This medicine may interact with the following medications:

-certain medicines for blood pressure, heart disease, irregular heart beat
-certain medicines for depression like monoamine oxidase (MAO) inhibitors, fluoxetine, or paroxetine
-clonidine
-dobutamine
-epinephrine
-isoproterenol
-reserpine

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

-diabetes
-heart or vessel disease like slow heart rate, worsening heart failure, heart block, sick sinus syndrome or Raynaud''s disease
-kidney disease
-liver disease
-lung or breathing disease, like asthma or emphysema
-pheochromocytoma
-thyroid disease
-an unusual or allergic reaction to metoprolol, other beta-blockers, medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Visit your doctor or health care professional for regular check ups. Contact your doctor right away if your symptoms worsen. Check your blood pressure and pulse rate regularly. Ask your health care professional what your blood pressure and pulse rate should be, and when you should contact them.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not sit or stand up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Contact your doctor if these symptoms continue. Alcohol may interfere with the effect of this medicine. Avoid alcoholic drinks.
This medicine may increase blood sugar. Ask your healthcare provider if changes in diet or medicines are needed if you have diabetes.

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