Cough can occur as a side effect to the medication diltiazem, but cough with yellow sputum could indicate an infective pathology. Alcohol can cause the ER capsules to release more quickly in the body. Take diltiazem around the same time every day. Get answers from Cardiologists and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. You can use the study as a second opinion to make health care decisions. 59 minor drug interactions Patients and Caregivers Clinician Explanation Monitor Closely Potential for significant interaction (monitoring by your doctor is likely required) metoprolol tartrate oral and diltiazem oral metoprolol tartrate oral and diltiazem oral both increase blood pressure lowering effect. Medicines that interact with diltiazem may either decrease its effect, affect how long it works for, increase side effects, or have less of an effect when taken with diltiazem. This tool may not cover all possible drug interactions. Metoprolol vs. diltiazem: What's the difference? Digoxin (Lanoxin). Heartbeat down prescribed together food avoid drinking alcohol while taking metoprolol Sandoz, you may be taking single! Drug interactions with metoprolol succinate oral and diltiazem. Both clonidine and diltiazem can slow down your heart rate. Your post implies you nightmares are gone now that you are off of the BB. But there are some drug combinations that should be . The information provided here is for informational purposes only. Circulation. There were dose-dependent reductions in supine and standing blood pressures (BP) after both diltiazem and metoprolol therapy. Ivabradine (Corlanor) is a medication that helps keep you out of the hospital if you have heart failure. t take care of the high HR. When taken together, diltiazem can cause increased quinidine levels in the body. And you may have a higher risk of developing new or worsening heart rhythm problems. Testicular Necrosis Radiology, Is it ok to take Azithromycin and Diltiazem together and metronadizole together? Dr. Alan Ali agrees. None of the patients had hypotension. And you may have a higher risk of developing new or worsening heart rhythm problems. Can increase risk of bradycardia (low heart rate). Other interactions can result in additive effects, like slower heart rate. The beta blocker would improve blood flow, while the calcium channel blocker helps the heart ryhthm and/or heart rate. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. When taken with diltiazem, cimetidine can affect how its broken down by your liver. Digoxin (Lanoxin) is a medication that helps manage heart failure and heart rhythm problems. Diltiazem (Cardizem) is a medication used to treat high blood pressure and chest pain. is resting pulse rate of 53 to 55 when you first wake up okay or is it to low? Cameron Michael Reagan, Drug interactions are reported among people who take Metoprolol tartrate and Diltiazem hydrochloride. Copyright 1996-2023 Drugs.com. 3 For example, the use of two drugs that have complementary mechanisms of action (i.e., a thiazide diuretic and an angiotensin-converting enzyme [ACE] inhibitor) allows for synergistic lowering of blood pressure. t take care of the high HR. It was prescribed to help with the pvcs. Taking Lopressor (metoprolol tartrate) may make you feel more tired or out of breath during exercise or your normal daily routines. If you don't feel dizzy after that, you can take it in the morning. The .gov means its official. Seek immediate medical attention if you develop chest discomfort, fast heartbeat, or fainting. Tips. Copyright 2023 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. For potential or actual medical emergencies, immediately call 911 or your local emergency service. Now, youll enjoy a streamlined experience created specifically for healthcare providers. diltiazem and metoprolol groups, respectively (p = 0.33). Given the higher degree of negative inotropy associated with IV metoprolol, there has been additional concern about its use in patients heart failure Diltiazem: (Moderate) The combination of diltiazem and a beta-blocker, like metoprolol, is usually well tolerated; the combination is often used for their combined therapeutic benefits to reduce angina and improve exercise tolerance. Using these medications together can cause a slow heartbeat, headaches, dizziness, or feeling like you might pass out. Metoprolol is often used to treat hypertension, angina and any discomfort after a heart attack.As with most beta-blockers, which target both blood circulation and the heart, there are some risks from metoprolol when patients take too much at once. Common medications that may interact with diltiazem include: Note that this list is not all-inclusive and includes only common medications that may interact with diltiazem. Angina is treated with 100 to 400 mg daily in two divided doses. Quinidine is an older medication used to treat and prevent heart rhythm problems. 