If you have hyperthyroidism, don't suddenly stop taking metoprolol succinate (Toprol XL), since this can worsen thyroid problems. Masked symptoms of overactive thyroidīecause metoprolol succinate (Toprol XL) lowers your heart rate, it might be harder to notice heart-related symptoms caused by an overactive thyroid ( hyperthyroidism). Talk to your provider about when and how to monitor your blood sugar if you start metoprolol succinate (Toprol XL). If you have diabetes and are taking metoprolol succinate (Toprol XL), you might not recognize symptoms of low blood sugar, except for sweating and dizziness. So your surgeon will make sure to monitor your heart closely. Taking high doses of this medication around the time of surgery has been linked to low heart rate, low blood pressure, stroke, and death. If you're planning to undergo a major surgery (not heart-related) requiring anesthesia, tell your surgeon that you're taking metoprolol succinate (Toprol XL). Risk factors: Major surgery requiring anesthesia | Risk of heart disease, heart attack, or stroke.To avoid this, your provider will likely prescribe an alpha-blocker medication first to keep your blood pressure under control. If you have pheochromocytoma (a hormone-producing tumor from your adrenal glands), taking this medication alone can actually raise your blood pressure instead of lowering it. Risk factors: History of pheochromocytoma.Rise in blood pressure in people with pheochromocytoma This medication should only be used under careful supervision of a provider. Talk to your provider if you have asthma or COPD, since beta blockers can make breathing harder. Risk factors: History of asthma or chronic obstructive pulmonary disease (COPD).They will work with you to find the best dose of metoprolol succinate (Toprol XL) and your other heart failure medications for you. Talk to your provider if you think your heart failure is getting worse (e.g., more swelling in your legs, worsened shortness of breath). Though metoprolol succinate (Toprol XL) can be used for heart failure, worsening symptoms of heart failure can also occur when the dose is raised.
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