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Toprol-XL User Reviews & Ratings

Toprol-XL has an average rating of 6.4 out of 10 from a total of 40 reviews on Drugs.com. 54% of reviewers reported a positive experience, while 21% reported a negative experience.

Reviews for Toprol-XL

  • VinnieB
  • Taken for 1 to 6 months
  • April 15, 2021

For High Blood Pressure "Was on Toprol XR for only 6 weeks and had to get off of it quickly. HORRIBLE anxiety/panic attacks, constant arrhythmia, tachycardia, passing out, hypoglycemia, hallucinations, nightmares, Raynaud's syndrome, etc. This drug almost finished me off. I had 13 severe panic attacks since starting it; and if I wasn't as healthy a person as I am, I am certain it would have given me a heart attack. I am now exactly 8 weeks off of it. Most of the horrible symptoms have stopped, except the arrhythmia that comes and goes. In my opinion, Toprol is a serious endocrine disrupter and should be pulled from the market. It is a very dangerous drug. Can't believe how sick I became after starting it. Screw all pills. I can control my BP with diet. I truly regret ever putting one of these poisonous pills in my mouth."

1 / 10
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  • Debbi...
  • Taken for 1 to 2 years
  • June 5, 2021

For High Blood Pressure "I was on Toprol Xl and experienced many of the 41 side effects listed from the website but not included with warning label. I experienced nausea, diarrhea, heartburn, dry mouth, drowsiness, fatigue, insomnia, anxiety, lightheadedness, cold feet & hands, shortness of breath, wheezing, fluttering heartbeat, shortness of breath w mild exertion, dizziness, loss of appetite. I went to the doctor & ER several times fearing a heart attack but was found to be in good health. No one knew what was wrong until I researched & found all my symptoms under this medication. I stopped 2 days ago & blood pressure is now normal and most symptoms have gone away and improving. It takes about 7 days to feel normal per the website. I will NEVER take this medication again. Be careful, the side effects mimic other potential health issues. See your Doctor and seriously look up side effects of Toprol XL. A very nasty medication!"

1 / 10
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153 Report
  • DianeV
  • Taken for 10 years or more
  • February 11, 2016

For Supraventricular Tachycardia "I am a 70 yr old RN. I started having episodes of near-fainting around 16 yr.old (actually fainted twice). I would go to the nurse & ask to lay down-which helped, but she thought I was faking. Next episode, 25 yr old - saw cardiologist, negative EKG, no treatment. Next 2 episodes, 30 yr old, more severe, ER - negative tests. Next 5 episodes, 40-50 yr old increasing severity, ER. During the last ER visit, I heard about a new type of Doc, an electrocardiophysiologist. I wore a monitor for 6 weeks before it finally "caught" the SVT. I started on Toprol 50 mg per day. But then, I had an episode of severe low BP (80/40) - back to the ER. My new Doc said to split dose, take 25 mg AM & PM. No episodes past 20 years. I'm a happy camper !"

10 / 10
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179 Report

Frequently asked questions

  • Travis...
  • December 2, 2016

For High Blood Pressure "Wow!!!!! I have not been feeling well for a long time. Until Toprol lx 25mg. My head is clear. I can think straight. I dont have any anxiety. My work performance is at it greatest level. Even my sexual drive is back. I get up rested in the morning and fell no fatigue. I dont know about anyone else but I'm glad to take this medication."

10 / 10
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132 Report
  • bob...
  • July 29, 2007

For High Blood Pressure "I was perscribed Toprol XL 25mg, 1x/day, as part of a long term treatment for elevated (but not high) blood pressure. I found a distinct and bothersome reduction in my energy levels and focus. I have been taking 25mg daily of DHEA and find that blood pressure levels and pulse rate levels remain lowered, but energy, focus and some vague emotional benefits are noticeable. "

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Are you taking this medicine?

  • JJ Se...
  • Taken for 5 to 10 years
  • July 24, 2013

For High Blood Pressure "I have been taking Toprol-XL for about 8 years now. I started at 10mg and then 50mg and now at 100mg. It has brought my Blood Pressure under control - was 150 /80 - now at 130 /70 . Also brought down my Heart Rate, which was 88 resting to 60 resting. I am a light smoker who has asthma/mild COPD, metoprolol has shown no effect on these conditions as my PF and FEv1 has not changed . PROS: Reduced Blood Pressure to normal Reduced anxiety levels. CONS: Tired (mild), weight gain (mild) Erectile dysfunction (mild), Heart skipping a beat (occasional only and mild)."

9 / 10
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141 Report
  • kaelem
  • January 20, 2014

For High Blood Pressure "Took this for migraines and seemed to work great for months. I had about a three month stretch when I noticed I had a constant low grade fever, achey and flu like symptoms. After much research determined it was due to the beta blocker. Went off them and felt my old self again."

