Weaning off 12.5 mg metoprolol

dizziness, tired feeling; depression, confusion, memory problems; nightmares, trouble sleeping; diarrhea; or. mild itching or rash. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Metoprolol Tartrate is a commonly prescribed medication. It is in a class of medicines known as beta-blockers and is commonly used for heart conditions. These conditions may include chest pain, increased heart rate, increased blood pressure, and heart failure amongst others. Some people use beta-blockers such as Metoprolol Tartrate for migraine ...From the 25mgs daily, I skipped to 3 times a week, like M/W/F for a full week. That way you give your body two full weeks to adjust. Since Metoprolol is an adrenaline inhibitor, it slows up the production of adrenaline. The chemical that makes you flinch when a surprise triggered the reaction.Elevated Heart Rate. One of metoprolol's effects is slowing the heart rate, and when people suddenly stop taking this medication, a rebound effect may occur, causing the resting heart rate to rise above normal limits 2 3. The effect is temporary, but for people with existing heart disease, an elevated heart rate may cause complications.So far this is the second day off of the Metoprolol, 12.5 mg daily. I went on a mile hike in the woods today and did well. I will continue to take the Hawthorn leaf, flower, and berry tincture twice daily and also drink 2 cups of the infusion (strong tea). ... This herb is a reputable heart tonic and there has been a lot of research on it, done ...Jan 6, 2019 · 4 Answers. I also only take 12.5, the give me 25 mg and I have to break the oval shape in half. It has score marks on the pill. I take metoprolol succinate 25mg and have had no problem breaking it in half (sometimes my BP falls too low & I get dizzy) Yes - just don't crush or chew it. No. I'm still working on tapering off metoprolol succinate 25mg. currently on 12.5 mg once a day. can i cut down the 12.5 by like a tiny bit like 1/16th every couple of weeks to avoid the side effects? it won't cause the drug to release faster?Discover Metoprolol for AFib | Learn about the most commonly prescribed beta blockers for atrial fibrillation, side effects, and alternative options. ... 24% Off $179.98 ($11.25 / Ounce) $134.96 ($8.44 / Ounce) ... Natural Rhythm Triple Calm Magnesium 150 mg - 120 Capsules - Magnesium Complex Compound Supplement with Magnesium Glycinate ...

Precautions. Drug information provided by: Merative, Micromedex ®. It is very important that your doctor check your progress at regular visits to make sure this medicine is working properly. Blood tests may be needed to check for unwanted effects. Metoprolol may worsen the symptoms of heart failure in some patients.After two months on Metoprolol, I began experiencing severe fatigue and depression. Very debilitating. I was only taking 12.5 mg’s once per day!! Hypersensitive to it to say the least. My Doctor directed me to stop it …Originally, I was taking XL but now in the last 4 months I've been taking the metoprolol. I cut my dosage (25mg to 12.5) two days ago and now my HR has already risen into the 60s and I'm feeling better already. BPs are still normal. Last edited by Sofa King; 05-30-2008 at 06:42 AM.The effect of the metoprolol ER/HCT combination employed as an "add-on" treatment was evaluated in a smaller (n = 47) study of patients who remained hypertensive in spite of receiving HCT 12.5 mg per day. In this crossover study once daily metoprolol ER/HCT 100/12.5 mg was compared with an older metoprolol tartrate/HCT combination tablet.Mar 27, 2017 · I was on 50 mg Metoprolol succinate er for 21 years to prevent migraines. I am weaning off down to 12.5 mg. I have 2 more days to take it then stop. For the last week I haven't been able to sleep feel terrible. I don't know how much longer I can go without sleep. Prolomet XL 12.5 Tablet is used in the treatment of Hypertension (high blood pressure),Angina (heart-related chest pain),Arrhythmia,Heart attack,Migraine. View Prolomet XL 12.5 Tablet (strip of 10.0 tablet er) uses, composition, side-effects, price, substitutes, drug interactions, precautions, warnings, expert advice and buy online at …The tablets contain 23.75, 47.5, 95 and 190 mg of metoprolol succinate equivalent to 25, 50, 100 and 200 mg of metoprolol tartrate, respectively. Its chemical name is (±)1- (isopropyl amino)-3-[p-(2-methoxyethyl) phenoxy]-2-propanol succinate (2:1) (salt). ... 200 mg are white to off-white color, oval shaped, biconvex coated tablets, debossed ...I weaned off Metroprolol last week. Went from 25 mg once a day to 12.5, took 12.5 mg for 3 days then stopped completely. I am on day 5 of being off and am just starting to feel normal again.

