Toprol-XL is a medicine which is used to reduce the load on the heart muscle, lowering blood pressure. Heart under the influence of Toprol-XL relaxes in some way – that is, pathological, excessive excitability of this muscle is removed. This reduces the number of heartbeats, the myocardium requires less oxygen. In this regard, the pressure gradually decreases. Carbohydrate metabolism and insulin production by the pancreas are almost not modified under the influence of the drug. Toprol- XL is prescribed in case of various diseases such as heart failure heart rate, angina, mitral valve prolapse. This drug may accompany the treatment of myocardial infarction in the acute period and continue to be included in supportive therapy. Also, indications are hyperthyroidism, hypertension, migraine.
The tablets are taken with food or after a meal, they can be divided into two halves, but you can’t chew them because they should be swallowed whole.
The drug should not be taken by patients with heart failure, sinoatrial blockade, with severe sinus bradycardia, cardiogenic shock, pregnancy, breastfeeding, patients with disturbed peripheral blood circulation.
After intake can notice weakness, excessive fatigue, muscle cramps, headache, dizziness, feeling cold in the extremities.
Among other adverse conditions are hypotension, some signs of heart failure, reduced secretion of tear fluid, depressed state, sleep disorder, dry mouth, constipation, diabetes, diarrhea, vomiting. Some patients may suffer from the emergence of bronchial obstruction, rash, itching on the skin.
Sometimes the drug is prescribed to patients who have vision problems; you should know that the use of Toprol-XL leads to a reduction of tear liquid.
If a person has diabetes, the drug should be prescribed with caution. A doctor should be cautious when prescribing this drug to patients with impaired peripheral circulation; in this case you need careful monitor the health, functioning of kidney and liver.
Discontinuation of drug should occur not sharply, for 10-11 days strictly under medical supervision. You should stop taking the drug before the anesthesia with ether or chloroform.
If the medicine is taken before the operation, you should choose the facility that has minimal negative inotropic effects.