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Lopressor (Metoprolol)

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Lopressor (Metoprolol) is a beta-blocker used to treat high blood pressure and angina pectoris (chest pain). It is also used after a heart attack to improve survival. Controlling high blood pressure helps prevent strokes heart attacks and kidney problems. This medicine may also be used to treat other conditions as determined by your doctor.

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About Lopressor (Metoprolol):

Product Type: Blood Pressure

Brand name: Lopressor Generic name: Metoprolol What is the most important information I should know about Lopressor? • Do not stop taking Lopressor without first talking to your doctor. Stopping suddenly may make your condition worse. • If you need to have any type of surgery you may need to temporarily stop using Lopressor. Be sure the surgeon knows ahead of time that you are using Lopressor. • Lopressor can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. • Avoid drinking alcohol which could increase drowsiness and dizziness while you are taking Lopressor. • Lopressor is only part of a complete program of treatment for hypertension that may also include diet exercise and weight control. Follow your diet medication and exercise routines very closely if you are being treated for hypertension. • Hypertension often has no symptoms so you may not even feel that you have high blood pressure. Continue using this medicine as directed even if you feel well. You may need to use blood pressure medication for the rest of your life. What is Lopressor? • Lopressor is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins). • Lopressor is used to treat angina (chest pain) and hypertension (high blood pressure). It is also used to treat or prevent heart attack. • Lopressor may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Lopressor? • Before taking Lopressor tell your doctor if you have: asthma bronchitis emphysema; diabetes; low blood pressure; a heart problem such as heart block sick sinus syndrome slow heart rate or congestive heart failure; depression; liver or kidney disease; a thyroid disorder; myasthenia gravis; pheochromocytoma; or problems with circulation (such as Raynaud's syndrome). • If you have any of these conditions you may not be able to use Lopressor or you may need a dosage adjustment or special tests during treatment. • FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. • Lopressor can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. How should I take Lopressor? • Take Lopressor exactly as it was prescribed for you. Do not take the medication in larger amounts or for longer than recommended by your doctor. • Take this medication with a full glass of water. • Take Lopressor at the same time every day. • Do not crush chew or break an extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or crushing the pill would cause too much of the drug to be released at one time. A Toprol XL tablet can be divided in half if your doctor has told you to do so. The half tablet should be swallowed whole without chewing or crushing. • Do not skip doses or stop taking Lopressor without first talking to your doctor. Stopping suddenly may make your condition worse. • To be sure this medication is helping your condition your blood pressure will need to be checked on a regular basis. It is important that you not miss any scheduled visits to your doctor. • If you need to have any type of surgery tell the surgeon that you are using Lopressor. You may need to briefly stop using Lopressor before having surgery. • Lopressor is only part of a complete program of treatment for hypertension that may also include diet exercise and weight control. Follow your diet medication and exercise routines very closely if you are being treated for hypertension. • Hypertension often has no symptoms so you may not even feel that you have high blood pressure. Continue using this medicine as directed even if you feel well. You may need to use blood pressure medication for the rest of your life. • Store Lopressor at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. If your next dose is less than 4 hours away skip the the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose. What happens if I overdose? • Seek emergency medical attention if you think you have used too much of this medicine. • Symptoms of an Lopressor overdose may include uneven heartbeats shortness of breath bluish-colored fingernails dizziness weakness fainting or seizure (convulsions). What should I avoid while taking Lopressor? • Lopressor can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. • Avoid drinking alcohol which could increase drowsiness and dizziness while you are taking Lopressor. What are the possible side effects of Lopressor? • Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face lips tongue or throat. • Call your doctor at once if you have any of these serious side effects: slow or uneven heartbeats; feeling light-headed fainting; feeling short of breath even with mild exertion; swelling of your ankles or feet; nausea stomach pain low fever loss of appetite dark urine clay-colored stools jaundice (yellowing of the skin or eyes); depression; or cold feeling in your hands and feet. • Other less serious side effects are more likely to occur such as: decreased sex drive impotence or difficulty having an orgasm; sleep problems (insomnia); tired feeling; or anxiety nervousness. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Lopressor? • Before taking Lopressor tell your doctor if you are using: allergy treatments (or if you are undergoing allergy skin-testing); clonidine (Catapres); guanabenz (Wytensin); an MAO inhibitor such as isocarboxazid (Marplan) tranylcypromine (Parnate) phenelzine (Nardil) or selegiline (Eldepryl Emsam); a diabetes medication such as insulin glyburide (Diabeta Micronase Glynase) glipizide (Glucotrol) chlorpropamide (Diabinese) or metformin (Glucophage); a heart medication such as nifedipine (Procardia Adalat) reserpine (Serpasil) verapamil (Calan Verelan Isoptin) diltiazem (Cartia Cardizem); medicine for asthma or other breathing disorders such as albuterol (Ventolin Proventil) bitolterol (Tornalate) metaproterenol (Alupent) pirbuterol (Maxair) terbutaline (Brethaire Brethine Bricanyl) and theophylline (Theo-Dur Theolair); or cold medicines stimulant medicines or diet pills. • If you are using any of these drugs you may not be able to take Lopressor or you may need dosage adjustments or special tests during treatment. • There may be other drugs not listed that can affect Lopressor. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins minerals herbal products and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor

