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    bucklind's Avatar
    bucklind Posts: 1, Reputation: 1
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    #1

    Jan 23, 2009, 08:56 AM
    Metoprolol succinate er vs metoprolol tartrate
    I there a difference between metoprolol succinate er and metoprolol tartrate or just plain metoprolol? The pills look entirely differently. Are they both extended release?
    Do they work differently?
    Motley008's Avatar
    Motley008 Posts: 14, Reputation: 1
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    #2

    Jan 27, 2009, 10:47 PM

    Metoprolol is the active ingredient being used to treat the condition.

    Metoprolol succinate (Toprol XR) and Metoprolol Tartrate(lopressor) are 2 different dosage forms (forms of the medication).

    M.Succinate is an extended-release medication and M.Tartrate is an immediate-release medication.

    The only other difference I would be able to think of is that M.Tartrate, being an immediate release, would most likely require the patient to take additional pills throughout the day.
    *This is due to metoprolol's short half life, which means the drug will be excreted from the body quickly since it's released immediately, and half life determines when to dose the drug once it's gone from the body. Shorter half life means taking more of the medication sooner than if it were an extended release.

    With the extended release, the drug will stay slowly release over a longer period, so the patient probably wouldn't have to take more than one or two pills per day.

    Most medications have these 2 options and then some because every patient varies with how they can take medication and it's helpful when dosing to know there are options.

    Hope this helped :-D
    w0lhk's Avatar
    w0lhk Posts: 1, Reputation: 1
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    #3

    Mar 3, 2010, 12:16 PM
    My wife has a micro valve problem and is taking Metoprolol Succinate ER 50 Mg. She originally was taking the Metoprolol Tartrate 50 Mg. The pharmacy changed the drug. Is there a difference for her valve problem
    joanwms's Avatar
    joanwms Posts: 1, Reputation: 1
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    #4

    Apr 18, 2012, 05:54 PM
    New prescripption metoprolol suc 50 mg xr ta. My previous pills had 50 on the pill and it was a white round pill. This new prescription has 831 on the pill and it's thicker but it's white and round too. Is this the same med?
    veritas19's Avatar
    veritas19 Posts: 1, Reputation: 1
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    #5

    Apr 28, 2012, 04:10 PM
    These are different medications succinate is used for CHF tartrate is not. This is a first-line therapy in the treatment of obstructive and nonobstructive hypertrophic cardiomyopathy (HCM). Rarely, patients may require up to 200 mg orally twice daily to achieve the desired effect. The dose is titrated to a heart rate of between 50 and 60 bpm.
    silverton's Avatar
    silverton Posts: 1, Reputation: 1
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    #6

    Jul 22, 2012, 07:38 AM
    I take metoprolol tartrate 50 mg three times a day for A. fib. I have been taking this drug for about 2 weeks since I came out of the hospital. I check WebMd for
    For side effects and I have them. Headache, occ. Hertburn, muscle aches, nausea. I also have been having panic attacks because, I think, I don't want to have to go through what I went through that put me in the hospital. My echo was normal and so was my persatin stree test. Right now I'm on an event monitor for ten days. I don't have an appt. with my cardiologist until 8/10. Now what?

    I'm not sure where I go from here
    lymart's Avatar
    lymart Posts: 1, Reputation: 1
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    #7

    Jul 24, 2012, 02:01 PM
    You state the "pharmacy" changed her Rx. No, only the prescibers office can do that. Metoprolol comes in 2 diff dosage forms and it is VERY important to maintain the same dosage form (immedicate release vs. extended release).
    If this was a refill, then this is considered a "misfill".
    Lyn, RPh
    New Mexico
    phibby's Avatar
    phibby Posts: 1, Reputation: 1
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    #8

    Aug 4, 2012, 07:01 AM
    The shape of my metoprolol changed too. The pharmacy assured me it was the same thing.
    bcordell's Avatar
    bcordell Posts: 1, Reputation: 1
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    #9

