{"id":17848,"date":"2022-01-27T09:35:19","date_gmt":"2022-01-27T09:35:19","guid":{"rendered":"https:\/\/zeepedia.com\/?p=17848"},"modified":"2022-02-03T07:42:42","modified_gmt":"2022-02-03T07:42:42","slug":"metoprolol-teva","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/metoprolol-teva\/","title":{"rendered":"Metoprolol Teva &#8211; Metoprolol succinate uses, dose and side effects"},"content":{"rendered":"\n<p>25 mg, 50 mg, 100 mg and 200 mg\u00a0prolonged-release tablets<br>metoprolol succinate, respectively<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Metoprolol Teva is and what it is used for<\/h2>\n\n\n\n<p>The active substance\u00a0metoprolol\u00a0in\u00a0Metoprolol\u00a0Teva belongs to the group of beta-blockers.\u00a0Metoprolol\u00a0reduces the effects of stress hormones on the heart during physical and mental exertion.\u00a0This causes the heart to beat more slowly (\u00a0heart rate\u00a0decreases).<\/p>\n\n\n\n<p>Metoprolol&nbsp;Teva is used:<\/p>\n\n\n\n<p><strong><em>Adults:<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>for the treatment of high&nbsp;blood pressure<\/li><li>to prevent angina<\/li><li>for the treatment of&nbsp;heart failure<\/li><li>for the treatment of palpitations (too fast or uneven&nbsp;heart rate&nbsp;) in some cases<\/li><li>for the treatment of certain types of disorders of the heart rhythm<\/li><li>as a preventive treatment after a heart attack<\/li><li>as a preventive treatment for&nbsp;migraines&nbsp;.<\/li><\/ul>\n\n\n\n<p><strong><em>Children and adolescents from 6 to 18 years:<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>for the treatment of high&nbsp;blood pressure<\/li><\/ul>\n\n\n\n<p>Metoprolol contained\u00a0in\u00a0Metoprolol\u00a0Teva may also be approved for the treatment of other conditions not mentioned in this leaflet.\u00a0Ask your doctor, pharmacist, or other healthcare professionals if you have any further questions, and always follow their instructions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before taking Metoprolol Teva<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Metoprolol Teva:<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to&nbsp;metoprolol&nbsp;or any of the other ingredients of this medicine (listed in section 6)<\/li><li>if you suffer from&nbsp;shock&nbsp;due to severe heart disease<\/li><li>if you have a diseased sinus node in your heart (so-called diseased sinus syndrome)<\/li><li>if you have severe heart block (conduction disturbance in the heart)<\/li><li>if you have untreated&nbsp;heart failure<\/li><li>if you have very low&nbsp;blood pressure&nbsp;and \/ or very low&nbsp;heart rate<\/li><li>if you have recently had a heart attack and your&nbsp;heart rate&nbsp;is below 45 beats per minute, you have a deviating&nbsp;ECG&nbsp;curve or your systolic&nbsp;blood pressure&nbsp;(upper pressure) is below 100 mmHg<\/li><li>if you have&nbsp;heart failure&nbsp;and your upper pressure is below 100 mmHg measured in the supine position<\/li><li>if you have a advanced circulatory disorder in your hands and \/ or feet.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking&nbsp;Metoprolol&nbsp;Teva if you have any of the following conditions:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>asthma<\/li><li>narrow airways that produce noticeable symptoms<\/li><li>a severe&nbsp;acute&nbsp;condition due to accumulation of acidic substances in the body (&nbsp;acidosis&nbsp;)<\/li><li>a form of angina due to spasm of the coronary arteries (Prinzmetal&#8217;s angina)<\/li><li>severe&nbsp;renal failure<\/li><li>window viewing disease;&nbsp;the condition may worsen as a result of the decrease in blood pressure caused by&nbsp;Metoprolol&nbsp;Teva.<\/li><\/ul>\n\n\n\n<p>If you are going to have an operation, tell your doctor that you are taking\u00a0metoprolol.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Metoprolol Teva<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>The effect of\u00a0Metoprolol\u00a0Teva may be altered by the concomitant use of certain other medicines.\u00a0Likewise,\u00a0Metoprolol\u00a0Teva may alter the effect of other medicines.