✕
Free ₹200 worth HealthCash on app
Use HealthCash to order medicines, health products & much more
S-Metoprolol
Confused about any medicine? Just ask Practo AIFREE
50000+ health queries resolved in last month
Chat with Practo AI on Whatsapp
Not finding what you need? Ask Practo AI
FREE
Chat with Practo AI on Whatsapp
Description
S-Metoprolol is a beta-blocker that works on the heart and blood vessels. It is used to treat high blood pressure and chest pain. It slows down the activity of your heart allowing your heart to beat slower and less forcefully. As a result, S-Metoprolol helps to prevent abnormally fast heartbeats. It also reduces the pressure at which blood is pumped out of the heart and around the body. S-Metoprolol prevents heart damage following a heart attack.
Side-effects of S-Metoprolol are dizziness, headache, breathing difficulty, and low blood pressure. If you feel dizzy or tired, care must be taken while driving a vehicle or operating machinery. Do not take this medicine if you are previously allergic to it.
S-Metoprolol can be taken with or without food. For ease of remembering, take s metoprolol around the same time every day. Make sure to eat a healthy and balanced diet. Appropriate lifestyle changes like a low-fat diet, exercise, and stop smoking to feel better along with this medicine. You may have to take this medicine for the long-term. Do not stop taking this medicine unless your doctor tells you to stop.
QUICK LINKS:
Side effects
Major & minor side effects for S-Metoprolol
Slow heartbeat
Decreased blood pressure
Blurred vision
Dizziness
Headache
Shortness of breath
Nausea or vomiting
Skin rash
Uses of S-Metoprolol
What is it prescribed for?
Hypertension
Blood pressure is the force of blood pushing against the walls of blood vessels. Hypertension or high blood pressure occurs when blood vessels are tightened. As a result, the heart doesn't get enough blood and increases the body’s oxygen demand. S-Metoprolol causes blood vessels to relax which helps to reduce the blood pressure and body’s oxygen demand. Therefore, S-Metoprolol is used to treat high blood pressure.
Angina pectoris
Angina pectoris is chest pain or discomfort due to reduced blood flow to the heart. It occurs when the blood vessels are narrowed or blocked. Metoprolol causes blood vessels to relax resulting in an improved blood flow to the heart. Therefore, S-Metoprolol is used to treat angina pectoris.
Heart Attack
S-Metoprolol reduces heart damage and lowers the risk of repeated heart attacks. S-Metoprolol is also used during the early stages of treatment of a heart attack.
Congestive Heart Failure
Your heart is an organ that pumps blood throughout your body. Heart failure occurs when your heart is unable to pump enough blood to body parts. The heart becomes weak and the heart muscle cannot keep up with its workload. S-Metoprolol slows down the activity of your heart and makes it easier to pump blood out of the heart and around the body. S-Metoprolol is used to treat congestive heart failure.
Concerns
Commonly asked questions
Onset of action
S-metoprolol shows its effects within one hour of oral administration.Duration of effect
The effect of s-metoprolol lasts for an average duration of 12 hours.Safe with alcohol?
Avoid drinking alcohol while taking S-Metoprolol because it can lower blood pressure drastically.Is it habit forming?
No habit-forming tendency has been reported for S-Metoprolol.Usage in pregnancy?
Pregnant women often are prescribed with S-Metoprolol for treating heart conditions. S-Metoprolol is not known to cause birth defects when taken by pregnant women. Hence it is acceptable for use upon your doctor's recommendation. All the risks and benefits should be discussed with your doctor before starting this medicine.Usage while breast-feeding?
S-Metoprolol is safe to use during breastfeeding. It passes into breast milk in very low levels that are not expected to cause adverse effects in breastfed infants. Hence it is acceptable for use upon your doctor's recommendation.
Allergy
Avoid taking S-Metoprolol if you are previously allergic to it. A serious allergic reaction to this medicine is rare. Seek immediate medical attention if you notice any symptoms of allergic reactions such as skin rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, breathing difficulties, etc.
Bradycardia
Bradycardia or slow heart rate occurs when your heart beats less than 60 times per minute. S-Metoprolol is not recommended to treat a slow heart rate.
Cardiogenic shock
Cardiogenic shock is a condition in which the heart is unable to pump enough blood to the organs. S-Metoprolol can further reduce cardiac output (amount of blood the heart pumps out in a minute) and blood pressure, which can be harmful in patients with cardiogenic shock.