    Nov 28, 2012, 04:39 AM
    I have been on the Metoprolol Tartrate 50mg, 1/2 twice a day since Jan 2006.
    My blood pressure stayed right around 150-158 over 90. None of my doctors
    Were ever concerned. I'm in constant pain and on narcotics and they attribute
    It to that. Last month I needed new scripts, my primary doctor was in a hurry,
    He ask me if I took the Metoprolol T or the S. I told him I don't know isn't it in my
    Chart? He said I think it's the S. I just started my second month on the Met ER Succinate, 25mg twice a day. I don't break these. Well I have had my blood pressure checked at least 4 times since this happened, it is staying exactly
    120 over 70. It just hit me yesterday that the diff meds are working. I can't wait to tell my primary doctor when I see him. I went through some saved papers from the pharm. And just found out about the mistake. But that mistake turned out to be a good one. Thank you for this info. It really helped me.
    Barbara
    dcooper1's Avatar
    dcooper1 Posts: 1, Reputation: 1
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    #10

    Jul 24, 2013, 01:53 AM
    Was on Captopril 50mg, 2x a day for HB for 9 years and very happy. Then white oval ones from old manufacturer not available at any local pharmacies. Pharmacy filled with white round (same MG) but new manufacturer. I developed a severe skin reaction that required me to stop Rx get steroid shot and two Rx's for ten days, to control toxic reaction. After allergic reaction was controlled, doctor prescribed 'metoprolol tartrate' 25MG - 2x a day. First couple of days loved effects, low BP and felt so calm. By 4-5th day exhausted/weak from just grocery shopping. Then I became tired and experienced a loss of focus, not good when you work from home. Increase in activity caused increased sweat. I Cut the 'Day Pill' in half about ten days ago. Result is my energy and focuses back and reduced sweat. Two days ago I started cutting the night pill in half because I noticed some swelling, heaviness in the legs and muscle pain in legs and arms. My hope is for the half pill at night to reduce the muscle pain and swelling. I go back to the doctor in a week and I'm sure I get a lecture but the side effects were too excessive. I'm a high energy person and the 2 -25MG pills a day caused me to felt like I was a hundred years old instead of in my 60's.
    Karenjme's Avatar
    Karenjme Posts: 2, Reputation: 1
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    #11

    Aug 13, 2013, 12:11 PM
    I was taking "succinate" 50 mg tabs. The only reason I switched to "tartrate" 25 mg (twice a day) is EXPENSE. I was paying nearly $70 for 3 months of the ER version. I now pay $12 for 3 months of the Tartrate version.

    I am lucky in that he said I could do just one a day... only need the 2 if problems return (for me it does work immediately).

    But I am going to be VERY mindful of some of the symptoms mentioned in some of the posts in this thread. I have ALWAYS had leg swelling... and some muscle pain (which could have been due to OTHER meds.

    Good thing is that I am OFF cholesterol med (I think that was the problem) and I am off a BP med.
    turner cook's Avatar
    turner cook Posts: 1, Reputation: 1
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    #12

    Oct 30, 2013, 01:19 PM
    Why do different medicare advantage suplamental plans catorgorize metaprolol succ. in different tiers and charge different co-pays, example anthem bc&bs put it in tier 2, with a co-pay of $12.00 for 30 days, and united healthcare puts it in tier 3 with a co-pay of $45.00 for 30 days?
    awm's Avatar
    awm Posts: 1, Reputation: 1
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    #13

    Nov 13, 2013, 11:04 AM
    It may be s different manufacturer so the shape and/or color may be different.. ask the pharmacy to verify.

    Quote Originally Posted by turner cook View Post
    Why do different medicare advantage suplamental plans catorgorize metaprolol succ. in different tiers and charge different co-pays, example anthem bc&bs put it in tier 2, with a co-pay of $12.00 for 30 days, and united healthcare puts it in tier 3 with a co-pay of $45.00 for 30 days?
    Since they are different insurance plans, they can categorize drugs they way they deem appropriate and according to their formulary and the price they pay for contract drugs.
    Cloeva's Avatar
    Cloeva Posts: 1, Reputation: 1
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    #14

    Nov 18, 2013, 05:36 PM
    Yes, it did help. It was explained so that I could understand.

    Thank you very much.

    I am taking propranolol er 60 mg. Would metoprolol succinate er work the same for me?
    hackitoff's Avatar
    hackitoff Posts: 3, Reputation: 1
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    #15

    Nov 23, 2013, 11:28 PM
    Metoprolol is the generic name for the drug. Your pharmacy may have switched suppliers. When this happens, many pharmacies will put a note somewhere on the label or information sheet that this is the same drug you've been taking though the color and/or shape may have changed. The manufacturer may be listed on the label. Sometimes you can check its website to see if you got the same drug you were taking

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