Treatment FAQ

treatment for fast heart rate, metoprolol, how much per day

by Miss Lydia Heller Published 2 years ago Updated 1 year ago
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Gradually increase the dosage at weekly intervals until optimum clinical response has been obtained or there is pronounced slowing of the heart rate. The effective dosage range of metoprolol tartrate tablets is 100-400 mg per day. Dosages above 400 mg per day have not been studied.

If using metoprolol tartrate, the dose usually starts around 0.5 mg to 1 mg/kg twice daily; this can be increased as tolerated up to a maximum of 200 mg per day.

Full Answer

How often should I take metoprolol for heart failure?

METOPROLOL SUCCINATE EXTENDED RELEASE TABLETS: 25 mg orally once a day (12.5 mg orally once a day in patients with more severe heart failure); double dose every 2 weeks to highest tolerated dose or up to 200 mg orally once a day.

How many metoprolol tartrate tablets should I take for high blood pressure?

Initial dose:-Metoprolol tartrate immediate release tablets: 50 mg orally twice a day-Metoprolol succinate extended release tablets: 100 mg orally once a day Maintenance dose: 100 to 400 mg per day Comments:-Increase dose at weekly intervals until optimum clinical response has been obtained or pronounced slowing of heart rate occurs.

How much metoprolol should I take for angina pectoris?

Usual Adult Dose for Angina Pectoris. Initial dose: -Metoprolol tartrate immediate release tablets: 50 mg orally twice a day -Metoprolol succinate extended release tablets: 100 mg orally once a day Maintenance dose: 100 to 400 mg per day Comments: -Increase dose at weekly intervals until optimum clinical response has been obtained...

How often can you take metoprolol succinate extended release?

-Metoprolol succinate extended release tablets: 100 mg orally once a day. Maintenance dose: 100 to 400 mg per day. Comments: -Increase dose at weekly intervals until optimum clinical response has been obtained or pronounced slowing of heart rate occurs. -Doses above 400 mg per day have not been studied.

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How much metoprolol can you take in a day?

Adults—At first, 100 milligrams (mg) per day, given as a single dose or in divided doses. Your doctor may adjust your dose as needed. However, the dose is usually not more than 450 mg per day.

Is 50 mg of metoprolol twice a day too much?

However, the dose is usually not more than 400 mg per day. Children 6 years of age and older—Dose is based on body weight and must be determined by your doctor. The dose is usually 1 milligram (mg) per kilogram (kg) of body weight once a day. The first dose should not be more than 50 mg once a day.

Can I take metoprolol 25mg twice a day?

If you're taking immediate-release metoprolol oral tablets, you may take them once or twice daily. If you're taking extended-release metoprolol oral tablets, you'll take them once daily. For treating a heart attack, you may start taking metoprolol in the hospital.

Can I take 2 metoprolol a day?

Metoprolol tablets come in strengths of 50mg and 100mg. How much you take depends on why you need it: high blood pressure – 50mg to 100mg, taken twice a day. chest pain – 50mg to 100mg, taken 2 to 3 times a day.

Is 12.5 mg of metoprolol effective?

For people with more severe heart failure, it's 12.5 mg once daily. Typical maintenance dosage: Your doctor can double the dosage every 2 weeks to the highest dosage level your body will tolerate, or up to 200 mg per day.

What does 25 mg of metoprolol do?

This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems.

How long does 12.5 mg of metoprolol stay in your system?

by Drugs.com As an estimate then, after taking a dose of Metoprolol it should be out of your system within 16.5 to 38.5 hours.

What is metoprolol 50mg used for?

Metoprolol is used alone or together with other medicines to treat high blood pressure (hypertension). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly.

Which metoprolol is dosed twice daily?

The immediate-release tablet (metoprolol tartrate) is usually taken once or twice per day with meals or following meals. In contrast, the extended-release tablet (metoprolol succinate) is a long-acting version taken just once per day.

Is 100 mg of metoprolol succinate a lot?

Metoprolol succinate extended-release tablets are scored and can be divided; however, do not crush or chew the whole or half tablet. Adults: The usual initial dosage is 25 mg to 100 mg daily in a single dose. The dosage may be increased at weekly (or longer) intervals until optimum blood pressure reduction is achieved.

Can I cut my 25 mg metoprolol in half?

Metoprolol succinate extended-release tablets are scored and can be divided; however, the whole or half tablet should be swallowed whole and not chewed or crushed. The usual initial dosage is 25 to 100 mg daily in a single dose, whether used alone or added to a diuretic.

What is the peak time for metoprolol?

Metoprolol is absorbed fully after oral administration. Within the therapeutic dosage range, the plasma concentrations increase in a linear manner in relation to dosage. Peak plasma levels are achieved after approx. 1.5–2 hours.

How long does metoprolol affect heart rate?

With oral metoprolol tartrate, significant effects on the heart rate are seen within an hour, and effects last for six to 12 hours depending on the dose. With injectable metoprolol tartrate, significant effects are seen within 20 minutes, and a single injection lasts for approximately 5 to 8 hours, depending on the dose.

How does metoprolol work?

Metoprolol works by blocking the effects of epinephrine on beta-1 receptors within the heart tissue, causing the heart to pump more slowly and with less force.

What medications interact with metoprolol?

