These may include:
Difficulty falling asleep
Frequent waking
Vivid dreams
Unusual dreams
Nightmares
Changes in normal sleep quality
Not everyone experiences these effects, and sleep problems can have many unrelated causes.
If sleep disruption begins after a medication change and becomes persistent, discuss it with your clinician.
Should You Change the Time You Take Metoprolol?
Do not change your dosing schedule without checking the instructions for your formulation and speaking with a pharmacist or clinician.
The immediate-release and extended-release versions may have different dosing schedules.
8. Digestive Problems
Metoprolol can sometimes cause gastrointestinal symptoms.
Reported effects may include:
Nausea
Diarrhea
Stomach discomfort
Constipation in some individuals
These effects are often mild, but persistent vomiting or diarrhea can contribute to dehydration, which may increase dizziness and low blood pressure.
Should Metoprolol Be Taken With Food?
Instructions can depend on the formulation.
Metoprolol is often recommended in a consistent relationship to meals so that absorption remains predictable.
