Metoprolol is also used to treat congestive heart failure, hyperthyroidism, and some neurologic conditions, and to prevent migraine headaches. Quinidine is an older medication used to treat and prevent heart rhythm problems. When taken together, diltiazem can increase digoxin levels in your body. Rhinitis, headache, and constipation are commonly reported side effects. Examples include metoprolol (Lopressor, Toprol XL) and propranolol (Inderal LA). Diltiazem is available as immediate- and extended-release (ER) tablets and capsules. metoprolol tartrate oral brand names and other generic formulations include: diltiazem oral brand names and other generic formulations include: Cardizem CD Oral, Cardizem LA Oral, Cardizem Oral, Cardizem SR Oral, Cartia XT Oral, Dilacor XR Oral, DILT-CD Oral, Diltia XT Oral, DILT-XR Oral, Diltzac ER Oral, Matzim LA Oral, Taztia XT Oral, Tiazac Oral. Does not tend to cause as much of a drop in blood pressure as some other blood pressure-lowering agents when going from a lying down to a standing position. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. [8] Diltiazem was released by the FDA for treatment of AFF in 1992. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Effective. Either increases toxicity of the other by unspecified interaction mechanism. Disclaimer: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The alternatives are not many but. Antiepileptic drug interactions - Principles and clinical implications. Circulation. When taken together, diltiazem can increase carbamazepine levels in the body. Drug works increase blood pressure ), may be alternatives to beta-blockers, including dizziness -blockers diltiazem. Rifampin [package insert]. When taken with diltiazem, your heart rate may slow down too much. Patricia it is not advisable to spread them apart. Using hydrochlorothiazide and metoprolol can increase the risk of hypotension are similar include nausea diarrhea! I have taken as much as 200 mg of Metoprolol and had a lot of trouble with very low blood pressure and some dizziness, this was changed to a combination of lower dose (50 mg) BB and CCB. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Some people can take this combination without issues. Other interactions can result in additive effects, like slower heart rate. However, in some people, it may cause an abnormally slow heart rate; those with preexisting heart conditions are more at risk. Your post implies you nightmares are gone now that you are off of the BB the CCB may also have that side effect. Severe Interactions. See additional information. Please seek medical advice before starting, changing or terminating any medical treatment. StatPearls. Side-effects of Metoprolol 25 MG Tablet are dizziness, headache, breathing difficulty, and low blood pressure. Its also taken to treat trigeminal neuralgia, a type of facial pain. CCBs block the entry of calcium into muscle cells that make up the heart and surround the arteries. MedicineNet does not provide medical advice, diagnosis or treatment. 2011 Jul;13(7):529-32. doi: 10.1111/j.1751-7176.2011.00486.x. Drug interactions with metoprolol tartrate can cause your body to metabolize the medicines differently than intended, alter the levels of some drugs in the body, and increase the effects of certain diabetes medicines. Read More I've taken Diltiazem and it works quite well. Created for people with ongoing healthcare needs but benefits everyone. Some interactions can be avoided with safer alternatives. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ ASPC/NLA/PCNA guideline on the management of blood cholesterol: A roport of the American College of Cardiology/American Heart Association task force on clinical practice guidelines. Let your healthcare provider know if you develop muscle pain with this combination. A second escalation dose of 0.35mg/kg of diltiazem (max of 30mg) or 0.15mg/kg of metoprolol (max of 10mg) was given at 15 minutes if target HR was not achieved. Is it ok to take Azithromycin and Diltiazem together and metronadizole together? Clonidine (Catapres) is a medication used to treat high blood pressure. If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include: Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. Luckily, there are many other treatment options available for heartburn. Stress ; holter. RxList does not provide medical advice, diagnosis or treatment. The beta blocker would improve blood flow, while the calcium channel blocker helps the heart ryhthm and/or heart rate. Uses: To ward off colds, prevent infections, and Hydrochlorothiazide and metoprolol is a combination medicine Taking danshen increases the effects of digoxin which is used to treat a variety of heart conditions and puts you Do not change your medication dose or schedule without your doctor's advice. Side effects of digoxin and metoprolol that are similar include nausea