Toprol XL is one brand name of the generic drug, metoprolol. MayoClinic.com reports that Toprol XL is used alone or with other drugs for the treatment or prevention of a heart attack and the treatment of severe chest pain. It is also used to manage high blood pressure. Toprol XL is the extended release or long-acting version of the drug. This means that the medication is slowly released into the bloodstream over a period of hours rather than all at once.
Cardiovascular Effects
RXList.com reports that cardiovascular side effects associated with the use of Toprol XL include chest pain, shortness of breath, and low blood pressure. A slow heart rate, palpitations, and irregular heart beat may also occur. Swelling of the hands and feet, tightness of the chest, and weight gain have been noted. Patients experiencing any of these symptoms while taking Toprol XL should consult their doctors for additional medical advice.
Central Nervous System Effects
Dizziness or lightheadedness may occur while taking Toprol XL. DIzziness or lightheadedness may be worse when going from a lying to sitting or standing position. Patients may also experience fatigue, weakness, confusion, short-term memory loss, insomnia, and headaches, according to MayClinic.com. In rare cases, hallucinations, visual disturbances and slow speech have been reported.
Gastrointestinal Effects
Toprol XL may cause some gastrointestinal side effects, according to MayoClinic.com. Diarrhea, nausea, dry mouth, abdominal pain, and constipation have all been reported with the use of Toprol XL. Heartburn and flatulence are also possible gastrointestinal side effects. RXList.com notes that, in rare cases, inflammation of the liver and liver dysfunction have occurred.
Other Side Effects
Additional side effects that may occur with Toprol XL use include dry eyes, rash, easy bruising, and unusual bleeding, according to Drugs.com. Sore throat, pain or difficulty urinating, and pain or swelling of the joints has also been noted. Patients experiencing these side effects should consult with a doctor for additional medical advice.



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