\u00a0Therefore, you must tell your doctor if you are taking any of the following medicines:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>propafenone&nbsp;,&nbsp;amiodarone&nbsp;,&nbsp;quinidine&nbsp;, verapamil,&nbsp;diltiazem&nbsp;,&nbsp;clonidine&nbsp;,&nbsp;disopyramide&nbsp;,&nbsp;hydralazine&nbsp;, digitalis \/ digoxin (medicines used to treat cardiovascular disease)<\/li><li>barbituric acid derivatives (epilepsy drugs)<\/li><li>medicines for&nbsp;inflammation&nbsp;and pain (eg indomethacin and celecoxib)<\/li><li>adrenaline&nbsp;(drug for the treatment of&nbsp;acute&nbsp;shock&nbsp;and severe allergic reactions)<\/li><li>phenylpropanolamine (medicine for nasal congestion)<\/li><li>diphenhydramine (allergy medicine)<\/li><li>terbinafine (medicine used to treat fungal infections of the skin)<\/li><li>rifampicin (medicine used to treat&nbsp;tuberculosis&nbsp;)<\/li><li>other beta-&nbsp;blockers&nbsp;(eg certain&nbsp;eye drops&nbsp;)<\/li><li>MAO inhibitors&nbsp;(medicines to treat depression and&nbsp;Parkinson&#8217;s disease&nbsp;)<\/li><li>inhalation anesthetics (inhaled anesthetics)<\/li><li>diabetes drugs taken by mouth<\/li><li>cimetidine (antacids or antacids)<\/li><li>antidepressants (&nbsp;paroxetine&nbsp;,&nbsp;fluoxetine&nbsp;and&nbsp;sertraline&nbsp;).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Metoprolol Teva with food and drink<\/h2>\n\n\n\n<p>Metoprolol&nbsp;Teva can be taken either with a meal or on an empty stomach.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<p><strong>Pregnancy<\/strong><br>Metoprolol&nbsp;can only be used during pregnancy (especially during the last three months) if the treating physician has made a specific assessment of the benefits and risks of the treatment.&nbsp;Metoprolol&nbsp;crosses the&nbsp;placenta&nbsp;and impairs its blood circulation, which can harm the fetus.&nbsp;Treatment with&nbsp;metoprolol&nbsp;should be discontinued 48-72 hours before the expected delivery. If this is not possible, the newborn should be closely observed for 48-72 hours after birth.<\/p>\n\n\n\n<p><strong>Breastfeeding<\/strong><br>Metoprolol\u00a0is excreted in human milk.\u00a0Side effects\u00a0are not expected to occur during treatment with\u00a0therapeutic doses.\u00a0However, breastfed infants should be observed for possible\u00a0side effects.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Metoprolol&nbsp;Teva may in rare cases cause dizziness and fatigue and reduce the ability to concentrate.&nbsp;Thus, do not drive, use machines or start with other concentration-intensive tasks before you know what effect&nbsp;Metoprolol&nbsp;Teva has on you.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened vigilance.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0Descriptions of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Metoprolol Teva contains sucrose<\/h2>\n\n\n\n<p>Metoprolol&nbsp;Teva contains sucrose.&nbsp;If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Metoprolol Teva<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p><strong>The recommended&nbsp;dose&nbsp;is:<\/strong><\/p>\n\n\n\n<p><strong>Adults:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><em>High blood pressure:<\/em><br>50-100 mg once daily<\/li><li><em>Vasospasm:<\/em><br>100\u2013200 mg once daily<\/li><li><em>Heart failure&nbsp;, functional class II:<\/em><br>The starting dose for the first two weeks is 25 mg once daily.&nbsp;After two weeks,&nbsp;dose&nbsp;one can be increased to 50 mg once daily and thereafter&nbsp;dose&nbsp;one can be doubled every two weeks.&nbsp;For long-term treatment, the target dose is 200 mg once daily.<\/li><li><em>Heart failure&nbsp;, functional classes III and IV:<\/em><br>The starting dose for the first two weeks is half a 25 mg tablet (ie 12.5 mg) once daily.&nbsp;After 1-2 weeks, the&nbsp;dose&nbsp;can be increased to 25 mg once daily.&nbsp;During the following two weeks,&nbsp;dose&nbsp;one can be increased to 50 mg once daily and thereafter&nbsp;dose&nbsp;one can be doubled every two weeks to a maximum of 200 mg once daily, if the patient tolerates large&nbsp;doses&nbsp;.<\/li><li><em>Irregular heartbeat without organic cause:<\/em><br>100 mg once daily<\/li><li><em>Cardiac arrhythmias:<\/em><br>100\u2013200 mg once daily<\/li><li><em>Preventive treatment after an&nbsp;acute&nbsp;myocardial infarction:<\/em><br>200 mg once daily<\/li><li><em>Preventive treatment of migraine:<\/em><br>100 &#8211; 200 mg once daily<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p><em>Hypertension:<\/em><\/p>\n\n\n\n<p>For children aged 6 years or older, the&nbsp;dose&nbsp;depends on the weight of the child.