this medication do not have serious side effects.
Worsening cardiac failure may occur during up-titration of TOPROL-XLIf such symptoms occurincrease diuretics and restore clinical stability before advancing the dose of TOPROL-XLsee DOSAGE AND ADMINISTRATIONIt may be necessary to lower the dose of TOPROL-XL or temporarily discontinue itSuch episodes do not preclude subsequent successful titration of TOPROL-XL.
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