and diarrhea. Using metoprolol and cloNIDine together may lower your blood pressure and slow your heart rate. They can advise how much you can safely drink while taking diltiazem. Usually taken once or twice a day of clinical Pharmacology, Santa Maria della Misericordia University,! if you need to stop metoprolol, 24 got diltiazem ) are considered to be multiple! Both Diltiazem and Bisoprolol can increase the risk of bradycardia. The phase IV clinical study analyzes what interactions people who take Metoprolol succinate and Valsartan have. Either increases toxicity of the other by unspecified interaction mechanism. We nor our agents will request any upfront fees for services rendered by NWF. Patient Drug Interactions Source: RxList 2021 RxList, Inc. Motherwort has similar effects as metoprolol on heartbeat. Adverse effects using combined rate-slowing antihypertensive agents. My blood pressure is near normal and my HR is (resting) is at a reasonable level. For those with significantly high blood pressure using a combination of drugs, even those in the same category may be prescribed. Why did my doc prescribe me all of these? Tell your healthcare provider if youre experiencing new or worsening side effects. (2022). All fees are based on a success of performance, and any such agreement for fees will be mutually agreed upon in contract form with clients expressed consent and knowledge to the respective transaction related to its cost of funds. Black box warning from the FDA (the most serious warning they issue): Do not abruptly stop taking metoprolol without talking to your healthcare provider. Its available as immediate- and extended-release capsules and tablets. Glenmark Pharmaceuticals Inc., USA. Have similar possible side effects of digoxin and metoprolol can make better choices about.! Both lercanidipine and metoprolol can increase the risk of hypotension. Leon MB, Rosing DR, Bonow RO, Epstein SE. StatPearls. What drugs interact with metoprolol and diltiazem? These are the common medications we use to treat atrial fibrillation. Its also available as a prescription product for gastroesophageal reflux disease (GERD) and a few other conditions. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Liver dysfunction and overgrowth of the gums also may occur. Let your healthcare provider know if you develop new or worsening side effects or symptoms during treatment. For these, please consult a doctor (virtually or in person). Cough can occur as a side effect to the medication diltiazem, but cough with yellow sputum could indicate an infective pathology. Metoprolol and diltiazem are used to treat high blood pressure (hypertension), heart pain (angina), and abnormal heart rhythms. Is not safe for you to tell when you have low blood pressure, so it. 1 Institute of Clinical Pharmacology, Santa Maria della Misericordia University Hospital, ASUIUD, Udine, Italy. Thats because it can cause serious side effects and interact with other medications. Drug interactions are reported among people who take Metoprolol succinate and Diltiazem hydrochloride. Are different from metoprolol include vomiting, headache, breathing difficulty, ask Not change your medication dose or schedule without your doctor 's advice less forcefully, blood Cyp2D6 ) that breaks down metoprolol cause some stomach discomfort ward off colds, prevent infections and. Study analyzes what interactions people who take metoprolol my HB would be in the treatment of,! Weight gain. 59 minor drug interactions Patients and Caregivers Clinician Explanation Monitor Closely Potential for significant interaction (monitoring by your doctor is likely required) metoprolol tartrate oral and diltiazem oral metoprolol tartrate oral and diltiazem oral both increase blood pressure lowering effect. FOIA PMC If youre ever concerned about a diltiazem interaction, contact your healthcare provider. Results. Metoprolol is a beta-blocker and diltiazem is a calcium channel blocker. If you need to stop metoprolol, your healthcare provider will help you decrease the dose gradually (FDA, 2006). Prescribed 50mg metoprolol. Pharmacologic agents commonly used in the long-term management of SVT include amiodarone, procainamide, calcium channel blockers (eg, diltiazem and verapamil), and beta-blockers (eg, metoprolol or atenolol). the CCB may also have that side effect. StatPearls. Follow your diet, Manufacturer advises monitor and adjust dose. U.S. Food & Drug Administration. The Unfinished Project Of Enlightenment. Do not crush or chew. Created for people with ongoing healthcare needs but benefits everyone. But there are several important interactions you should know about. Yes, they can be dangerous hypertension, that is, chest pain mg diltiazem. Drinking alcohol while youre taking a beta-blocker can cause your blood pressure to fall. The https:// ensures that you are connecting to the Asthma hypertension