Spesicor Dos
This medicine, a beta-blocker, helps lower blood pressure, slow a fast heart rate, treat irregular heart rhythms, and improve heart function for people with heart failure.
How to Use
Dosage
The usual dose for high blood pressure is 47.5-95 mg once daily. For chest pain, irregular heartbeat, or to prevent migraines, it's 95-190 mg once daily. After a heart attack, the dose is 190 mg once daily.
Method
Take the prolonged-release tablet once daily with or without food. Do not chew or crush the tablet; swallow it whole with at least half a glass of liquid.
The maximum daily dose is 190 mg once daily.
Possible Side Effects
- •Tiredness
- •Dizziness
- •Headache
- •Slow heartbeat
- •Lightheadedness when standing up (sometimes fainting)
- •Cold hands and feet
- •Nausea
- •Stomach pain
- •Diarrhea
- •Constipation
- •Shortness of breath during exercise
- •Heart palpitations
- •Burning, tingling or numb feeling
- •Muscle cramps
- •Joint pain
- •Worsening heart failure (increased shortness of breath or swelling)
- •Large drop in blood pressure (shock)
- •Chest pain
- •Depression
- •Poor concentration
- •Drowsiness
- •Insomnia
- •Nightmares
- •Skin rash
- •Narrowing of airways and shortness of breath
- •Vomiting
- •Increased sweating
- •Weight gain
- •Nervousness
- •Tension
- •Hair loss
- •Vision problems
- •Dry or irritated eyes
- •Dry mouth
- •Conjunctivitis (pink eye)
- •Impotence and other sexual problems
Important Warnings
- Do not use this medicine if you are allergic to metoprolol or similar medicines, or if you have severe heart problems (like a very slow pulse, severe heart block, or untreated heart failure) or severe circulation problems (like Raynaud's syndrome).
- Tell your doctor right away if your heart rate slows down significantly or if you are prone to low blood sugar.
- This medicine can make your eyes dry if you wear contact lenses.
- Always tell your doctor or nurse that you are taking this medicine before any surgery that requires anesthesia.
- Do not stop taking this medicine suddenly. Your doctor will tell you how to lower the dose slowly over time.
Show 1 more warnings
- This medicine may cause dizziness or lightheadedness, especially when you first start taking it or when the dose is increased. If this happens, do not drive or use machines.
Use in Elderly Patients
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)