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Generic metoprolol tablets are available, but not extended-release tablets.<br /> <h3><u>What should I tell my health care provider before I take this medicine?</u></h3><br /> <p><h4> They need to know if you have any of these conditions:</h4></p> • angina (chest pain)<br /> • asthma, bronchitis or bronchospasm<br /> • circulation problems, or blood vessel disease (such as Raynaud's disease)<br /> • depression<br /> • diabetes<br /> • emphysema, or other lung disease<br /> • history of heart attack or heart disease<br /> • liver disease<br /> • muscle weakness or disease<br /> • pheochromocytoma<br /> • psoriasis<br /> • thyroid disease<br /> • an unusual or allergic reaction to metoprolol, other beta-blockers, medicines, foods, dyes, or preservatives<br /> • pregnant or trying to get pregnant<br /> • breast-feeding<br /> <h3><u>How should I take this medicine?</u></h3><br /> Take metoprolol tablets by mouth. Follow the directions on the prescription label. 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There should be at least 4 hours between doses (or 8 hours if taking extended-release products).<br /> <h3><u>What drug(s) may interact with metoprolol?</u></h3><br /> • antiinflammatory drugs (NSAIDs, such as ibuprofen)<br /> • cimetidine<br /> • cocaine<br /> • fluoxetine<br /> • hawthorn<br /> • medicines for colds and breathing difficulties<br /> • medicines for diabetes<br /> • medicines for high blood pressure<br /> • medicines to control heart rhythm<br /> • medicines for malaria<br /> • monoamine oxidase inhibitors (Azilect®, Eldepryl®, Emsam®, Marplan®, Nardil®, Parnate®, Zelapar™)<br /> • rifampin<br /> • water pills<br /> <br /> Tell your prescriber or health care professional about all other medicines you are taking, including nonprescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. 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