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Anti Depressants: Anafranil (Clomipramine HCI) Anafranil (Clomipramine HCI) is a tricyclic antidepressant used to treat depression and obsessive-compulsive disorder. Buy Anafranil (Clomipramine HCI) and other Anti Depressants products online at Medstore. About Anafranil (Clomipramine HCI): Product Type: Anti Depressants Brand name: Anafranil Generic name: Clomipramine HCI What is the most important information I should know about Anafranil? • While you are taking Anafranil you may need to be monitored for worsening symptoms of depression and/ or suicidal thoughts at the start of therapy or when doses are changed. This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Anafranil. In patients younger than 18 years the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety panic attacks difficulty sleeping irritability hostility impulsivity severe restlessness and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Anafranil. Do not stop taking Anafranil. • It may be 4 weeks or more before you start to feel better but do not stop taking Anafranil without first talking to your doctor. • Use caution when driving operating machinery or performing other hazardous activities. Anafranil may cause drowsiness or dizziness. If you experience drowsiness or dizziness avoid these activities. • Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall. • Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Anafranil. What is Anafranil? • Anafranil is in a class of drugs called tricyclic antidepressants. Anafranil affects chemicals in the brain that may become unbalanced and cause obsessive-compulsive disorder. • Anafranil is used to relieve symptoms of obsessive-compulsive disorder such as recurrent thoughts or feelings and repetitive actions. • Anafranil may also be used for purposes other than those listed in this medication guide. 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This concern about the increased risk of suicidal thoughts or behaviors may be greater if you are 18 years of age or younger and are taking Anafranil. In patients younger than 18 years the period of risk may extend beyond start of therapy or when doses are changed. Your doctor may want you to monitor for the following symptoms: anxiety panic attacks difficulty sleeping irritability hostility impulsivity severe restlessness and mania (mental and/ or physical hyperactivity). These symptoms may be associated with the development of worsening symptoms of depression and/ or suicidal thoughts or actions. Contact your healthcare provider if you develop any new or worsening mental health symptoms during treatment with Anafranil. Do not stop taking Anafranil. • Anafranil is in the FDA pregnancy category C. This means that it is not known whether Anafranil will harm an unborn baby. Do not take Anafranil without first talking to your doctor if you are pregnant or could become pregnant during treatment. • Anafranil passes into breast milk and may affect a nursing baby. Do not take Anafranil without first talking to your doctor if you are breast-feeding a baby. How should I take Anafranil? • Take Anafranil exactly as directed by your doctor. If you do not understand these directions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass (8 oz) of water. • Anafranil may be taken several times a day or in one daily dose (usually at bedtime). Follow your doctor's instructions. • Grapefruit and grapefruit juice may interact with Anafranil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • It may be 4 weeks or more before you start to feel better but do not stop taking Anafranil without first talking to your doctor. • Store Anafranil at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. If it is almost time for the next regularly scheduled dose skip the missed dose and take the next one as directed. Do not take a double dose of this medication unless otherwise directed by your doctor. What happens if I overdose? • Seek emergency medical attention. • Symptoms of a Anafranil overdose include seizures confusion drowsiness agitation hallucinations and low blood pressure (dizziness fatigue fainting). What should I avoid while taking Anafranil? • Use caution when driving operating machinery or performing other hazardous activities. Anafranil may cause drowsiness or dizziness. If you experience drowsiness or dizziness avoid these activities. • Dizziness is likely to occur when you rise from a sitting or lying position. Rise slowly to prevent dizziness and a possible fall. • Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking Anafranil. • Grapefruit and grapefruit juice may interact with Anafranil. The interaction could lead to potentially dangerous effects. Discuss the use of grapefruit and grapefruit juice with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • Do not stop taking Anafranil suddenly. This could cause symptoms such as nausea headache and malaise. 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