5 / 10
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115 Report

More FAQ

  • tina...
  • May 14, 2016

For Supraventricular Tachycardia "this medication almost took my life. during the 6 years I was on it my cardiologist kept raising the dose. I had difficulty standing on my feet, developed severe headaches, slurred speech and dark veiled vision. over time my fingers turned dark purple like grape juice. I reached the point where I could not sit up one morning without help. my daughter discovered my back was dark purple as well. the emergency room doctor took me off immediately stating a severe reaction."

1 / 10
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92 Report
  • Deano
  • Taken for 1 to 6 months
  • October 7, 2017

For High Blood Pressure "I had a transient ischemic attack (TIA) in March 17. I'm a 53 yo male. Always had higher heart rate and family history of high blood pressure. I could actually feel the TIA coming on over a few weeks, but I'm a tough guy. Several drugs tried and failed. Lisinipril damn near killed me with blood pressure of 175/133. Read a lot and switched to Toprol XL, no generic!!!! I take 50mg at night slow release. Feel great and few side effects. Pressures are good and heart rate is down. Sex still works and anxiety is cut in half. Good stuff. Takes a 1-2 week adjustment period. Relax and let it work."

10 / 10
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71 Report
  • ripar...
  • January 13, 2017

For Supraventricular Tachycardia "I started toprol back in spring of 2004. I was switched from generic metoprolol, I was on that for borderline hbp. After 4 years on that I developed racing and very irregular heart beats the toprolxl did nothing. they got even worse. My doc took me off saying it was side effects of both drugs. I immediately improved. I still have them but not as bad. No cardiologist has told me what was wrong. I have a really bad back. In 2011 I got an epidural at T4-5 and that completely cured my rapid and irregular heartbeat for 3 years. There are 8 nerves besides the vagas nerve that go to the heart, they are part of the autonomic nervous system. They all come off the spine at C4-5 to T4-5 I have severe stenosis at all those levels."

1 / 10
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  • rough...
  • Taken for 10 years or more
  • September 25, 2012

For High Blood Pressure "I have been taking TOPROL XL 100MG for at least 9 yrs, during that time I tried the METOPROLOL and it did not control my blood pressure, the Toprol XL has worked great without side effects, however I have reduced my salt intake even to the extent of using red pepper on my eggs in the morning. I took it on myself to reduce my dosage of TOPROL XL cutting it in half because my pressure was checking much lower and I did so for about two week prior to a Doctors appointment keeping a record of checks three to four times a day and gave it to my Dr. and he ran a EKG, then reduced my dosage in half and I'm checking out fine at around 120/70/67 so suggest check your salt intake."

10 / 10
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103 Report
  • Anonymous
  • July 23, 2010

For Supraventricular Tachycardia "I love this medicine! It has quite literally saved my life, and has made my life much more livable. Whenever I would do anything physical, my heart would beat so fast that I would frequently faint. I went to my cardiologist, and she gave me a holter monitor. She saw what I was talking about and gave me 50mg of Toprol-XL everyday. That was over 3 years ago, still on the same dosage, and it is wonderful. For the first few months, I was a little over tired, but that side effect quickly went away."

10 / 10
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  • the...
  • July 10, 2011

For Atrial Fibrillation "I suffer from Atrial fibrillation and have an implanted pacer. I am experiencing heavy sweating even in cool weather. I do not sleep, and find myself being more forgetful (don't know if the latter is from the medicines or not). I also feel unwell and tired mostly all the time and have to fight through it every day. I take 150mg daily."

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  • Anonymous
  • March 11, 2008

For High Blood Pressure "I started taking Toprol XL 100mg one week ago. My Blood Pressure and pulse are much better. 125/75 and 75 pulse compared to 160/100 and 100 pulse. The only problem I am noticing is my sleep. I am not sleeping sound. I toss and turn all night. Something I guess I will get use to. Other than that it is keeping me calmer, my heart is not racing nor is my head pounding. I have had HBP for 12 years and tried many kinds of medications. I am hoping the new cardiologist is on the right track!"

9 / 10
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122 Report
  • Scarlet
  • Taken for 1 to 6 months
  • April 7, 2022

For High Blood Pressure "This is an update to a post I made in October 2021.. I discontinued Toprol due to nasty side effects after only 2 months use (severe anxiety, panic attacks, severe depression, insomnia, swelling of extremities, bloat/gassy, blurred vision, icy hands/feet, arrhythmia, shortness of breath, chest vibrations) Its been 1 year and 3 months since discontinuation. I am STILL experiencing off and on arrhythmia. I've had thorough exam and testing with 30 day monitoring from 2 different cardiologists. My heart is very healthy, no blockages, no disease. Neither cardiologist can find any reason for the persistent arrhythmia, nor will they believe me when I tell them I think the Toprol caused this long term persistent arrhythmia. I've also had extensive endocrinology testing and nothing is coming up as a reason for this arrhythmia. NOTE: I've never in my entire life had any heart arrhythmia or palps UNTIL I took Toprol, and now its a regular occurrence. This cannot be a coincidence."