Adults—At first, 25 milligrams (mg) once a day for 2 weeks. In patients with severe heart failure, the starting dose is 12.5 mg once a day. Your doctor may adjust …by tapering over 1-2 weeks. Immediate-release form is metoprolol tartrate; extended-release form is metoprolol succinate. When switching from immediate release to …Eight patients taking metoprolol (300 mg/day) for essential hypertension were studied after abrupt withdrawal and placebo replacement of the drug. A 52% average rebound increase in cardiac chronotropic sensitivity to isoproterenol and 15% rebound rise in resting heart rate occurred in all patients between 2 to 8 days after metoprolol withdrawal ...Find medical information for metoprolol succinate on epocrates online, including its dosing, contraindications, drug interactions, and pill pictures. Menu. Drugs ... (off-label) [50-400 mg PO qd] Info: tab may be cut in half, but do not crush/chew; taper dose over 1-2wk to D/C; use same total daily dose if switching from immediate-release form ...

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For oral dosage form (extended-release capsules): Adults—At first, 25 to 100 milligrams (mg) once a day. Your doctor may adjust your dose as needed. However, the dose is usually not more than 400 mg per day. Children 6 years of age and older—Dose is based on body weight and must be determined by your doctor.The tablets comprise a multiple unit system containing metoprolol succinate in a multitude of controlled-release pellets. Each pellet acts as a separate drug delivery unit and is designed to deliver metoprolol continuously over the dosage interval. The tablets contain 47.5 mg of metoprolol succinate equivalent to 50 mg of metoprolol tartrate, USP.I'm still working on tapering off metoprolol succinate 25mg. currently on 12.5 mg once a day. can i cut down the 12.5 by like a tiny bit like 1/16th every couple of weeks to avoid the side effects? it won't cause the drug to release faster? ... Metoprolol succinate 50 mg side effects. Connect with a U.S. board-certified doctor by text or video ...View metoprolol tartrate information, including dose, uses, side-effects, pregnancy, breast feeding, ... Initially 5 mg every 2 minutes, to a max. of 15 mg, followed by (by mouth) 50 mg every 6 hours for 48 hours, to be taken 15 minutes after intravenous injection; (by mouth) maintenance 200 mg daily in divided doses. ...I doctor just prescribed 25 mg and Metoprolol. I noticed in researching the drug that one side effect is dry mouth. ... I have been on 25 mg since March and want off it. Started weaning monday at 12.5. I too have had terrible anxiety on it, throat tightness and trips to ER. ... From what I have found out after being on Toprol/Metoprolol off and ...

And to quit Metoprolol, as you are on low dose so this need no specical tapper off instructions. Take on alternate day for 5 days than make a gap of 2 days for 5 days and than quit it. Thank you. Thank you. I will get EKG done.Adults—At first, 25 milligrams (mg) once a day for 2 weeks. In patients with severe heart failure, the starting dose is 12.5 mg once a day. Your doctor may adjust your dose as needed. Children—Use and dose must be determined by your doctor. For oral dosage form (tablets): Adults—At first, 50 milligrams (mg) every 6 hours for 2 days.Jul 6, 2022 · Posted by dianearant @dianearant, Jul 6, 2022. I only started taking Metoprolol Succinate in October 2021 after having Covid. They started me on 25 mg, but I was having several side effects. They lowered it to 12.5 once a day. I had gone to my GP and told them the problems and she suggested going with the immediate Metoprolol . I too was taking 50mg metoprolol 2xs a day, and my cardiologist told me to wean off by taking 1/2 (25mg) 2xs a day for a week. Then none at all. I’m at the end if my first day and am having constant lightheadedness, but can feel the side effect tapering down. No change in BP, heart rate lower.Metoprolol tartrate, USP is a white, crystalline powder with a molecular weight of 684.82. It is very soluble in water; freely soluble in methylene chloride, in chloroform, and in alcohol; slightly soluble in acetone; and insoluble in ether. Each tablet for oral administration contains 25 mg, 37.5 mg, 50 mg, 75 mg or 100 mg of metoprolol ...Your body needs cholesterol to work well. But cholesterol levels that are too high can harm you. Your body needs cholesterol to work well. But cholesterol levels that are too high ...If you have diabetes, atenolol may mask some of the symptoms of hypoglycemia (low blood sugar). 6. Response and effectiveness. Peak concentrations are reached within two to four hours of an oral dose of atenolol. Heart rate and blood pressure lowering effects persist for at least 24 hours following a single dose. 7.I take Lexapro (escitalopram) 10mg in the morning with Metoprolol 25mg. I used to take the Metoprolol twice a day and noticed that since at night I feel less anxious, my BP was very low and Metoprolol was making it even lower to the point of feeling dizzy, so I decided to take it once a day in the mornings since I needed it for during the day.Jan 30, 2023 ... The tapering regimen is patient-specific, depending on the type of medication, the duration of therapy, and the patient's overall health. For ...

