METOPROLOL; HYDROCHLOROTHIAZIDE (me TOE proe lole; hye droe klor oh THYE a zide) is a combination of a beta-blocker and a diuretic. It is used to treat high blood pressure.
Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take this medicine with food. Take your medicine at regular intervals. Do not take it more often than directed. Do not stop taking except on your doctor's advice.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
Side effects that you should report to your doctor or health care professional as soon as possible:
changes in vision
cold, tingling, or numb hands or feet
difficulty breathing, wheezing
increased thirst or sweating
irregular heart beat, palpitations, or chest pain
redness, blistering, peeling or loosening of the skin, including inside the mouth
swollen legs or ankles
unusual skin rash or bruising
unusually weak or tired
worsened gout pain
yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
change in sex drive or performance
antiinflammatory drugs, NSAIDs like ibuprofen
barbiturates like phenobarbital
corticosteroids like prednisone
medicines for chest pain or angina
medicines for diabetes
medicines for high blood pressure or heart failure
medicines to control heart rhythm
prescription pain medicines
skeletal muscle relaxants like tubocurarine
some medicines for lowering cholesterol like colestipol or cholestyramine
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
Keep out of the reach of children.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light and moisture. Keep container tightly closed. Throw away any unused medicine after the expiration date.
They need to know if you have any of these conditions:
circulation problems, or blood vessel disease
heart disease, heart failure or a history of heart attack
lung or breathing disease, like asthma or emphysema
slow heart rate
an unusual or allergic reaction to hydrochlorothiazide, metoprolol, sulfa drugs, or other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
Visit your doctor or health care professional for regular checks on your progress. Check your blood pressure as directed. Ask your doctor or health care professional what your blood pressure should be and when you should contact him or her.
Check with your doctor or health care professional if you get an attack of severe diarrhea, nausea and vomiting, or if you sweat a lot. The loss of too much body fluid can make it dangerous for you to take this medicine.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this drug affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.
This medicine may affect your blood sugar level. If you have diabetes, check with your doctor or health care professional before changing the dose of your diabetic medicine.
This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.
Do not treat yourself for coughs, colds, or pain while you are taking this medicine without asking your doctor or health care professional for advice. Some ingredients may increase your blood pressure.