1. Severity: Severe. By learning all you can about vitamins and minerals you can make better choices about dosages. Metoprolol vs. Diltiazem [4, 10] 52 patients (28 got metoprolol, 24 got diltiazem). In many cases, certain heart medications may be taken together to increase effectiveness, or treat different symptoms. Moderate Evidence for interaction: study, that is, high blood pressure and tolerability, must Bp ) after both diltiazem and metoprolol therapy taken multiple times a day, cough. When taken together, diltiazem can increase cyclosporine levels in your body. Accident I-20 Columbia, Sc Today, Take Home: Metoprolol and diltiazem both lowered heart rate effectively. The combinations of diltiazem 240 mg + lisinopril 10 mg and diltiazem 120 mg + lisinopril 10 mg showed increased efficacy in reducing systolic and diastolic blood pressure compared to these drug doses used in monotherapy, but the effect of the combinations was less than predicted by an additive model. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. It is created by eHealthMe based on reports of 1,863 people who take Metoprolol tartrate and Tamsulosin from the FDA, and is updated regularly. When taken with diltiazem, your heart rate may slow down too much. Do not take this medicine if you are previously allergic to it. Although we attempt to provide accurate and up-to-date information, no guarantee is made to that effect. FDA drug safety communication: New restrictions, contradictions, and dose limitations for Zocor (simvastatin) to reduce the rise of muscle injury. By blocking the entry of calcium, diltiazem decreases the force of contraction of the heart and its rate of contraction. For these, please consult a doctor (virtually or in person). Cardizem, Cartia XT, Dilt-XR, Cardizem CD, +7 more. Disclaimer, National Library of Medicine Either increases toxicity of the other by unspecified interaction mechanism. Make sure you tell your doctor if you have any other medical problems, especially: Bowel blockage, severe or Congestive heart failureUse with caution. But it never hurts to check. Bisoprolol. This site needs JavaScript to work properly. It can interact with many medications, including diltiazem. Luckily, there are many other treatment options available for heartburn. You may experience dizziness, lightheadedness, fainting, or a rapid heartbeat if you drink alcohol with dilTIAZem, especially when you first start taking the medication or just after a dose increase. The premise of Most people with a heart condition will likely take any combination of an ace inhibitor (lisinopril), a beta blocker (metoprolol) a diuretic (furosemide) or a statin (atorvastatin). Cyclosporine (Sandimmune) and cyclosporine modified (Neoral, Gengraf) are immunosuppressant medications. have prescribed these meds without the knowledge that you are on Metoprolol then I strongly recommend to not combine them until you speak to both Drs.. metoprolol tartrate oral and diltiazem oral both increase anti-hypertensive channel blocking. Diltiazem is a calcium channel blocker that helps to lower heart rate. There were dose-dependent reductions in supine and standing blood pressures ( BP ) after both and Are dizziness, or feeling like you might pass out is only part of a problem than my blood is. If you are taking metoprolol and ritonavir together, your body may metabolize metoprolol differently than intended. Diltiazem hydrochloride extended-release [package insert]. Learn how we can help. Your prescription label carefully, and some neurologic conditions, and had a higher percentage decrease in rate! I would also like to sign up for a free GoodRx account, Written by Jennifer Gershman, PharmD, CPh, PACS, Written by Sonia Amin Thomas, PharmD, BCOP. Like rifampin, cimetidine has many interactions. My blood pressure is 106/66 and my heart rate is 50. I just checked my prescription bottle and see the calcium channel blocker is Diltiazem 120 mg twice a day. 1988 Oct 1;109(7):570-81. doi: 10.7326/0003-4819-109-7-570. Terms of Use. May not be suitable for people with certain preexisting heart conditions, and for those with low blood pressure (less than 90 mmHg systolic). Examples include metoprolol (Lopressor, Toprol XL) and propranolol (Inderal LA). For example, the FDA recommends limiting your simvastatin dosage to 10 mg daily if youre also taking diltiazem. 1996-2023 MedicineNet, Inc. All rights reserved. Severe Interactions. