-alcohol
-certain medicines for blood pressure, heart disease, irregular heart beat
-certain medicines for cholesterol like cholestyramine and colestipol
-certain medicines for depression, anxiety, or psychotic disturbances
-certain medicines for seizures like phenobarbital
-lithium
-MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
-medicines for diabetes
-medicines that relax muscles for surgery
-narcotic medicines for pain
-norepinephrine
-NSAIDS, medicines for pain and inflammation, like ibuprofen or naproxen
-steroid medicines like prednisone or cortisone

They need to know if you have any of these conditions:

-diabetes
-heart disease
-history of irregular heartbeat
-kidney disease
-liver disease
-lung or breathing disease, like asthma
-lupus
-peripheral vascular disease
-pheochromocytoma
-thyroid disease
-an unusual or allergic reaction to metoprolol, hydrochlorothiazide, sulfonamide drugs, or other drugs, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

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.
Do not treat yourself for coughs, colds, or pain while you are using this medicine without asking your doctor or health care professional for advice. Some ingredients may increase your blood pressure.
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 dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine 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. Avoid alcoholic drinks; they can make you more dizzy.
This medicine may increase blood sugar. Ask your healthcare provider if changes in diet or medicines are needed if you have diabetes.
Talk to your health care professional about your risk of skin cancer. You may be more at risk for skin cancer if you take this 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.
Tell your doctor or health care professional right away if you have any change in your eyesight.

Keep out of the reach of children and pets.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused drug after the expiration date.