Metomylan
Metomylan is a beta-blocker that helps lower blood pressure and improve heart function by treating various heart and blood vessel conditions.
Form
depottabletti
Strength
47.5 mg
Active Ingredient
Metoprolol succinate
Manufacturer
Viatris Limited
How to Use
Dosage
Take the medicine once a day, as directed by your doctor. The exact dose will be determined by your doctor.
Method
Take the tablet with or without food, preferably in the morning. Swallow it whole or divided, do not chew or crush. Take with at least 1½ glasses of water.
Important
The maximum daily dose is generally 190 mg, but your doctor will determine the right dose for you.
Possible Side Effects
COMMON
- •Low blood pressure, especially when standing up, sometimes causing dizziness or fainting.
- •Feeling tired.
- •Slow heart rate, problems with balance, or irregular/stronger heartbeats.
- •Dizziness, headache.
- •Shortness of breath during exercise.
- •Nausea, stomach pain, diarrhea, constipation.
- •Cold hands and feet.
RARE
- •Worsening of heart failure symptoms, certain heart rhythm problems, chest pain, or shortness of breath.
- •Numbness or tingling in the skin.
- •Narrowing of airways (bronchospasm).
- •Vomiting.
- •Skin rashes resembling psoriasis, increased sweating, muscle cramps.
- •Weight gain, swelling (fluid retention).
- •Depression, poor concentration, sleepiness, insomnia, nightmares.
- •Circulatory collapse (more likely after a heart attack).
- •Worsening of diabetes without typical symptoms.
- •Yellowing of skin and/or eyes (may be a sign of liver inflammation).
- •Tissue death (necrosis) in patients with severe circulation problems in arms/legs before treatment.
- •Functional heart problems, such as skipped beats or fast heartbeat, certain conduction disorders.
- •Vision problems, dry or irritated eyes, conjunctivitis.
- •Runny nose, dry mouth, hair loss.
- •Abnormal liver test results.
- •Impotence and other sexual dysfunctions.
- •Nervousness, anxiety.
- •Reduced platelet count (thrombocytopenia), reduced white blood cell count (leukopenia).
- •Ringing in ears (tinnitus), hearing problems.
- •Taste changes.
- •Sensitivity to light, worsening or new onset of psoriasis, psoriasis-like skin changes.
- •Joint pain, muscle weakness.
- •Worsening of intermittent claudication or Raynaud's phenomenon.
- •Forgetfulness, memory impairment, confusion, hallucinations, personality changes (e.g., mood swings).
- •Masking of low blood sugar symptoms (e.g., fast heartbeat).
Important Warnings
- Do not take this medicine if you are allergic to metoprolol, other beta-blockers, or any other ingredient in this medicine.
- Do not take if you have certain severe heart rhythm disorders, a very slow pulse (under 50 beats/minute), or sudden severe heart failure.
- Do not take if you have very low blood pressure (systolic blood pressure below 90 mmHg).
- Do not take if you have severe circulation problems in your arms or legs.
- Do not take if you have severe asthma or a chronic lung disease that causes narrowed airways.
Show 7 more warnings
- Do not take if you are also taking MAO inhibitors (medicines for depression, except MAO-B inhibitors).
- If you have diabetes, metoprolol can hide the symptoms of low blood sugar. Monitor your blood sugar levels regularly.
- Tell your doctor if you have severe liver problems, as your dose may need to be adjusted.
- If you are having surgery, tell your anesthetic doctor that you are taking Metomylan.
- Do not drink alcohol while taking Metomylan, as it can increase tiredness and strengthen the medicine's effect.
- If you are pregnant, breastfeeding, or planning to have a baby, talk to your doctor before taking this medicine.
- Do not stop taking Metomylan suddenly, as this can worsen your heart condition. Always talk to your doctor first.
Use in Elderly Patients
Category A
Suitable for older adults. Significant adverse effects include bradycardia and orthostatic hypotension. Consider potential interactions especially with with drugs affecting the conduction system of the heart. (updated 20.1.2025)