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Metoprolol: The Straight Talk on 10 Side Effects & When to Get Your Doctor’s Attention, ASAP!

That headline is partly accurate but sensationalized. Metoprolol can cause side effects, but a headline like “Straight Talk… ASAP!” is designed to attract clicks.

Some common side effects include:

  • Tiredness or fatigue
  • Dizziness or lightheadedness
  • Slow heart rate
  • Cold hands and feet
  • Mild shortness of breath (less common, more likely in people with asthma or COPD)
  • Nausea or diarrhea
  • Sleep disturbances or vivid dreams

Seek medical attention promptly if you experience:

  • Fainting or severe dizziness
  • Very slow heartbeat with symptoms (such as weakness or confusion)
  • Chest pain that is new or worsening
  • Difficulty breathing or wheezing
  • Swelling of the face, lips, tongue, or throat (possible allergic reaction)

It’s also important not to stop metoprolol suddenly unless your healthcare professional tells you to. Abruptly stopping it can cause a rebound increase in heart rate or blood pressure and may increase the risk of chest pain or heart attack in some people.

If you’re taking metoprolol and are concerned about a particular symptom, tell me:

  • What dose you’re taking.
  • How long you’ve been taking it.
  • What symptoms you’re experiencing.

I can help you understand whether they’re commonly associated with the medication and whether they warrant contacting your doctor promptly.

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