&nbsp;Your doctor will determine the correct&nbsp;dose&nbsp;for your child.<\/p>\n\n\n\n<p>The usual starting dose is 0.5 mg\/kg once daily.\u00a0Dose\u00a0one will be adjusted to the nearest tablet strength.\u00a0Your doctor may increase the\u00a0dose\u00a0to 2.0 mg\/kg once a day depending on the effect on\u00a0your blood pressure.\u00a0Doses\u00a0over 200 mg once daily have not been studied in children and adolescents.<\/p>\n\n\n\n<p>Metoprolol&nbsp;Teva is not recommended for children under 6 years of age.<\/p>\n\n\n\n<p><strong>Method of use<\/strong><br>Metoprolol&nbsp;Teva&nbsp;prolonged-release tablets&nbsp;can be divided, but must not be crushed or chewed.&nbsp;The tablets are swallowed with a sufficient amount of liquid (at least half a glass).<\/p>\n\n\n\n<p>Metoprolol&nbsp;Teva&nbsp;prolonged-release tablets&nbsp;have a smooth effect throughout the day.&nbsp;Therefore, the drug should be taken only once daily.<\/p>\n\n\n\n<p>The tablet can be divided into two equal\u00a0doses.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Metoprolol Teva than you should<\/h2>\n\n\n\n<p>Depending on the size\/degree of overdose, it can lead to excessive blood pressure lowering and slower heart rate.\u00a0As a result, heart function deteriorates, which can even lead to cardiac arrest, weakened heart muscle, and\u00a0shock.\u00a0Other symptoms include\u00a0difficulty breathing, contraction of the muscles of the airways, vomiting, disturbances of consciousness, and sometimes even generalized seizures.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Metoprolol Teva<\/h2>\n\n\n\n<p>If you forget to take&nbsp;Metoprolol&nbsp;Teva, take the missed&nbsp;dose&nbsp;as soon as you remember.&nbsp;However, if it is almost time for your next&nbsp;dose&nbsp;, skip the missed&nbsp;dose&nbsp;and continue taking your medicine normally.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<p>Do not take a double&nbsp;dose&nbsp;to make up for a forgotten tablet.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop taking Metoprolol Teva<\/h2>\n\n\n\n<p>Do not stop taking&nbsp;Metoprolol&nbsp;Teva without discussing it with your doctor as some symptoms (eg palpitations and angina) may worsen if you suddenly stop taking the medicine.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects&nbsp;, although not everybody gets them.<\/p>\n\n\n\n<p><strong>Common (affects less than 1 in 10 but more than 1 in 100 patients):<\/strong><br>Fatigue, headache, dizziness, cold hands and feet, slow&nbsp;heart rate&nbsp;, palpitations, abdominal pain, nausea, vomiting, diarrhea, constipation.<\/p>\n\n\n\n<p><strong>Uncommon (affects less than 1 in 100 but more than 1 in 1,000 patients):<\/strong><br>Chest pain, weight gain, sleep disturbances, skin tingling, shortness of breath, worsening of breathing symptoms, transient worsening of&nbsp;heart failure&nbsp;.&nbsp;Blood pressure&nbsp;can drop sharply during a heart attack.<\/p>\n\n\n\n<p><strong>Rare (affects less than 1 in 1,000 but in more than 1 in 10,000 patients):<\/strong><br>Increased sweating;&nbsp;hair loss;&nbsp;taste changes;&nbsp;transient impairment of sexual function;&nbsp;nightmares;&nbsp;Depression;&nbsp;memory disorders;&nbsp;confusion;&nbsp;nervousness;&nbsp;anxiety;&nbsp;hallucinations;&nbsp;hypersensitivity reaction&nbsp;in the skin, such as&nbsp;redness&nbsp;or rash;&nbsp;aggravated psoriasis;&nbsp;photosensitivity;&nbsp;decreased&nbsp;platelet count&nbsp;(&nbsp;thrombocytopenia&nbsp;);&nbsp;slower heart activity;&nbsp;arrhythmias;&nbsp;swelling;&nbsp;fainting;&nbsp;liver impact;&nbsp;visual disturbances;&nbsp;ringing in the ears (&nbsp;tinnitus&nbsp;).<\/p>\n\n\n\n<p><strong>Very rare (affects less than 1 in 10,000 patients):<\/strong><br>The following reactions have been reported: joint pain, hepatitis, muscle cramps,&nbsp;dry mouth&nbsp;, dry and irritated eyes, allergic rhinitis, impaired concentration and local tissue death (&nbsp;necrosis&nbsp;) in patients with severe circulatory disorders.