Dear customer, Greetings.The drug metoprolol is a beta blocker with adrenergic blocking action and is used for treating hypertension and chronic angina.The drug is avoided in diabetics as it may interfere with the body's response to hypoglycaemia.The drug should be used cautiously in the elderly because it can cause many side effects.The common side …

Does your "3 mg" gummy actually contain 10 milligrams of melatonin? According to a recent study, it might. If you’ve ever felt like your melatonin gummies hit harder than you expec...Just a thought, when I had beta blockers I could break them in half, so you could say drop down to 30 by cutting one of the 40 mg in half. I got ...I read that it can be very dangerous to stop taking it. I take 25 mg metoprolol succinate, split in half. Once in the morning with my flecainide, and then again in the evening for a second dose. He wants me to take half in the morning and skip the evening dose for two days, then stop entirely.A more aggressive 25% reduction per week is possible, but only if recommended by your physician. When starting with Xanax 8 mg, a taper chart may include: Week one: Reduce by 5%-10% (7 mg-7.5 mg daily) Week two: Xanax dose reduced by 25% (around 5.5 mg daily) Week three: Dose is reduced again by 25% (4 mg daily) Week four: Dose is reduced ...Pristiq (Desvenlafaxine) received an overall rating of 6 out of 10 stars from 202 reviews. See what others have said about Pristiq (Desvenlafaxine), including the effectiveness, ea...Lopressor USP is available as 50 and 100 mg strength tablets for oral administration and as (metoprolol tartrate) Injection, USP in 5 mg strength, in 5 ml ampoules for IV administration. Usual oral dosage is 100 mg per day in single or divided doses; IV begins with a 5 mg injection. Patients with bronchospastic disease should not take Lopressor.Metoprolol belongs to a class of medications called selective beta receptor blockers (more commonly "beta blockers"). Metoprolol is a generic medication also available under the brand names Lopressor and Toprol. Metoprolol became available as a generic medication in 2006. Metoprolol is a very commonly prescribed medication.Metoprolol Tartrate (metoprolol) for High Blood Pressure "Have taken Atenolol 25 mg for about 30 years. Had episode of AFib. Had a Cardioversion. It worked, but elected to have Cardiac Ablation. Went back to Atenolol 25 mg twice a day and heart rate went into the 40's. Felt awful, light headed.3 DOSAGE FORMS AND STRENGTHS. Metoprolol Tartrate Tablets, USP are supplied as: 50 mg tablet - Light pink, round, film coated tablet debossed "M/I" with bisect on one side and plain on the other side. 100 mg tablet - Light ... 4 CONTRAINDICATIONS. Metoprolol tartrate is contraindicated in severe bradycardia, second- or third-degree ...I recently started metoprolol 25mg because I read it will help with migraines and lower blood pressure. After taking it a few months, I have developed a sore and burning sensation in my mouth and my blood pressure is still high 136/94. I have also been taking amlodipine besylate 10mg for the last few years.

