Metoprolol-hydrochlorothiazide Coupons & Savings Card – Discount Prices from $56.56

When considering the use of metoprolol/hydrochlorothiazide, it is crucial to understand the safety information and potential risks associated with this medication. Below are key points to ensure safe usage and to identify when to seek medical advice:

• Do Not Discontinue Abruptly: Never stop taking this medication without consulting your healthcare provider, as sudden discontinuation may lead to severe complications like chest pain, heart attack, or irregular heartbeat. If cessation is necessary, your doctor will guide you to gradually reduce the dosage over 1-2 weeks, during which physical activity should be limited to reduce heart strain.

• Heart Failure: This medication may exacerbate heart failure symptoms if not well-managed. Inform your healthcare provider if you experience fluid retention, difficulty breathing, or other related symptoms.

• Breathing Difficulties: Metoprolol/hydrochlorothiazide can constrict lung vessels, potentially worsening conditions such as asthma or COPD. Notify your doctor of any existing respiratory issues before starting the medication.

• Slow Heart Rate: Monitor your heart rate regularly, especially if you have heart block or other rhythm problems. Report any symptoms like dizziness, chest pain, or shortness of breath to your provider.

• Surgical Risks: If scheduled for surgery requiring anesthesia, inform your surgeon about your current use of this medication, as it may lower heart rate.

• Blood Sugar Masking: The medication can obscure signs of low blood sugar, such as rapid heartbeat. If you are diabetic, discuss with your healthcare provider how to effectively monitor your blood sugar levels.

• Thyroid Symptoms: For individuals with hyperthyroidism, this medication may hide heart-related symptoms. Stopping the drug abruptly can trigger severe reactions like a "thyroid storm."

• Fluid and Electrolyte Imbalance: Regular blood tests might be necessary to monitor electrolyte levels, as the medication can cause imbalances, leading to symptoms like dizziness or fatigue.

• Eye Problems: Rarely, this medication may cause eye issues, including vision loss or glaucoma. Report any vision changes immediately.

• Lupus: There is a potential for the development or worsening of lupus symptoms. Notify your provider if you observe a facial rash or experience fatigue.

• Allergic Reactions: Those with a sulfa allergy should be cautious and seek immediate medical attention if symptoms like throat swelling or breathing difficulties occur.

Contraindications:

• Avoid using this medication in cases of cardiogenic shock, uncontrolled worsening heart failure, heart rhythm disorders (e.g., heart block, sick sinus syndrome), anuria (not producing urine), or if you have a known sulfa allergy.

Always consult your healthcare provider to discuss any concerns or if you experience any adverse effects while taking metoprolol/hydrochlorothiazide.

Common side effects:

• dizziness
• lightheadedness
• drowsiness
• headache
• tiredness
• diarrhea
• coldness in hands and feet

Less common but important to monitor:

• decrease in sexual ability
• sun sensitivity
• nausea
• vomiting
• rash
• itching
• depression

Serious side effects:

• heart failure symptoms (shortness of breath, swelling in the ankles or feet, unusual tiredness, rapid weight gain)
• bronchospasm (chest tightness, breathing difficulties, wheezing)
• kidney problems (changes in urination, extreme tiredness, confusion)
• allergic reactions (rash, itching/swelling of the face, severe dizziness, trouble breathing)

Interactions with high risk of serious adverse effects and should be avoided:

• Dofetilide

Interactions with moderate risk that may require dose adjustment, closer monitoring, or timing changes:

• Fingolimod
• Lithium
• NSAIDs (e.g., Ibuprofen, Naproxen)
• SSRI antidepressants (e.g., Fluoxetine, Paroxetine)
• St. John's Wort