This is particularly relevant for people who experience frequent or severe episodes of low blood sugar.
People With Peripheral Vascular Disease
Cold hands and feet or circulation-related symptoms may occasionally become more noticeable.
People With Liver Problems
Metoprolol is processed extensively by the liver.
Significant liver impairment can influence medication levels, so dose decisions may require extra attention.
Older Adults
Older patients may be more susceptible to dizziness, falls, slow heart rate, low blood pressure, or interactions caused by taking several medications.
This does not mean metoprolol should be avoided purely because of age.
It means treatment and monitoring should be individualized.
Potential Drug Interactions
Metoprolol can interact with medicines that affect heart rate, blood pressure, metabolism, or heart conduction.
Some medications can also alter how quickly metoprolol is broken down in the body.
Because the list of possible interactions is extensive, tell your healthcare providers about:
Prescription medicines
Over-the-counter medicines
Herbal products
Dietary supplements
Recreational substances when relevant