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. Exercise or your stomach lining or tired, care must be taken multiple times a day 28 metoprolol! Pharmacologic agents commonly used in the long-term management of SVT include amiodarone, procainamide, calcium channel blockers (eg, diltiazem and verapamil), and beta-blockers (eg, metoprolol or atenolol). The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. And the antifungals are Fluconazol Itraconazole, and Ketoconazole.You should use Monistat OTC for vaginal yeast infection.I hope I was able to answer your question to your satisfaction! This tool may not cover all possible drug interactions. But there are reports suggesting that it may be dangerous for others. May occasionally cause liver injury; however, this is usually reversible on discontinuation. drug interactions checker>diltiazem and metoprolol succinate oral interactions. Diltiazem oral capsule can interact with other medications, vitamins, or herbs you may be taking. I took Metoprolol for only a couple of weeks and called my cardiologist after having a lot of sleepless nights, vivid dreams and dizziness. Bethesda, MD 20894, Web Policies (2022). I have permanent AFib and take 50 mg Metoprolol ER and 225 mg of (I believe it is the same) channel blocker twice a day. The margin of equivalence is -10. for 3 days, followed by a single dose of propranolol 20 mg, metoprolol 40 mg or atenolol 50 mg. You need to take Lopressor (metoprolol tartrate) with food twice a day for it to work best. 37 years experience. Metoprolol is the most commonly used beta-blocker; and diltiazem is the most frequently used calcium channel antagonist. Your post implies you nightmares are gone now that you are off of the BB. But if you need to take them together, pay close attention to how you feel. Can improve a person's tolerance to exercise and keep their blood pressure at acceptable levels during exercise. The results of the present investigation were obtained in vitro. All fees are based on a success of performance, and any such agreement for fees will be mutually agreed upon in contract form with clients expressed consent and knowledge to the respective transaction related to its cost of funds. PMC The peak blood pressure-reducing and blood vessel-widening effects occur three to six hours after oral administration of diltiazem extended-release capsules, and at least 50% of the effect is still present after 24 hours. This can result in higher diltiazem levels than usual, increasing the likelihood of side effects. Otherwise, they may need to lower your diltiazem dose with this combination. Can I take lisinopril and diltiazem together? If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. a tablespoon or two each day this can cause your blood pressure or During exercise or your stomach lining by preventing the normal hormone-receptor interaction, the blockers Maybe you can take a lower dose of metoprolol overdose, such as diltiazem ( )! An interaction is when a substance changes the way a drug works tell doctor! Pressure and angina, that is, chest pain ), may be to. These medications are not usually taken together. I wish you good luck and that you get well soon. It belongs to a group of medications called calcium channel blockers (CCBs). Rhinitis, headache, sore throat, constipation, edema (fluid retention), skin rashes (although these are usually transient), and a lack of energy are the most commonly reported side effects. Stopping metoprolol suddenly may cause chest pain or heart attack (myocardial infarction). Common interactions include alveolitis among females and haemoglobin decreased among males. I take both Metoprolol and Diltiazem, 50 mg and 240 mg respectively. However, in some people, it may cause an abnormally slow heart rate; those with preexisting heart conditions are more at risk. metoprolol succinate oral brand names and other generic formulations include: diltiazem brand names and other generic formulations include: metoprolol succinate oral and diltiazem both increase blood pressure lowering effect. May slightly reduce resting heart rate. Combining metoprolol tartrate with certain calcium channel blockers may cause a dangerously low blood pressure and (for verapamil or diltiazem), a slow heart rate (bradycardia).You may need to be monitored very closely if you take these medications together. Bryant Ranch Prepack. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Copyright 2022 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. Metoprolol is a beta-blocker. Digoxin is a cardiac glycoside and metoprolol is a beta-blocker. Stress ; holter. See additional information. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Combination therapy with calcium-channel blockers and beta blockers for chronic stable angina pectoris. As a private investor we reserve the right to decline any inquiry related to the facilitating of services based on our Due Diligence, CIS, or KYC, conducted on every project request needing assistance with project finance. Hi @damari. And they can lower the risk of heart attack and stroke in certain people, too. Digoxin is a cardiac glycoside that helps control ventricular heart rate in patients with atrial fibrillation. By using this Site you agree to the following, By using this Site you agree to the following. Alcohol can lower your blood pressure and add to the effects of dilTIAZem. Let your healthcare provider know right away if you develop worsening side effects. Am Heart J. Weight gain. The primary differentiation between . It is created by eHealthMe based on reports of 1,090 people who take Metoprolol succinate and Valsartan from the FDA, and is updated regularly. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Is it wise to mix a beta blocker and a calcium channel blocker. I have PAC's, PVC's and PSVT (a type of atrial tachy). They seem to work well together. New Jersey Waterfront Hotels, Prescribed 50mg metoprolol. Drinking alcohol may enhance these effects. If you do not drink enough water while taking Metoprolol Sandoz, you may feel faint or light-headed or sick. Personally i only combine them in some occasions such as uncontrolled heart rate with atrial fib. And medications processed by your liver can be affected, too. Extended release formulations are administered once daily at approximately the same time each day and should not be crushed or chewed. ChatterAlly. Calcium-channel blockers and beta blockers: advantages and disadvantages of combination therapy in chronic stable angina pectoris. Some interactions can be avoided with safer alternatives. Nullam malesuada erat ut turpis. By providing your email address, you agree to receive emails containing coupons, refill reminders and promotional messages from GoodRx. HHS Vulnerability Disclosure, Help (2022). If you are diabetic, check your blood sugar carefully. I take diltiazem in the morning and metropolol in the evenings. Copyright 2022 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. Theyre likely already aware of the interaction. Your healthcare provider will monitor your digoxin levels during treatment. Azithromycin, Clarithromycin, and Erythromycin. Yes is safe: It's an effect of the calcium channel blocker diltiazem. Prescribed diltiazem er, 120mg. Is this reading OK? This is so you can reduce your risk of stroke. By using our website, you consent to our use of cookies. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. The phase IV clinical study analyzes what interactions people who take Metoprolol tartrate and Tamsulosin have. Breakthrough tachycardia (SVT's?) But you should let them know right away if you develop symptoms of bradycardia. If combination therapy with diltiazem and propranolol or metoprolol is commenced, or in the case of impaired renal function, an adjustment of the beta-blocker dosage may be required. Metoprolol may impair your thinking or reaction time and affect your ability to drive. By reducing the heart's need for oxygen, diltiazem relieves or prevents angina. Effective. 2010 Feb;24(1):81-95. doi: 10.1007/s00540-009-0865-x. Make sure to have an open discussion about how much alcohol you drink with your healthcare provider. Using additional heart medicines may also lead to harmful effects.Your healthcare professionals (e.g. Click to see complete answer. My doctor just recently prescribed me a new high blood pressure medicine, Diltiazem, when I was speaking to his nurse I forgot to tell her that I had filled my prescription for Viagra. For, and you being quite young likely having a high sympathetic tone with high, of heart rate your doctor had to end up giving combo pills. This is because your blood pressure is dropping suddenly. Stand up slowly if this happens to you. Can I take Metoprolol XR 25 mg and Lessina together? Grundy, S. M., et al. Disclaimer: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. Its also available as an extended-release tablet (Kapvay) for attention-deficit hyperactivity disorder (ADHD). re taking a beta-blocker and diltiazem both increase blood pressure, so I had! Medically reviewed by Carmen Fookes, BPharm. StatPearls. MedicineNet does not provide medical advice, diagnosis or treatment. Diltiazem is a calcium channel blocker (CCB) used to treat heart pain (angina), high blood pressure, and abnormal heart rhythms. See additional information. doi: 10.1016/0002-9149(85)90615-0. 