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Precautions. Drug information provided by: Merative, Micromedex ®. It is very important that your doctor check your progress at regular visits to make sure this medicine is working properly. Blood tests may be needed to check for unwanted effects. Metoprolol may worsen the symptoms of heart failure in some patients.According to the FDA, the most commonly observed adverse reactions of Ambien are: 2. Dizziness. Drowsiness. Diarrhea. Drugged feelings. Sleep disturbances (vivid dreams, nightmares) Headache. One of the most concerning side effects associated with Ambien is the increased risk of complex sleep behaviors. 3 These are complex activities, normally ...I had a heart attack July 2015 and was placed on beta blockers (metoprolol). I was on 25mg to start, half a pill in morning and evening. Over a few months my pulse was dropping to 43 bpm and my BP was very low. My doctor recommended cutting the dose to half to see how I did. It helped a bit. (12.5mg) once a day.To convert 400 micrograms (mcg) to milligrams (mg), divide the former by 1000; the result is 0.4 milligrams. Another way to convert micrograms to milligrams is to move the decimal ...The usual initial dosage of metoprolol tartrate tablets is 100 mg daily, given in two divided doses. Gradually increase the dosage at weekly intervals until optimum clinical response has been obtained or there is pronounced slowing of the heart rate. The effective dosage range of metoprolol tartrate tablets is 100 mg to 400 mg per day.As a general rule of thumb, it is better to reduce the dose of Ativan when tapering as opposed to decreasing the dosage interval. For example, if you are taking 2mg of Ativan every 6 hours, when tapering, decrease the strength of Ativan, but keep dosing every 6 hours. This helps to avoid in-between dose withdrawal. Since it can be difficult to decrease a solid dosage form (like a tablet) by a ...I read that it can be very dangerous to stop taking it. I take 25 mg metoprolol succinate, split in half. Once in the morning with my flecainide, and then again in the evening for a second dose. He wants me to take half in the morning and skip the evening dose for two days, then stop entirely.Heart failure (off-label) Starting: 1.25 mg once daily Target: 10 mg once daily In the CIBIS II trial, bisoprolol was started at 1.25 mg once daily, and the dose was increased by 1.25 mg/week for 3 weeks. 5 mg and 7.5 mg doses were given for 4 weeks each before reaching a target of 10 mg.; While bisoprolol is not FDA-approved to treat heart failure, it is one of three beta blockers recommended ... ….

And to quit Metoprolol, as you are on low dose so this need no specical tapper off instructions. Take on alternate day for 5 days than make a gap of 2 days for 5 days and than quit it. Thank you. Thank you. I will get EKG done.As AI improves, the possibilities of what we can do with the technology grow exponentially (for better or worse). Synthesia, an AI video generation platform, is looking to make vid...Initial dose: 100 mg orally per day in single or divided doses. Maintenance dose: 100 to 450 mg orally per day. Comments: May increase dose at weekly, or longer, intervals. Doses above 450 mg per day have not been studied. Lower once-daily doses may not maintain full effect at the end of the 24-hour period; larger or more frequent daily …Now I am skipping this night and will try taking 12.5 mg every other day and see how it goes. I continue taking the Hawthorn tincture and infusion (strong tea) daily. The main side effect with stopping the Metoprolol is an increased resting heart rate and anxiety and sometimes arrhythmia. 2 Reactions.I was on Acebutolol 200 mg three times a day. After my afib started, I was switched to 200 mg Metoprolol Succinate in the morning. I take 25 mg Metoprolol Tartrate at 2:00 PM, and I take 150 mg Metoprolol Succinate at night. For seizures, I take 200 mg Phenytoin in the morning, and 300 mg late in the day.Metoprolol is a selective beta-blocker at dosages usually prescribed to lower blood pressure or relieve the symptoms of angina. Two different salts are available, metoprolol tartrate and metoprolol succinate. These are not interchangeable. Metoprolol should not be stopped abruptly. 5.Starting dose: 50 mg twice daily. Usual dose: 100 mg twice daily. Maximum dose: 200 mg twice daily. Metoprolol succinate (extended release) To treat high blood pressure, here are the typical doses of metoprolol succinate (extended release): Starting dose: 25 mg to 100 mg once daily. Usual dose: 50 mg to 200 mg once daily. Maximum dose: 400 mg ...COREG should be taken with food to slow the rate of absorption and reduce the incidence of orthostatic effects. 2.1 Heart Failure - DOSAGE MUST BE INDIVIDUALIZED AND CLOSELY MONITORED BY A ... 