I take this for blood pressure and have had no problems but understand that the tartrate is cheaper.
When changing from metoprolol succinate, 25 mg daily, to metoprolol tartrate, what dose is correct?
Question posted by Suanna on 18 June 2015
Last updated on 11 October 2023 by Cadman99
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6 Answers
Cadman99
11 Oct 2023
Have used both... had gastric problems ( felt like an ulcer) with succinate... switched to tartrate and was much better..
Capt0404
2 June 2023
It is my understanding whatever your daily dose on succinate ER, you’ll stick with the same dose just halved so half can be taken in the morning and the other half 12 hours later. I was extremely tired all the time on the succinate ER and noticed had low blood pressure so my doctor switched me to tartrate which I thought might have been in error so called my pharmacist about whether I should really be on succinate ER and oddly enough they commented “oh no, you don’t want to do that your blood pressure would be too low.” I’m feeling much more energetic on the tartrate and watching my blood pressure and it is usually near ideal or still a little low but thank goodness for more energy and I actually felt good adrenaline for the first time in a LONG time!
cdow1
3 Oct 2017
add up the total tartrate dose to get the once daily succinate dose
honda1
22 July 2015
I have taken both. The succinate cost more than the tartrate. So I went back on tartrate . Couldnt tell any difference in the two. The succinate is slow released. The tartrate, I cut the pill in two and take 1/2 in the morning and the other half in late afternoon. Hope this helps.
LGalvin
13 Aug 2018
I'm rather new to the Succinate, I'm noticing I'm dizzy and off-balance throughout my workday, I used to be on the Tartrate, same milligram of 50 Mg in the am, and 50 mg at night, can anyone comment on whether their side effects were worse on the Succinate vs the Tartrate? I like the way the Succinate works, long acting and all, but I had no side effects on the Tartrate. -I'm on for high BP. I also take lisinopril in the AM with the metoprolol, and that's fine.
Please advise, Thanks, Lisa
jcolson
18 June 2015
Unless your doctor prescribed a different dose level you will be stuck with what you got, as far as the tartrate or succinate they are both of the same drug it is just in how they preform, so if you are at 25 mg succinate the same dosage level would be prescribed as 25 mg tartrate. You should talk to your doctor that wrote the prescription or to the pharmacists where you get the prescription filled they might be able to find a different manufacturing company that is cheaper than the one your getting.
jcolson
18 June 2015
Forgot to metion that with the tartrate you would most likely have to take the 25 mg tablet and split it in half then take half in the morning and the other half in the evening (about 12 hours apart)so as to even out the dose.
WebFly55
13 Sep 2015
This answer is a little unclear with regards to the dose amount. Bottom line is that the number of milligrams that has been prescribed to you by your doctor is the DAILY dose amount that you are supposed to take. So if your doctor gave you a prescription for 25mg of metoprolol succinate ( which is a "once a day" med ), then if you switch to metoprolol tartrate, you will end up taking 12.5mg of the tartrate each of the two times per day .. so you end up with the same total of 25mg per day.
Four years ago, I was prescribed to take a 25mg tablet of metoprolol tartrate TWICE a day, which gave me a total of 50mg per day. Since you're supposed to take metoprolol with food ( to slow down the absorption rate ), it was just too much hassle because I don't normally eat food 12 hours after any other meal in a day. I finally remembered to "complain" to my doctor about having to take the tartrate with food twice a day, so he switched my prescription to a once-a-day 50mg dose of the succinate ( which still should be taken with food, but at least I can now simply schedule it with one of my regular meals ).
Anyway, as you can see, THE TOTAL MILLIGRAMS PER DAY STAYED THE SAME. So, either one times the FULL daily dose using succinate .. or two times HALF the daily dose using tartrate.
kaismama
18 June 2015
Taking the tartrate can become a pain in the butt because you have to take it more often. Its not extended release like the succinate. You also don't get as good control with it because the blood level varies. You need to talk to your dr about changing like that.
LGalvin
13 Aug 2018
I'd rather take the tartrate twice a day, than the succinate once per day, if it means less side effects and not feeling tired and off-balance as I do on succinate.
Related topics
atrial fibrillation, metoprolol, dosage, blood pressure, metoprolol succinate er, blood, pressure
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