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Toprol Xl Indications, Dosage, Storage, Stability - Metoprolol Succinate
INDICATIONS
Hypertension: Extended release metoprolol succinate tablets are indicated for the treatment of hypertension. They may be used alone or in combination with other antihypertensive agents.
Angina Pectoris: Extended release metoprolol succinate tablets are indicated in the long-term treatment of angina pectoris.
DOSAGE AND ADMINISTRATION
Metoprolol succinate is an extended release tablet intended for once-a-day administration. When switching from immediate release metoprolol tablet to extended release metoprolol succinate, the same total daily dose of extended release metoprolol succinate should be used.
As with immediate release metoprolol, dosages of extended release metoprolol succinate should be individualized and titration may be needed in some patients.
Extended release metoprolol succinate tablets are scored and can be divided; however, the whole or half tablet should be swallowed whole and not chewed or crushed.
Hypertension
The usual initial dosage is 50 to 100 mg daily in a single dose, whether used alone or added to a diuretic. The dosage may be increased at weekly (or longer) intervals until optimum blood pressure reduction is achieved. In general, the maximum effect of any given dosage level will be apparent after 1 week of therapy. Dosages above 400 mg per day have not been studied.
Angina Pectoris
The dosage to extended release metoprolol succinate should be individualized. The usual initial dosage is 100 mg daily, given in a single dose. The dosage may be gradually increased at weekly intervals until optimum clinical response has been obtained or there is a pronounced slowing of the heart rate. Dosages above 400 mg per day have not been studied. If treatment is to be discontinued, the dosage should be reduced gradually over a period of 1-2 weeks (see WARNINGS.)
HOW SUPPLIED
Toprol-XL 50 mg tablets contain 47.5 mg of metoprolol succinate equivalent to 50 mg of metoprolol tartrate. They are white, biconvex, round and film-coated. They are engraved "A mo" on one side and scored on the other.
Toprol-XL 100 mg tablets contain 95 mg of metoprolol succinate equivalent to 100 mg of metoprolol tartrate. They are white, biconvex, round and film-coated. They are engraved "A ms" on one side and scored on the other.
The Toprol-XL 200 mg tablets contain 190 mg of metoprolol succinate equivalent to 200 mg of metoprolol tartrate. They are white, biconvex, oval and film-coated. They are engraved "A my" and scored on one side.
Store at controlled room temperature 15-30°C (59-86°F).
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