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severe difficulty breathing
loss of consciousness
severe or worsening chest pain
severe weakness with a very slow heartbeat
swelling of the face, lips, tongue, or throat
rapidly worsening heart failure symptoms
How to Make Metoprolol Easier to Live With
A few habits can help:
Take it exactly as prescribed.
Take it consistently at the recommended time.
Monitor your pulse or blood pressure if advised.
Keep an updated medication list.
Tell your healthcare team about new symptoms.
Avoid changing the dose yourself.
Never stop suddenly without medical guidance.
The Bottom Line
The “good” side of metoprolol is that it can be highly effective for several important heart and blood pressure conditions.
The “bad” side may include fatigue, dizziness, slow heart rate, low blood pressure, cold hands and feet, sleep changes, digestive symptoms, mood changes, breathing symptoms, and sexual difficulties.
The “ugly” side involves uncommon but more serious problems such as severe bradycardia, worsening heart failure, or a serious allergic reaction.
Most importantly, do not stop metoprolol suddenly because of a suspected side effect. Talk with your healthcare professional so the problem can be assessed and treatment adjusted safely if necessary.