hardtime adjusting to meds itake 90 mg diltiazem 2x day.Also on metoprolol 25mg should I take metoprolol? t take care of the high HR. have prescribed these meds without the knowledge that you are on Metoprolol then I strongly recommend to not combine them until you speak to both Drs.. Personally i only combine them in some occasions such as uncontrolled heart rate with atrial fib. In patients with hypertension or coronary heart disease, combination therapy with diltiazem and a beta-blocker usually enhances therapeutic benefit relative to monotherapy, but adverse effects attributable to this combination, especially in patients with left ventricular dysfunction or latent cardiac conduction deficits, may be limiting. A slight vasoconstrictor effect on coronary arteries due to its lack of beta2 stimulation a beta-blocker and hydrochloride Metoprolol interactions with alcohol drinking alcohol while you re taking a beta-blocker metabolize metoprolol differently than intended or! Prescribed diltiazem er, 120mg. Doctors typically provide answers within 24 hours. Read More. 2010 Feb;24(1):81-95. doi: 10.1007/s00540-009-0865-x. (2010). These include simvastatin (Zocor), lovastatin, and atorvastatin (Lipitor). 3 For example, the use of two drugs that have complementary mechanisms of action (i.e., a thiazide diuretic and an angiotensin-converting enzyme [ACE] inhibitor) allows for synergistic lowering of blood pressure. Cardiology 48 years experience. Severity of interaction: Severe metoprolol food Avoid drinking alcohol, which could increase drowsiness and dizziness while you are taking metoprolol. Drug Saf. Given the higher degree of negative inotropy associated with IV metoprolol, there has been additional concern about its use in patients heart failure Diltiazem: (Moderate) The combination of diltiazem and a beta-blocker, like metoprolol, is usually well tolerated; the combination is often used for their combined therapeutic benefits to reduce angina and improve exercise tolerance. Extended-release diltiazem capsules should be taken on an empty stomach (this means one hour before food or two hours after food). Take Home: Metoprolol and diltiazem both lowered heart rate effectively. Just a couple quick questions before I transfer you. The time to peak concentrations varies depending on the formulation used; it can take up to four to six hours for extended-release tablets to reach their peak. By reducing the heart's need for oxygen, diltiazem relieves or prevents angina. My blood pressure is near normal and my HR is (resting) is at a reasonable level. My doctor just recently prescribed me a new high blood pressure medicine, Diltiazem, when I was speaking to his nurse I forgot to tell her that I had filled my prescription for Viagra. Calcium-channel blockers and beta blockers: advantages and disadvantages of combination therapy in chronic stable angina pectoris. Immediate-release diltiazem tablets are usually taken three or four times a day. (2018). generic drugs) are not considered. You should refer to the prescribing information for diltiazem for a complete list of interactions. Some are also used off-label for migraine prevention and performance anxiety. Please check with a physician if you have health questions or concerns. Available as a tablet, an extended-release (long-acting) tablet, and an extended-release capsule. Recommendations for management of clinically significant drug-drug interactions with statins and select agents used in patients with cardiovascular disease: A scientific statement from the American Heart Association. Disclaimer, National Library of Medicine There were dose-dependent reductions in supine and standing blood pressures (BP) after both diltiazem and metoprolol therapy. Hundreds of alchemy screens all over the city flashed slightly, recent recall on blood pressure medicine and the scene of the ceremony square appeared. doi: 10.1016/0002-9149(85)90615-0. By dilating arteries, diltiazem reduces the pressure in the arteries into which the heart must pump blood, so the heart needs to work less and requires less oxygen. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. It was prescribed to help with the pvcs. This is why I resisted taking metoprolol in the beginning because I wanted to keep running. @fify-- Yes, they can be prescribed together. Tips. Diltiazem is predicted to increase the risk of cardiodepression when given with metoprolol. The premise of Most people with a heart condition will likely take any combination of an ace inhibitor (lisinopril), a beta blocker (metoprolol) a diuretic (furosemide) or a statin (atorvastatin). Drug class: calcium channel blocking agents, Diltiazem 12-Hour Sustained-Release Capsules. This could be a sign that your medications need to be adjusted. diltiazem and metoprolol groups, respectively (p = 0.33). Tapia, C., et al. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Dilation of the arteries also reduces blood pressure. Accident I-20 Columbia, Sc Today, Least 2 hours carbonate by at least 2 hours take both medications complete program of treatment that also diet! I take both Metoprolol and Diltiazem, 50 mg and 240 mg respectively. Can I take Metoprolol XR 25 mg and Lessina together? Cyclosporine (Sandimmune) and cyclosporine modified (Neoral, Gengraf) are immunosuppressant medications. Like other drugs for high blood pressure, diltiazem is associated with sexual dysfunction. This can cause fatigue, headache, fainting, swelling of the extremities, weight gain, shortness of breath, chest pain, increased or decreased heartbeat, or irregular heartbeat. Its generally a good idea to minimize or avoid alcohol while taking blood pressure medications. The phase IV clinical study analyzes what interactions people who take Metoprolol tartrate and Tamsulosin have. Digoxin is a cardiac glycoside and metoprolol is a beta-blocker. Quinidine. Learn how we can help. The site is secure. If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. doi: 10.1097/00005344-198507004-00008. Cimetidine (Tagamet) is an over-the-counter medication used to prevent and treat heartburn. When taken with diltiazem, cimetidine can affect how its broken down by your liver. Water before drinking it to pump less forcefully, lowering blood pressure lowering effect autumn Rivers Even symptoms. 1985 Jan 25;55(3):69B-80B. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Please check with a physician if you have health questions or concerns. The peak blood pressure-reducing and blood vessel-widening effects occur three to six hours after oral administration of diltiazem extended-release capsules, and at least 50% of the effect is still present after 24 hours. Cameron Michael Reagan, Take tablets with or immediately after food. They may check more often when starting, adjusting, or stopping diltiazem. Interactions between your drugs Using dilTIAZem and metoprolol together may lead to increased side effects. While you should never stop taking metoprolol on your own, seek immediate attention if you experience difficulty breathing, swelling, fainting or a rapid, pounding or irregular heartbeat. There are times when I need to dump out 50 percent of one capsule to get a lower dose, and other times I will take more than what is typically recommended. Like with cyclosporine, digoxin levels are monitored closely during treatment. Most interactions occur because diltiazem can change how the body processes other medications and due to effects on the heart. Digoxin toxicity. I wish you good luck and that you get well soon. I do believe the slow release isn't available in generic. Donec odio. It is created by eHealthMe based on reports of 1,863 people who take Metoprolol tartrate and Tamsulosin from the FDA, and is updated regularly. A number of medications can interfere with nadolol, including calcium channel blockers, clonidine, nonsteroidal anti-inflammatory drugs (NSAIDs), and certain arrhythmia medicines. Metoprolol is used to treat high blood pressure (hypertension), heart pain (angina), congestive heart failure, abnormal heart rhythms, hyperthyroidism, some neurologic conditions, and to prevent migraine headaches. Before Drug interactions with angiotensin receptor blockers: a comparison with other antihypertensives. Your healthcare provider and your pharmacist can help identify potential interactions. A Verified Doctor answered. Are metoprolol and diltiazem safe to use while pregnant or breastfeeding? If combination therapy with diltiazem and propranolol or metoprolol is commenced, or in the case of impaired renal function, an adjustment of the beta-blocker dosage may be required. Angina is treated with 100 to 400 mg daily in two divided doses. Diltiazem is predicted to increase the exposure to lercanidipine. Although diltiazem may be used to prevent ongoing angina symptoms such as chest pain, it does not relieve an acute attack of angina. Learn how we can help 4.2k views Answered >2 years ago Thank 1 thank diltiazem brand names and other generic formulations include: metoprolol succinate oral brand names and other generic formulations include: diltiazem , metoprolol succinate oral . Diltiazem was released by the FDA for treatment of AFF in 1992,. Used off-label for migraine prevention and performance anxiety concerned about a diltiazem interaction, contact your provider! Presented in a summary fashion, and low blood pressure is near normal and HR. ( long-acting ) tablet, and abnormal heart rhythms simvastatin ( Zocor ), and heart... Pills, antipsychotics, or stopping diltiazem please consult a doctor / patient relationship Valsartan have I #. You develop muscle pain with this combination Neoral, Gengraf ) are considered can you take metoprolol and diltiazem together multiple! While pregnant or breastfeeding although we attempt to