<\/p>\n\n\n\n<p>If you get\u00a0any side effects\u00a0, talk to your doctor or pharmacist.\u00a0This also applies to\u00a0side effects\u00a0that are not mentioned in this information<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Metoprolol Teva<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton after EXP.&nbsp;or EXP.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Do not store above 25 \u00b0 C.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is metoprolol succinate.<br>One tablet contains 23.75 mg, 47.5 mg, 95 mg or 190 mg metoprolol succinate, equivalent to 25 mg, 50 mg, 100 mg or 200 mg metoprolol tartrate.<\/li><li>The other ingredients are<br><em>Tablet core:<\/em><br>sugar spheres (containing sucrose and maize starch), macrogol, ethyl acrylate methyl methacrylate copolymer, povidone, microcrystalline cellulose, magnesium stearate, silica (&nbsp;colloidal&nbsp;, anhydrous).<br>Tablet coating:<br>hypromellose, talc, macrogol, titanium dioxide (E 171).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p><em>Metoprolol&nbsp;Teva 25 mg&nbsp;prolonged-release tablet<\/em><\/p>\n\n\n\n<p>White, oblong, biconvex tablet with a score line on both sides (size: approximately 9.2 x 4.2 mm)<\/p>\n\n\n\n<p><em>Metoprolol&nbsp;Teva 50 mg&nbsp;prolonged-release tablet<\/em><\/p>\n\n\n\n<p>White, oblong, biconvex tablet with a score line on both sides (size: approximately 12.2 x 5.7 mm)<\/p>\n\n\n\n<p><em>Metoprolol&nbsp;Teva 100 mg&nbsp;prolonged-release tablet<\/em><\/p>\n\n\n\n<p>White, oblong, biconvex tablet with a score line on both sides (size: approximately 15.2 x 7.2 mm)<\/p>\n\n\n\n<p><em>Metoprolol&nbsp;Teva 200 mg&nbsp;prolonged-release tablet<\/em><\/p>\n\n\n\n<p>White, oblong, biconvex tablet with a score line on both sides (size: approximately 19.2 x 9.2 mm)<\/p>\n\n\n\n<p><em>Blister packs: Pack sizes<\/em><br>for&nbsp;Metoprolol&nbsp;Teva 25 mg&nbsp;prolonged-release tablets&nbsp;are 14, 28, 30, 50 x 1, 50, 56, 60, 90, 98 and 100 prolonged-release tablets.<br>Pack sizes for&nbsp;Metoprolol&nbsp;Teva 50 mg&nbsp;prolonged-release tablets&nbsp;are 28, 30, 50 x 1, 50, 56, 60, 90, 98 and 100 prolonged-release tablets.<br>Pack sizes for&nbsp;Metoprolol&nbsp;Teva 100 mg&nbsp;prolonged-release tablets&nbsp;are 28, 30, 50 x 1, 50, 56, 60, 90, 98 and 100 prolonged-release tablets.<br>Pack sizes for&nbsp;Metoprolol&nbsp;Teva 200 mg&nbsp;prolonged-release tablets&nbsp;are 28, 30, 50, 56, 60, 90, 98 and 100 prolonged-release tablets.<\/p>\n\n\n\n<p><em>Tablet cans: Pack sizes<\/em><br>for&nbsp;Metoprolol&nbsp;Teva&nbsp;prolonged-release tablets&nbsp;in tablet cans are 30, 60, 100, 250 and 500 prolonged-release tablets.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Merckle GmbH<br>Ludwig-Merckle-Strasse 3<br>D-89143 Blaubeuren, Germany<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The active substance metoprolol in Metoprolol Teva belongs to the group of beta- blockers . Metoprolol reduces the effects of stress hormones on the heart during physical and mental exertion. This causes the heart to beat more slowly ( heart rate decreases).<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,15580],"tags":[17302,17416,17297,17301,17300,17411,17415,17414,17298,17412,17299,17413],"class_list":["post-17848","post","type-post","status-publish","format-standard","hentry","category-medicines","category-m","tag-benefits-of-metoprolol-succinate","tag-benefits-of-metoprolol-teva","tag-metoprolol-succinate","tag-metoprolol-succinate-side-effects","tag-metoprolol-succinate-tablet","tag-metoprolol-teva","tag-metoprolol-teva-side-effects","tag-metoprolol-teva-tablet","tag-what-is-metoprolol-succinate","tag-what-is-metoprolol-teva","tag-what-metoprolol-succinate-is-used-for","tag-what-metoprolol-teva-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17848","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=17848"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17848\/revisions"}],"predecessor-version":[{"id":17898,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/17848\/revisions\/17898"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=17848"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=17848"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=17848"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}