3 DOSAGE FORMS AND STRENGTHS. The white, oval, film‑coated tablets are available in the following strengths: 3.125 mg - engraved with "39" and "WP" 6 ... Weaning off 12.5 mg metoprolol, Weaning is the process of adding food other than breast milk or infant formula to your baby's diet. Advice on when exactly to do this varies. Try our Symptom Checker Got any other ..., I had a heart attack July 2015 and was placed on beta blockers (metoprolol). I was on 25mg to start, half a pill in morning and evening. Over a few months my pulse was dropping to 43 bpm and my BP was very low. My doctor recommended cutting the dose to half to see how I did. It helped a bit. (12.5mg) once a day., Tapering off Adderall. Adderall is a complex drug, and there is no easy method for tapering the medication. Sometimes, tapering the drug is unnecessary, but this should be left to the doctor's judgment. ... For example, Adderall XR is available in 5 mg, 10 mg, 15 mg, 20 mg and 30 mg. The immediate-release form is used for doses like 12.5 mg ..., This article will explain the steps and precautions needed to safely wean off metoprolol and other relevant information about the safe use of this commonly prescribed medication., Metoprolol is FDA-approved to treat angina, heart failure, myocardial infarction, atrial fibrillation/flutter, and hypertension. Off-label uses include supraventricular tachycardia and thyroid storm. Both oral and intravenous preparations are available. There are immediate and extended-release preparations available orally. There is controversy …, It would basically depend on the size of the pill. For example, cutting a 1.25mg pill in half and expecting 50% dosage from each would be very difficult indeed. For most pills you can purchase a pill cutter from your pharmacy. Yes its ok to cut it in half. It should have a little place on the pill where to cut it., Immediately upon starting the medication I was so sick! Fatigue, general malaise, sleeplessness, chest pain, shortness of breath and low blood pressure. I knew it was the metoprolol- my dose was eventually reduced to half 12.5 mg twice a day so I wasn’t as sick- but I’ve never been the same., Apr 1, 2024 · Precautions. Drug information provided by: Merative, Micromedex ®. It is very important that your doctor check your progress at regular visits to make sure this medicine is working properly. Blood tests may be needed to check for unwanted effects. Metoprolol may worsen the symptoms of heart failure in some patients. , May 11, 2018 · Post ablation I am taking 5 mg eliquis twice daily and have continued on metoprolol 25 mg, 1/2 in the am and half in pm. I hate this drug. Still on 5 mg crestor daily. I have a lot of the side effects listed on the post above. Joint and muscle aches esp.in my shoulders. Super dry mouth upon waking and bad breath. , For metoprolol doses ≥100 mg (i.e., medium to high doses) and systolic blood pressure >100 mm Hg, carvedilol was started at 12.5 mg b.i.d.; otherwise (i.e., for patients receiving low to medium ..., People in the studies had an average age of 58 to 82 years. In three of the studies, the dose of the antihypertensive was slowly lowered before stopping. Key results. We found that stopping antihypertensive medications is possible in older adults. Most of the older people in the discontinuation groups did not need to restart their medication., Was just prescribed Metoprolol. My second day. Had headache during the night. Woke up and couldn't sleep. Headache is worse now and aspirin doesn't make it go away. It worked tho in slowing down my heart rate. I want to know if the headaches will evidentially go away. 25 mg once a day., The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially: Angina (severe chest pain)—May provoke chest pain if stopped too quickly. Hypotension (low blood pressure) or. Ischemic heart disease or. Lung disease (eg, asthma, bronchitis, emphysema ..., "Seriously….DO NOT STOP TAKING METOPROLOL COLD TURKEY!!! "You must wean off of it VERY GRADUALLY to lessen the effects. We did it 1/4 dose at a time for 2 weeks each step. There were still reactions at each stage; slightly elevated pulse, anxiety for no reason…but staying calm and deep breathing helps., Now I am skipping this night and will try taking 12.5 mg every other day and see how it goes. I continue taking the Hawthorn tincture and infusion (strong tea) daily. The main side effect with stopping the Metoprolol is an increased resting heart rate and anxiety and sometimes arrhythmia. 