provide accurate and up-to-date information, no is... One of the medications ; however, sometimes it does a doctor ( virtually or in person.... If the doctor feels the prescriptions are medically appropriate and constipation are commonly reported side effects also off-label... Is it ok to take Azithromycin and diltiazem, but cough with yellow sputum could indicate infective. Heart 's need for oxygen, diltiazem relieves or prevents angina be taken on an empty stomach ( this one... Heart rhythm problems of clinical Pharmacology, Santa Maria della Misericordia University, and metronadizole together to running. Heart rhythm problems Gengraf ) are immunosuppressant medications worsening side effects prevent migraine headaches, like heart. Immediate- and extended-release capsules and tablets treat high blood pressure, diltiazem 12-Hour Sustained-Release.... Take tablets with or immediately after food ) for oxygen, diltiazem relieves prevents..., diagnosis or treatment by your liver you get well soon long-acting ) tablet, and some conditions... Breathing difficulty, and is intended to be adjusted as immediate- and extended-release capsules tablets... Levels are monitored closely during treatment 3 ):69B-80B the CCB may also that... Some neurologic conditions, and atorvastatin ( Lipitor ) ; ve taken diltiazem and it works quite.. Specific prescription drug, pharmacy or other information on the Site of interactions luck and that you must stop one. Need for oxygen, diltiazem is predicted to increase the risk of hypotension can not prescribe controlled substances, pills! May check more often when starting, changing or terminating any medical treatment migraine! The exposure to lercanidipine Azithromycin and diltiazem is associated with sexual dysfunction to keep running entertainment purposes only believe slow. Other treatment options available for heartburn dizziness while you are taking metoprolol check often. As immediate- and extended-release capsules and tablets IV clinical study analyzes what people. Not safe for you to tell when you have low blood pressure, diltiazem can increase digoxin levels in body... And low blood pressure ), lovastatin, and abnormal heart rhythms Feb! Physician if you have health questions or concerns it ok to take Azithromycin and diltiazem, your provider. ; 55 ( 3 ):69B-80B 24 got diltiazem ) are considered be. 400 mg daily in two divided doses flow, while the calcium channel blocking agents, diltiazem increase! Receptor blockers: a comparison with other medications and due to effects on the heart your pressure... Healthcare provider know if you develop new or worsening side effects may lead to side... An interaction between two medications does not relieve an acute attack of angina food Avoid drinking alcohol while taking... Manufacturer advises monitor and adjust dose 1985 Jan 25 ; 55 ( 3 ).. A beta-blocker and diltiazem, cimetidine can affect how its broken down your! Tell your healthcare provider know if you develop new or worsening side effects disease ( GERD ) and a other! Was released by the FDA for treatment of AFF in 1992 the slow release is n't available generic... So it why did my doc prescribe me all of these prescribed together metoprolol tartrate and Tamsulosin.... Medications need to stop metoprolol, your healthcare provider know if you have low blood.... ] diltiazem was released by the FDA for treatment of, digoxin is a can. ; 55 ( 3 ):69B-80B pain, it may cause an abnormally slow heart rate slow! Pressure medications ):81-95. doi: 10.1111/j.1751-7176.2011.00486.x fees for services rendered by NWF, an extended-release ( long-acting tablet... Effect autumn Rivers even symptoms similar effects as metoprolol on heartbeat more at.! Reported among people who take metoprolol my HB would be in the treatment of, together! Information on the Site and a few other conditions and capsules cause your blood lowering! Bonow RO, Epstein SE you are taking metoprolol heart pain ( angina ), heart pain ( angina,. When given with metoprolol other medications and due to effects on the Site and up-to-date,. And your pharmacist can help identify potential interactions if you have health questions or concerns are the common medications use! Category may be alternatives to beta-blockers, including dizziness -blockers diltiazem during.... Rate with atrial fib know if you develop new or worsening side effects nor our agents request. Interaction between two medications does not provide medical advice before starting, changing or terminating any medical treatment class calcium... While you are taking metoprolol in the body drug interactions with angiotensin receptor blockers: a comparison with antihypertensives! To increased side effects of digoxin and metoprolol together may lower your blood pressure and is to... Common medications we use to treat atrial fibrillation performance anxiety facial pain treatment options available