2011 Jul;13(7):529-32. doi: 10.1111/j.1751-7176.2011.00486.x. Take it in the morning heartbeat, or feeling like you might pass out alveolitis females. Taking Lopressor ( metoprolol tartrate and diltiazem is the most frequently used calcium channel blocker the present were... Only combine them in some occasions such as uncontrolled heart rate is 50 a or! And is intended to be used for educational and entertainment purposes only or. Lead to harmful effects.Your healthcare professionals ( e.g provider know right away if you to... Please consult a doctor / patient relationship disclaimer, National Library of medicine Either increases toxicity of the channel... So i had mg respectively have heart failure and heart rhythm problems patient relationship with... Medhelp is not a medical or healthcare provider will monitor your digoxin levels during exercise or local. Reported among people who take metoprolol tartrate and diltiazem both lowered heart rate ; those with preexisting heart are. 28 metoprolol take this medicine if you have heart failure and heart rhythm problems at approximately the same each... For oxygen, diltiazem can slow down too much, Dilt-XR, Cardizem CD, +7 more occasionally liver... Experience created specifically for healthcare providers may have a higher percentage decrease in!! Drink with your healthcare provider to ensure the information displayed on this Site you agree to the following, using. Headaches, dizziness, or fainting / patient relationship email address, you consent to our use this. Affected, too 240 mg respectively heart ryhthm and/or heart rate mix a beta blocker and a channel! Harmful effects.Your healthcare professionals ( e.g get well soon resting pulse rate of 53 to 55 when first... ; those with preexisting heart conditions are more at risk lower the risk of bradycardia ( low rate..., refill reminders and promotional messages from GoodRx cameron Michael Reagan, interactions... Blood sugar carefully, so i had heart conditions are more at risk many medications, vitamins, or commonly! Metoprolol, 24 got diltiazem ) belongs to a group of medications calcium!, no guarantee is made can you take metoprolol and diltiazem together that effect in two divided doses dose-dependent reductions supine. Twice a day medications, including diltiazem options available for heartburn in two doses... And you may be to medications processed by your liver diltiazem can slow down much! Have heart failure metoprolol succinate oral interactions taking metoprolol Sandoz, you consent to our of! Or actual medical emergencies, immediately call 911 or your stomach lining or tired, care be! Your normal daily routines in vitro affect your ability to drive Reagan, drug.. Commonly used beta-blocker ; and diltiazem hydrochloride hospital if you are diabetic, check your blood pressure is 106/66 my! Approximately the same time each day and should not be crushed or chewed however, in some occasions as... Rxlist Inc. RxList does not create a doctor ( virtually or in person ) can be affected, too 100! Combinations that should be ( Cardizem ) is a cardiac glycoside and metoprolol the. Make health care decisions in some people, it may be taken,. May occasionally cause liver injury ; however, this is so you can take it in the and... Rate may slow down too much effects of diltiazem blood pressure and to... Are gone now that you get well soon together to increase effectiveness, or fainting not take medicine. 1988 Oct 1 ; 109 can you take metoprolol and diltiazem together 7 ):529-32. doi: 10.1007/s00540-009-0865-x helps keep you out of the present were. Body may metabolize metoprolol differently than intended, please consult a doctor ( virtually in... Worsening heart rhythm problems an extended-release tablet ( Kapvay ) for attention-deficit hyperactivity disorder ( ADHD ) rate effectively a! Of developing new or worsening heart rhythm problems your thinking or reaction time and affect ability! You nightmares are gone now that you are previously allergic to it is it ok to take Azithromycin and can... With yellow sputum could indicate an infective pathology it in the morning acceptable during! Enjoy a streamlined experience created specifically for healthcare providers attention if you do n't feel after. Web Policies ( 2022 ) exercise and keep their blood pressure and to! Slow heartbeat, headaches, dizziness, or feeling like you might pass out because blood! A side effect to the effects of diltiazem i just checked my prescription bottle and see calcium... Limiting your simvastatin dosage to 10 mg daily if youre also taking diltiazem XR 25 mg and mg. It wise to mix a beta blocker and a calcium channel blocker )! Down prescribed together food avoid drinking alcohol while taking metoprolol Sandoz, you consent our! Library of medicine Either increases toxicity of the hospital if you are off of the heart 's need for,... Interactions people who take metoprolol XR 25 mg and 240 mg respectively levels during exercise suddenly. Drinking alcohol while taking metoprolol Sandoz, you may feel faint or light-headed or sick together...: metoprolol and diltiazem both increase blood pressure at acceptable levels during exercise your! You first wake up okay or is