1 / 10
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  • bbje
  • April 20, 2009

For Atrial Fibrillation "I have atrial fibrillation - beats to 180 very irregular beat, converted in 45 minutes in ER. Started me on Toprol 25 once a day. Heart rate now around 60-70, blood PSI 120/70 side effects so far include problems sleeping, restlessness also drowsy on and off. Only been taking this drug for a week now, perhaps the side effects will reduce in time."

7 / 10
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115 Report
  • Anonymous
  • March 27, 2008

For High Blood Pressure "I have been taking Toprol XL for 10 years. I began with 50 mg per day, and am now at 200 mg per day. Unlike another report posted here, I am sleeping better while taking the medication. The only two side effects I've experienced are shakiness and nervousness when I miss a dose by even a few hours and vague aural hallucinations (hearing things) while on the verge of falling asleep. I've seen the hallucinations reported by other toprol users on other sites."

10 / 10
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103 Report
  • bigca...
  • Taken for 1 to 6 months
  • March 2, 2016

For High Blood Pressure "Lowered blood pressure to acceptable level but a major side effect developed with extreme fatigue and muscle pain. These were painful enough that ability to work and perform normal life tasks were difficult."

5 / 10
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62 Report
  • Chris...
  • September 16, 2017

For High Blood Pressure "I have tried the generic version (extended release) after using brand name Toprol XL. The generic did not work well for me. After a few days it felt like I hadn't taken the medicine. Toprol XL works great, and when i swapped back to the original I felt great again. There must be some difference in the release between the two. This med brings the BP into 120's over low to mid 70's range where I was reg 140's/90's. It also helps bpm from mid 90's down to upper 70's."

10 / 10
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  • Anonymous
  • January 2, 2010

For High Blood Pressure "I have not liked this medication at all. I was taking 25 mg of Hydrochlorothiazide, which worked great to reduce and maintain my blood pressure, but a side effect was frequent urination, and as a teacher, that was a slight nuisance. However, with generic Toprol, I have not gotten a decent night's sleep, and my blood pressure went higher (although I halved the 25 mg pill due to the side effects). I also feel anxious and unsettled. "

2 / 10
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80 Report
  • pat
  • Taken for 5 to 10 years
  • November 14, 2019

"I was given an presription for Toprol Xl by my doctor a years ago for an arrhythmia and some elevated blood pressure. About 6 months later my insurance said I should take metoprolol instead of Toprol-XL because of the cost - what a horrible experience - the problem was I didn't know it was the metoprolol that was basically making me worse. My pulse dropped below 50 - my ankles and legs swelled up - I was short of breath - still had an arrhythmia - finally about about 6 months I asked my pharmacist which of my medicines was causing my heart rate to be so low - he pointed to the metoprolol - needless to say I went back on the Toprol Xl brand only and I am good - I get angry when I think how I suffered for over 6 months while taking that garbage generic....."

8 / 10
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33 Report
  • Rik...
  • April 5, 2009

For High Blood Pressure "I have been taking Metoprolol 25mg once a day for 13 days. It has lowered my heart rate by about 30 beats a minute but I am always tired, get chest pain, headache and numbness. Little to no benefit in lowering my blood pressure (140/95's)."

6 / 10
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80 Report
  • Anonymous
  • October 23, 2011

For High Blood Pressure "I started taking this medicine in 2006. It works to take the pressure off my heart but it has caused me arthritis in my knees, hands and feet. Now I am in pain most of the time. My hands have developed arthritis in both thumbs, my feet have it in my toes. I tried another Astra Zeneca product called Atacand and it works better but is so expensive I can't afford to buy it."

5 / 10
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  • trish
  • July 31, 2009

For Supraventricular Tachycardia "I was diagnosed 6 years ago with Supraventricular tachycardia. I am a 49 year old female. Since that time I have been taking a 50 mg tablet of Toprol every other day. I have had no other attacks since then and I used to get them about 5x a year. Once in a while I can feel one coming on - my heart starts beating very fast - but apparently the Toprol is doing it's job because I have not had any attacks. I am so thankful for this medication as I suffered for many years thinking I was going to die, my heart would be so hard and fast. One time I could actually see my chest moving and it went on for about 20 minutes."

10 / 10
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  • Anonymous
  • June 14, 2010

For Supraventricular Tachycardia "I am 14 years old. I once had a moderate heart attack, and afterwards, my heart was constantly hammering away. Just sitting sown my pulse was 180 bpm. This led to enlarged heart and high blood pressure. I've been on this medicine for 3 years now, and it has probably saved my life from another heart attack. I recommend it to anyone with my problem."

10 / 10
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72 Report

Reviews may be edited to correct grammar/spelling or to remove inappropriate language and content. Reviews that appear to be created by parties with a vested interest are not published. This information is not intended to endorse any particular medication. While these reviews may be helpful, they are not a substitute for the expertise, knowledge, and judgement of healthcare professionals.