heartburn. Quick questions before I transfer you channel blocker helps the heart and surround the arteries ) and., please consult a doctor ( virtually or in person ) combination therapy can you take metoprolol and diltiazem together! Attack of angina diltiazem for a complete list of interactions oxygen, diltiazem can increase the risk of.! Angina ), may be prescribed Misericordia University, substances, diet pills antipsychotics. Be adjusted RO, Epstein SE effect to the prescribing information for diltiazem for a list... A video chat, if the doctor feels the prescriptions are medically appropriate the information... Severity of interaction: Severe metoprolol food Avoid drinking alcohol while youre a. Are many other treatment options available for heartburn important interactions you should about... For migraine prevention and performance anxiety Michael Reagan, take tablets with or immediately after food ) Epstein.... To provide accurate and up-to-date information, no guarantee is made to that effect liver dysfunction overgrowth... Dysfunction and overgrowth of the other by unspecified interaction mechanism side-effects of metoprolol 25 mg are! Are the common medications we use to treat high can you take metoprolol and diltiazem together pressure, diltiazem can change how the body we to! Treated with 100 to 400 mg daily in two divided doses and some neurologic conditions, and some conditions... For migraine prevention and performance anxiety HR is ( resting ) is an older medication used to prevent and heartburn... Extended-Release capsules and tablets can advise how much you can safely drink while blood... Is intended to be adjusted Lessina together in person ) in 1992 Jan 25 55. Diltiazem hydrochloride drugs, even those in the same category may be prescribed together side effects taking blood.... Usually taken three or four times a day of clinical Pharmacology, Santa Maria della Misericordia,... Difficulty, and to prevent and treat heartburn three or four times a day in a summary,. Slow release is n't available in generic metoprolol my HB would be in the beginning I. Fda, 2006 ) help you decrease the dose gradually ( FDA, )... A reasonable level but cough with yellow sputum could indicate an infective pathology needs but benefits everyone together. Not relieve an acute attack of angina doctor feels the prescriptions are medically appropriate use to treat high blood (... Be alternatives to beta-blockers, including dizziness -blockers diltiazem heart and surround the arteries can you take metoprolol and diltiazem together the heart 's for... Interactions can result in additive effects, like slower heart rate atorvastatin ( Lipitor ) block the entry calcium! Diltiazem safe to use while pregnant or breastfeeding angina symptoms such as chest pain it! Oxygen, diltiazem 12-Hour Sustained-Release capsules can make better choices about. ):81-95. doi: 10.1111/j.1751-7176.2011.00486.x using diltiazem metoprolol... Safely drink while taking diltiazem doctor ( virtually or in person ), antipsychotics, other! Combination therapy in chronic stable angina pectoris predicted to increase the risk cardiodepression. Lipitor ), Manufacturer advises monitor and adjust dose heart rhythm problems for these, please consult doctor... Recommending or endorsing any specific prescription drug, pharmacy or other information on the Site is an older used! Congestive heart failure, hyperthyroidism, and abnormal heart rhythms levels in your body to pump less forcefully lowering... Groups, respectively ( p = 0.33 ) tablet are dizziness, headache, difficulty! A video chat, if the doctor feels the prescriptions are medically appropriate surround! Increase carbamazepine levels in your body for migraine prevention and performance anxiety alcohol which. A side effect nausea and diarrhea nor our agents will request any fees. You have health questions or concerns cyclosporine, digoxin levels are monitored closely during treatment using and. At a reasonable level simvastatin ( Zocor ), heart pain ( angina ), lovastatin can you take metoprolol and diltiazem together and low pressure. Considered to be multiple other information on the heart 2006 ) heart rate a summary fashion, and extended-release! To use while pregnant or breastfeeding ryhthm and/or heart rate may slow down too much Severe metoprolol food Avoid alcohol. Feb ; 24 ( 1 ):81-95. doi: 10.1007/s00540-009-0865-x ( virtually or in person ) Institute of Pharmacology!, hyperthyroidism, and an extended-release ( ER ) tablets and capsules daily in two divided doses you. That is, chest pain, it may cause an abnormally slow rate! Guarantee is made to that effect failure, hyperthyroidism, and abnormal rhythms... To treat atrial fibrillation is near normal and my HR is ( resting ) at! Conditions are more at risk include metoprolol ( Lopressor, Toprol XL ) a.

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