Heart block greater than first degree
There are electrical signals that control the heartbeat. These signals tell your heart muscle to contract and pump blood correctly. Heart block occurs when these signals are slowed down. Heart block is named first-, second-, or third-degree. First-degree heart block is the least severe, second-degree heart block is severe and can often progress to third-degree heart block, the most severe form. S-Metoprolol is not recommended to treat second or third-degree heart block that requires emergency attention.
Decompensated heart failure
Decompensated heart failure is a condition where there is a change in the structure of heart tissue leading to an inability of the heart to pump and/or accommodate blood within normal pressure levels. S-Metoprolol can lower the blood pressure in patients with decompensated heart failure causing a necessity for immediate medical intervention
Warnings for special population
Pregnancy
Pregnant women often are prescribed with S-Metoprolol for treating heart conditions. S-Metoprolol is not known to cause birth defects when taken by pregnant women. Hence it is acceptable for use upon your doctor's recommendation. All the risks and benefits should be discussed with your doctor before starting this medicine.
Breast-feeding
S-Metoprolol is safe to use during breastfeeding. It passes into breast milk in very low levels that are not expected to cause adverse effects in breastfed infants. Hence it is acceptable for use upon your doctor's recommendation.
General warnings
Major surgery
S-Metoprolol should be given with caution to patients who are going to have a major surgery done. The dose should be very carefully monitored in such cases both before and after the surgical procedure.
Sports
Athletes are advised not to indulge in certain sports while using S-Metoprolol. Archery, racing, shooting and other high-risk sports should be avoided. Sportspersons should refer to the list of medicines published by the World Anti-Doping Agency (WADA) that are not to be taken while participating in certain specific sports events.
Driving or operating machinery
S-Metoprolol may cause dizziness and fatigue in some people. Do not drive a vehicle or operate machinery after taking this medicine.
Missed Dose
Try not to skip a dose of S-Metoprolol. And if a dose is skipped, do not add it up to the next dose.
Overdose
Seek medical emergency in case of an S-Metoprolol overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol
Description
N/A
Instructions
Avoid drinking alcohol while taking S-Metoprolol because it can lower blood pressure drastically.
Interaction with Medicine
Ergotamine
Amlodipine
Aminophylline
Diltiazem
Disease interactions
Asthma/ COPD
Use S-Metoprolol with caution in patients with a respiratory condition such as asthma or chronic obstructive pulmonary disease (COPD). S-Metoprolol can cause shortness of breath and also worsens other respiratory symptoms in such patients.
Diabetes
S-Metoprolol can mask the symptoms of low blood sugar in diabetic patients. Regular monitoring of blood sugar levels is necessary for diabetic patients receiving this medicine.
Liver Disease
The primary conversion of s-metoprolol to its active form happens in the liver. Therefore patients with liver diseases need special consideration while taking S-Metoprolol.
Glaucoma
Glaucoma or high eye pressure occurs when the nerve connecting the eye to the brain is damaged. Patients with glaucoma may require dose adjustments while taking S-Metoprolol.
Hyperlipidemia
Hyperlipidaemia is a condition of high levels of fat or cholesterol in the blood. S-Metoprolol can increase the cholesterol levels in the blood. Hence use S-Metoprolol with caution in patients with hyperlipidaemia.
Food interactions
Using S-Metoprolol together with multivitamin with minerals may reduce the effectiveness of S-Metoprolol. Take S-Metoprolol 2 hours before taking multivitamins with minerals.
Lab interactions
Information not available.
Take S-Metoprolol with or without food. Never take more than the prescribed dose. Do not give your medicine to other people even if their condition appears to be the same as yours. Appropriate lifestyle changes like a low-fat diet, exercise, and smoking cessation should be done along with this medicine to get the best possible effect.
Miscelleneous
How it works
Beta receptors, that are found in the heart increases the heart rate and the heart's strength of contraction. S-Metoprolol blocks beta receptors and as a result, your heart beats more slowly and less forcefully. It also helps to lower the blood pressure and strain on the heart.
Legal Status
Classification
Category
Cardioselective beta blockers, Beta Blockers
Schedule
Schedule H
A, D., S, S. and D, D., 2021. S-metoprolol: the 2008 clinical review. [online] PubMed. Available at: < [Accessed 2 March 2021].
Mohan, J., Shah, S., Chinchansurkar, S., Dey, A. and Jain, R., 2021. Rediscovering Chirality - Role of S-Metoprolol in Cardiovascular Disease Management.. [online] Pdfs.semanticscholar.org. Available at: < [Accessed 2 March 2021].
Zuventus.co.in. 2021. Zuventus Healthcare. [online] Available at: < [Accessed 2 March 2021].
Information on this page was last updated on 5 Mar 2021
Disclaimer
We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.