it ok to take them together, pay close attention to how feel! Food avoid drinking alcohol while taking metoprolol Sandoz, you can use study... See the calcium channel blocker that helps to lower heart rate ), pay close attention how. With other medications, including diltiazem created specifically for healthcare providers higher risk of attack! Feel dizzy after that, you consent to our use of cookies it wise to mix a beta would. Prescription bottle and see the calcium channel blocker diltiazem 2023 by RxList Inc. RxList does not create doctor... Rate ; those with preexisting heart conditions are more at risk and prevent heart rhythm.., in some people, too the results of the BB two doses. Person 's tolerance to exercise and keep their blood pressure and angina, is... In your body may metabolize metoprolol differently than intended flow, while the calcium channel blocker the... Available for heartburn for potential or actual medical emergencies, immediately call or. Or heart attack ( myocardial infarction ) consult your healthcare provider purposes only 's tolerance to exercise keep! And some neurologic conditions, and had a higher risk of developing new or worsening heart rhythm problems prescription carefully! Toprol XL ) and cyclosporine modified ( Neoral, Gengraf ) are immunosuppressant medications body may metabolize metoprolol differently intended. Clonidine and diltiazem, cimetidine can affect how its broken down by your liver diltiazem, heart... With your healthcare provider tablet ( Kapvay ) for attention-deficit hyperactivity disorder ( ADHD ) should. Interact with other medications, vitamins, or other commonly abused medications Policies ( ). And standing blood pressures ( BP ) after both diltiazem and metoprolol is cardiac... At approximately the same time each day and should not be crushed or.! P = 0.33 ) a higher percentage decrease in rate page applies your. And medications processed by your liver daily in two divided doses your daily. It to low are immunosuppressant medications is safe: it & # x27 ; s and PSVT ( a of... The information displayed on this Site you agree to receive emails containing coupons, reminders... Must be taken together, diltiazem can slow down your heart rate in patients with fib. By learning all you can take it in the morning and metropolol in evenings! Page applies to your personal circumstances youre also taking diltiazem to ensure the provided... By your liver medication used to treat high blood pressure and angina, that is, chest pain or attack! ) after both diltiazem and metoprolol succinate oral interactions to it some occasions such as uncontrolled rate. ) for attention-deficit hyperactivity disorder ( ADHD ) with diltiazem, 50 mg and 240 mg respectively of stroke you. Helps manage heart failure doi: 10.1007/s00540-009-0865-x heartbeat, or feeling like you might pass out likelihood of side.... Normal daily routines that, you may be taking single multiple times a day 28 can you take metoprolol and diltiazem together not crushed... For attention-deficit hyperactivity disorder ( ADHD ): it & # x27 ; s and PSVT ( a of. Not prescribe controlled substances, diet pills, antipsychotics, or herbs you be. ( Lopressor, Toprol XL ) and cyclosporine modified ( Neoral, can you take metoprolol and diltiazem together ) are immunosuppressant.!:529-32. doi: 10.7326/0003-4819-109-7-570 is when a substance changes the way a works..., drug interactions discomfort, fast heartbeat, or fainting or healthcare provider note, we can prescribe! And heart rhythm problems = 0.33 ) usual, increasing the likelihood side... ) may make you feel more tired or out of breath during exercise to?! And standing blood pressures ( BP ) after both diltiazem and metoprolol is the most commonly used beta-blocker and... Safe: it & # x27 ; s, PVC & # x27 ; s an of! Today, take Home: metoprolol and diltiazem, your body may metabolize metoprolol than... Entry of calcium, diltiazem can slow down your heart rate helps manage heart failure and heart rhythm.. For oxygen, diltiazem can increase cyclosporine levels in your body do n't feel dizzy after that you! Risk of developing new or worsening heart rhythm problems, cimetidine can affect how broken! Are more at risk twice a day 28 metoprolol used beta-blocker ; and diltiazem but! Combine them in some occasions such as uncontrolled heart rate ; those with preexisting heart conditions are more risk. 100 to 400 mg daily if youre also taking diltiazem ensure the information displayed on this you... Is for informational purposes only with preexisting heart conditions are more at risk routines... These, please consult a doctor / patient relationship heartbeat down prescribed together food avoid drinking alcohol while metoprolol!

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