Common medications that may interact with metoprolol include: antidepressants, such as fluoxetine, paroxetine, St John’s Wort, and monoamine oxidase inhibitors. antifungals, such as terbinafine. antihistamines, such as diphenhydramine.

What are some medications that are used to treat mental illness?

indigestion and heartburn medications, such as cimetidine and ranitidine. some medications used to treat mental illness, such as thioridazine. some heart medications, such as amiodarone, clonidine, digoxin, diltiazem, propafenone, quinidine, and verapamil.

Does metoprolol cause angina?

Avoid abrupt discontinuation. Stopping metoprolol ( both tartrate and succinate) suddenly can exacerbate angina and may increase the risk of a heart attack.

Does metoprolol succinate cause dizziness?

Side effects are similar for both metoprolol tartrate and metoprolol succinate because they both contain the same active drug, metoprolol. Dry eyes, blurred vision, dizziness (particularly when rising from a sitting to a standing position), fatigue, nightmares,a slow heart beat, and sweating are common.

Does metoprolol succinate help with heart failure?

Lowers blood pressure and relieves symptoms of angina in people with heart disease. Slow-release forms may be beneficial in people with certain types of heart failure. Available as a slow-release tablet which is usually dosed once a day.

What is metoprolol used for?

Unclear: Metoprolol is used for heart disease and high blood pressure. It commonly lowers the heart rate and that is precisely what doctors expect and hope it ... Read More

What is the name of the drug that slows down your heart rate?

Depends: Metoprolol is a type of medication called a beta-blocker; these medications block adrenaline so part of what they do is slow your heart rate. If your ... Read More

What is Metoprolol Tartrate?

Metoprolol Tartrate is a commonly prescribed medication. It is in a class of medicines known as beta-blockers and is commonly used for heart conditions. These conditions may include chest pain, increased heart rate, increased blood pressure, and heart failure amongst others.

How is it taken?

Metoprolol Tartrate is taken by mouth. It is typically taken with a meal and can be taken once or twice a day – and in some cases, even more often. The number of tablets and the dose prescribed will be determined by the condition being treated.

How does it work?

Put simply, it helps block the effects of hormones (such as epinephrine) on the receptors in the body (such as the heart tissue). These receptors are also present in other structures – for example, the vascular system and the lungs.

What doses are available?

Metoprolol Tartrate is available as both a generic and a brand name medication. The brand name is Lopressor. It can come as an immediate-release tablet or an immediately acting injectable solution. The tablets come in doses such as 25 milligrams, 37.5 milligrams, 50 milligrams, 75 milligrams, and 100 milligrams.

What are some considerations a doctor takes before prescribing Metoprolol Tartrate?

People with a known history of slow heart rate may need to be cautious when taking this medication. Those with breathing problems such as asthma or other chronic breathing conditions should discuss this with their doctor. Some patients with mental health conditions such as depression may need to be careful that this does not worsen the situation.

What are some side effects?

Metoprolol Tartrate will likely cause a lowering of the heart rate. In some people, this can be too low, resulting in a condition known as bradycardia. Some experience fatigue as a side effect of taking beta-blockers. Some people may have dizziness or tiredness and occasionally gastrointestinal symptoms such as diarrhea.

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How It Works

Upsides

Downsides

  • If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include: 1. Heart rate slowing, depression, diarrhea, skin rash and shortness of breath. Side effects are similar for both metoprolol tartrate and metoprolol succinate because they both contain the same active drug, …
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Bottom Line

  • Metoprolol is a selective beta-blocker at dosages usually prescribed to lower blood pressure or relieve the symptoms of angina. Two different salts are available, metoprolol tartrate and metoprolol succinate. These are not interchangeable. Metoprolol should not be stopped abruptly.
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Tips

  1. Take metoprolol at the same time each day.
  2. Report any shortness of breath or facial swelling immediately to your doctor.
  3. Also, talk to your doctor if you develop a very slow heartbeat or cold feeling in your hands or feet.
  4. If you are diabetic, talk to your doctor about the possibility that metoprolol may reduce your s…
  1. Take metoprolol at the same time each day.
  2. Report any shortness of breath or facial swelling immediately to your doctor.
  3. Also, talk to your doctor if you develop a very slow heartbeat or cold feeling in your hands or feet.
  4. If you are diabetic, talk to your doctor about the possibility that metoprolol may reduce your symptoms of hypoglycemia.

Response and Effectiveness

  1. With oral metoprolol tartrate, significant effects on the heart rate are seen within an hour, and effects last for six to 12 hours depending on the dose. With injectable metoprolol tartrate, signif...
  2. With oral metoprolol succinate extended-release (ER) tablets, peak concentrations are reached in about seven hours following a single dose. With regular dosing; however, concentrations o…
  1. With oral metoprolol tartrate, significant effects on the heart rate are seen within an hour, and effects last for six to 12 hours depending on the dose. With injectable metoprolol tartrate, signif...
  2. With oral metoprolol succinate extended-release (ER) tablets, peak concentrations are reached in about seven hours following a single dose. With regular dosing; however, concentrations of metoprolo...

Interactions

  • Medicines that interact with metoprolol may either decrease its effect, affect how long it works for, increase side effects, or have less of an effect when taken with metoprolol. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. Speak to your doctor about how drug interactions sh…
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Further Information

  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use metoprolol only for the indication prescribed. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Copyright 1996-2022 Drugs.com. Revision date: March 22, 2022. Medical Disclai…
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