Is it better to take metoprolol at night or morning?

Your doctor may advise you to take your first dose before bedtime because it could make you feel dizzy. If you do not feel dizzy after the first dose, take metoprolol in the morning. If you have metoprolol more than once a day, try to space the doses evenly throughout the day.

Why do you take metoprolol at night?

Is it better to take metoprolol succinate (Toprol XL) at night or morning? Your very first dose of metoprolol succinate (Toprol XL) might make you feel dizzy, so you should take it at bedtime. If you don't feel dizzy after that, then you can start to take it in the morning.

What is the peak time for metoprolol?

Metoprolol is absorbed fully after oral administration. Within the therapeutic dosage range, the plasma concentrations increase in a linear manner in relation to dosage. Peak plasma levels are achieved after approx. 1.5–2 hours.

Can metoprolol help you sleep?

Conclusion: Nebivolol was associated with improved sleep (as assessed by the PSQI), whereas metoprolol was associated with a worsening of sleep characteristics.

Is it better to take a beta blocker at night?

Blood pressure medications/beta blockers: If you're taking these medications, talk to your health care provider about the ideal time of day to take them, though as a general rule of thumb, evening is best. “Providers may specify to take these in the evening because of side effects that can occur,” Verduzco said.

Is Taking Blood Pressure Medications at Night Really Better?

Can I take my blood pressure medicine at night instead of morning?

The bottom line

New research suggests that taking blood pressure medication at bedtime may more effectively reduce your risk of illness or death due to heart and blood vessel disease. Timing of medication is important because blood pressure typically follows a daily rhythm.

What heart rate is too low on beta blockers?

Bradycardia with associated hypotension and shock (systolic BP < 80 mm Hg, heart rate < 60 bpm) defines severe beta-blocker toxicity.

Can you lay down after taking metoprolol?

Getting up slowly may help lessen this problem. Also, lying down for a while may relieve the dizziness or lightheadedness.

What should I avoid while taking metoprolol?

Caffeine has the ability to decrease the effectiveness of certain drugs like metoprolol. It is therefore better to avoid the intake of caffeine-containing foods and beverages while taking metoprolol.

What can I take to help me sleep while on metoprolol?

For individuals who take beta-blockers and experience trouble sleeping, taking extra melatonin could help improve their quality of sleep. If you are curious if melatonin could help you, please stop by Sona Pharmacy (or call (828) 298-3636) and speak with one of our pharmacists.

How many hours does metoprolol last?

With oral metoprolol tartrate, significant effects on heart rate are seen within an hour, and the effects last for six to 12 hours depending on the dose.

What blood pressure should you hold metoprolol?

Most orders for metoprolol will have a hold parameter, meaning you'll hold the medication if the heart rate is below 50 to 60 or the systolic blood pressure is below 90 or 100 (depends on the patient and MD's orders).

Is 25mg of metoprolol a lot?

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.

Is it OK to take metoprolol in the morning?

Because metoprolol tartrate is usually taken twice each day, it should be taken in the morning and at night. But metoprolol succinate is taken only once each day. So you can take it either in the morning or at night. Be sure to take the drug at about the same time or times each day.

Can metoprolol cause insomnia?

The lipophilic agents include metoprolol, pindolol and propranolol. These three agents readily cross the BBB and affect sleep quality by increasing the number of awakenings as well as the amount of awake time after onset of sleep.

Does metoprolol help with anxiety?

In conclusion, metoprolol is considered a safe and effective solution for social phobia and performance anxiety, especially when prescribed with therapy, lifestyle changes, and other medications (Dooley, 2015).

Can you drink coffee with metoprolol?

Since caffeine can reduce the efficacy of beta-blockers, it is advisable to avoid drinking excess coffee while taking these medications.

Can metoprolol cause weight gain?

Yes. Weight gain can occur as a side effect of some beta blockers. The average weight gain is about 2.6 pounds (1.2 kilograms). Weight gain is more likely with older beta blockers, such as atenolol (Tenormin) and metoprolol (Lopressor, Toprol-XL).

Can I drink coffee with beta blockers?

While on beta-blockers, you should also avoid eating or drinking products that have caffeine or taking over-the-counter cough and cold medicines, antihistamines, and antacids that contain aluminum. You should also avoid drinking alcohol, because it can decrease the effects of beta-blockers.

What is the most common side effect of metoprolol?

General. The most common adverse reactions were tiredness, dizziness, depression, shortness of breath, bradycardia, hypotension, diarrhea, pruritus, and rash.

Does metoprolol make pee?

If you take this drug too close to bedtime, you may need to wake up to urinate. It is best to take this medication at least 4 hours before your bedtime. Consult your doctor or pharmacist if you have questions about when to take this medication.

What is a dangerously low heart rate when sleeping?

In general, for adults, a resting heart rate of fewer than 60 beats per minute (BPM) qualifies as bradycardia. But there are exceptions. Your heart rate may fall below 60 BPM during deep sleep.

What is a normal heart rate for someone on beta blockers?

The distribution of HR in patients treated or not with beta-blockers is depicted in Figure 4. Mean (SD) pulse HR was 67.6 (10.4) and 70.3 (11.2) bpm for patients with and without beta-blockers, respectively.

Is metoprolol good for irregular heartbeat?

Arrhythmias: bisoprolol and metoprolol succinate are often preferred. Beta-blockers are the first-line treatment for long-term symptomatic rate control in patients with a range of cardiac arrhythmias, including atrial fibrillation and ventricular tachycardia.

Is it better to take heart meds at night?

Doctors often suggest taking daily medication in the morning, as part of your start-the-day routine. A recent study, however, suggests that taking your blood pressure medicines at night may offer important cardiovascular protective benefits. Dr.