Metomylan
Metomylan contains metoprolol, a beta-blocker that helps lower blood pressure and improve the heart's pumping ability.
Form
depottabletti
Strength
95 mg
Active Ingredient
Metoprolol succinate
Manufacturer
Viatris Limited
How to Use
Dosage
Your doctor will decide your dose. A typical starting dose for high blood pressure is 1 extended-release tablet (47.5 mg) once daily.
Method
Take the tablets once daily, with or without food, preferably in the morning. Swallow the tablets whole or divided with at least 1½ glasses of water. Do not chew or crush them.
Important
The maximum daily dose is 190 mg of metoprolol succinate.
Possible Side Effects
COMMON
- •Significant drop in blood pressure, also when standing up (very rarely with fainting), tiredness.
- •Slow pulse (bradycardia), balance problems (very rarely with fainting), feeling of irregular or strong heartbeats.
- •Dizziness, headache.
- •Shortness of breath during exertion.
- •Nausea, stomach pain, diarrhea, constipation.
- •Cold hands and feet.
RARE
- •Temporary worsening of heart failure symptoms, certain severe heart rhythm disorders (first-degree AV block), or chest pain around the heart with shortness of breath.
- •Worsening of diabetes without typical symptoms, yellowing of the skin and/or eyes (sign of liver inflammation), or tissue death in patients with severe circulation problems in arms/legs before treatment.
- •Tingling sensations in the skin, narrowing of the airways (bronchospasm), or ringing in the ears (tinnitus) and hearing problems.
- •Vomiting, taste disturbances, skin changes, psoriasis-like rashes, increased sweating, light sensitivity, or muscle cramps.
- •Weight gain, fluid retention (swelling), depression, reduced concentration, drowsiness, insomnia, or nightmares.
- •Circulatory collapse (more likely after a heart attack), reduced platelets (thrombocytopenia), or reduced white blood cells (leukopenia).
- •Vision disturbances, dry/irritated eyes, conjunctivitis, nasal congestion (rhinitis), or dry mouth.
- •Hair loss, abnormal liver test results, impotence or other sexual disorders, nervousness, anxiety, forgetfulness, impaired memory, confusion, hallucinations, or personality changes (e.g., mood swings).
- •Worsening of intermittent claudication (pain in legs during exertion) or Raynaud's phenomenon (spasms in finger blood vessels).
- •Masking of low blood sugar symptoms (hypoglycemia), such as rapid heart rate.
Important Warnings
- You are allergic to metoprolol, other beta-blockers, or any other ingredient in this medicine.
- You have certain severe heart rhythm disorders (like second or third-degree AV block).
- You have a very slow heart rate (below 50 beats per minute).
- You have sick sinus syndrome, unless you have a permanent pacemaker.
- You have experienced sudden circulatory collapse due to heart problems.
Show 15 more warnings
- You have severe circulation problems in your arms and/or legs.
- You have very low blood pressure (systolic pressure below 90 mmHg).
- You have an untreated tumor of the adrenal gland (phaeochromocytoma).
- Your blood is too acidic (metabolic acidosis).
- You have severe asthma or chronic lung disease that narrows your airways.
- You are taking MAO inhibitors (medicines for depression, except MAO-B inhibitors).
- You have a suspected heart attack with a heart rate below 45 beats/min, systolic blood pressure below 100 mmHg, or certain rhythm disturbances.
- You are receiving certain heart rhythm medicines intravenously (e.g., verapamil or diltiazem), unless for intensive care treatment.
- You have unstable, uncontrolled heart failure.
- You are continuously or intermittently using medicines that increase heart pumping strength (e.g., dobutamine).
- Your systolic blood pressure is consistently below 100 mmHg or your heart rate is below 68 beats per minute (in heart failure).
- If you have diabetes, Metomylan can hide symptoms of low blood sugar. Monitor your blood sugar regularly.
- You have a type of chest pain called Prinzmetal's angina.
- Inform your doctor or pharmacist if you are going to have surgery.
- Do not stop taking Metomylan suddenly, as this can worsen heart problems or increase the risk of heart attack. Your doctor will gradually reduce your dose.
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)