2 Reactions., A doctor has provided 1 answer. is it necessary to wean off atenolol 75mg? am switching to verapamil sr 120mg. was advised that no wean is necessary. stop atenolol, start verapamil?: Depends: The worry about not weaning off atenolol 75 is that you can d., Apr 1, 2024 · Adults—At first, 25 milligrams (mg) once a day for 2 weeks. In patients with severe heart failure, the starting dose is 12.5 mg once a day. Your doctor may adjust your dose as needed. Children—Use and dose must be determined by your doctor. For oral dosage form (tablets): Adults—At first, 50 milligrams (mg) every 6 hours for 2 days. , Metoprolol belongs to a class of medications called selective beta receptor blockers (more commonly "beta blockers"). Metoprolol is a generic medication also available under the brand names Lopressor and Toprol. Metoprolol became available as a generic medication in 2006. Metoprolol is a very commonly prescribed medication., I had a heart attack July 2015 and was placed on beta blockers (metoprolol). I was on 25mg to start, half a pill in morning and evening. Over a few months my pulse was dropping to 43 bpm and my BP was very low. My doctor recommended cutting the dose to half to see how I did. It helped a bit. (12.5mg) once a day., Metoprolol tartrate, USP is a selective beta1-adrenoreceptor blocking agent, available as 25, 50 and 100 mg tablets for oral administration. Metoprolol tartrate is (±)-1- (isopropylamino)-3- [p- (2-methoxyethyl) phenoxy]-2-propanol (2:1) dextro-tartrate salt, and its structural formula is: Metoprolol tartare, USP is a white, practically ..., For High Blood Pressure "Have taken Atenolol 25 mg for about 30 years. Had episode of AFib. Had a Cardioversion. It worked, but elected to have Cardiac Ablation. Went back to Atenolol 25 mg twice a day and heart rate went into the 40's. Felt awful, light headed. Dr. took me off Atenolol and put me on Metropol ER 25 mg twice a day., For High Blood Pressure "Have taken Atenolol 25 mg for about 30 years. Had episode of AFib. Had a Cardioversion. It worked, but elected to have Cardiac Ablation. Went back to Atenolol 25 mg twice a day and heart rate went into the 40's. Felt awful, light headed. Dr. took me off Atenolol and put me on Metropol ER 25 mg twice a day., Trying to stop metoprolol extended release 12.5 mg. due to low heart rate. My cardio said cut the 12.5 mg in half for 2 weeks and then stop. Im reading not to cut these tablets and now concerned. Does this sound ok?, Metoprolol is also used to treat severe chest pain (angina) and lowers the risk of repeated heart attacks. It is given to people who have already had a heart attack. In addition, metoprolol is used to treat patients with heart failure. This medicine is a beta-blocker. It works by affecting the response to nerve impulses in certain parts of the ..., MG University is renowned for its quality education and rigorous examination system. As a student, achieving better results in your MG University exams is crucial for your academic..., The recommended starting dosage is 3.125 mg taken twice per day for two weeks. It can be increased to 6.25 mg, 12.5 mg, and 25 mg taken twice per day over two-week intervals., Low dose but honestly can’t go about my day without it. I haven’t had any side effects besides occasional trouble sleeping and maybe some bad dreams. Other than than, my heart rate stays in the 60/ 70s while resting and it has helped to almost completely stop my palpitations. 2. rainbowbrite9., “Seriously….DO NOT STOP TAKING METOPROLOL COLD TURKEY!!! “You must wean off of it VERY GRADUALLY to lessen the effects. We did it 1/4 dose at a time for 2 weeks each step. There were still reactions at each stage; slightly elevated pulse, anxiety for no reason…but staying calm and deep breathing helps., The starting dose depends on the type of medical treatment you are taking lisinopril for, such as: High blood pressure: 10 mg one time per day. Recent heart attack: 5 mg one time per day. Heart failure: 5 mg one time per day. The maximum dosage of lisinopril is 80 mg one time per day., Each pellet acts as a separate drug delivery unit and is designed to deliver metoprolol continuously over the dosage interval. The tablets contain 23.75 mg, 47.5 mg, 95 mg and 190 mg of metoprolol succinate equivalent to 25 mg, 50 mg, 100 mg and 200 mg of metoprolol tartrate, USP, respectively., I was on 50 mg Metoprolol succinate er for 21 years to prevent migraines. I am weaning off down to 12.5 mg. I have 2 more days to take it then stop. For the last week I haven't been able to sleep feel terrible. I don't know how much longer I can go without sleep., Tablets (tartrate): 25 mg, 50 mg, 100 mg. Extended-release tablets (succinate; Toprol XL): 25 mg, 50 mg, 100 mg, 200 mg. Solution for injection: 1 mg/mL. ... 0.5 mg IV. Metoprolol, like all medications, has the potential to cause side effects. One of the most significant concerns with metoprolol is a decrease in heart rate, known as bradycardia, I'm 71 and was on 50 mg of Metoprolol ER for about two months for anxiety related to insomnia. I had pretty bad side effects from it (Cognitive difficulties, sleep difficulties, balance, ice cold fingers and hands for a big part of the day, feeling cold all the time, excessive sweating etc) Now trying to taper off by reducing 25% of the dose ...