I take anxiety and ADD meds during the day and my doctor said to try taking the metoprolol at night because I was feeling fatigued later in the evenings?
Is it better to take Metoprolol in the morning or at night?
Question posted by jblt83 on 2 April 2010
Last updated on 30 June 2018
Added 3 April 2010:
I just recently started taking my 50mg dose at night like my MD recommended and then monitor my BP and HR during the day to make sure its still effective in keeping them within normal ranges.
Added 1 May 2010:The medications I take in the morning are lexapro 20mg and Vyvanse 60mg.
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10 Answers
Chyk41
20 Feb 2018
I was told that a once a days dose should be taken at night. I took it for 20 plus years at night.
GoodMojo
19 Feb 2018
I take a lot of meds, all in the morning except Prazosin and Remeron, which I take for sleep. There are two forms of metoprolol, a succinate and a tartrate. I was having trouble with the metoprolol tartrate, which seemed to work for a few hours, then my heart rate would go up the rest of the day, leaving me fatigued.
My doctor switched me to metoprolol succinate, which lasted all day long, and balanced things out.
Your ADD med might also be contributing to your symptoms later in the day, as it wears off.
Ask your doctor about this. You may do better on one or the other formulations. There may be other solutions as well, like I think there is another long acting formula too. If it’s the ADD med, they can help solve that too.
Be as well as you can!
Regards!
Mojo
Erappa72
19 Feb 2018
I hope someone is still on this thread. I have anxiety as well. Most of mine is in the morning! I wake up every morning with high anxiety and heart rate anywhere from 90 to a bit over 100. At night, my heart rate is in the mid 60s. I am currently taking 100mg of sertraline (Zoloft) and on week 4 of it. Before I went on Zoloft, my bp was fantastic but now it is up. So, to slow heart rate and to decrease anxiety, doctor gave me metroprlol succinate er. I haven’t started taking it because my heart rate is so low at night. He only prescribed me 25mg once a day but told me if I felt uncomfortable to only take half. He said it would help my anxiety as well but heard horror stories about this drug.
What are people’s experinces with it? I would take it at night since I take Zoloft in the morning but with my heart rate already being low at night, would it hurt it more? If you can’t already tell, I hate taking meds at all and i finally caved in on the Zoloft and it has helped but so worried about metro. Idk what to do! Thanks for any insight! Would love to hear from someone even a pharmacist that has taken it themselves.
Thanks a lot for any insight!
bbonilla
1 July 2018
Hi! I take Lexapro (escitalopram) 10mg in the morning with Metoprolol 25mg. I used to take the Metoprolol twice a day and noticed that since at night I feel less anxious, my BP was very low and Metoprolol was making it even lower to the point of feeling dizzy, so I decided to take it once a day in the mornings since I needed it for during the day. Now at nights my bp is not dangerously low as it used to be. Except for tonight that my bounding heart rate is through the roof so I had to take a Metoprolol a couple minutes ago even though it is midnight. :-(
Mindi Knutson
2 Dec 2017
Am I supposed to take metoprolol at bed time or in the morning.
ibel c fredy
28 July 2012
if u have severe hypertensive crisis,try using metoprolol succinate ER...
at night ,it prolongs its effect...
burhan d
27 July 2012
it is a cardio selective antihypertensive drug and it should be taken at night only bcz it causes dizzines, hypotension,decrease in working and exercise capability,cold and calmy extremities
jblt83
1 May 2010
So if I switch to taking the metoprolol which is the extended release version at night rather than with my anti-depressants and vyvanse in the morning, will it still be effective in controlling my BP and Tachycardia symptoms during the day as well. I guess the only way to know for sure is to take my vitals throughout the day to see. Any feedback anyone can provide on this?
Detours211
7 Oct 2010
jbacon - I am interested in hearing a bit about your experience. I just discovered 15 days ago that i have tachycardia and 3 days ago the doctor put me on metoprolol 25 mg. I have been taking it at lunch and notice that I feel only OK during the day but i feel really good in evening/nite. This however could also be due to my anxiety lessening at evening as opposed to day.
B/c our stories sound similar, could you tell me how your anxiety made you feel? we are trying to DIAGNOSE my anxiety. I feel, well, anxious. I realize now that I always have felt anxious. Do you think this could have caused my tachycardia? Would you mind lettin gme know what caused yours?
Very much looking forward to hearing back. PS I'm only 29 so this has really been freaking me out!
Talk soon.
jblt83
7 Oct 2010
your tachycardia could be induced by either you suffering from anxiety or physical genetics. For me the rapid heart beat was continuous rarely below 90 at any given time and I'm athletic too so normal range for me should have been 70-80 resting. With anxiety, it is normal to experience, but you have to look at the situation that induces it and how severe. For me, anxiety is mostly induced by social situations to the point where I would literally shake like I was cold and so I would avoid a lot of social interaction situations. Now I take cymbalta for anxiety, and coreg to keep my BP and HR in check. If you also take a stimulant for ADD that could drive up your HR too. I kept daily logs of my vitals throughout the day at various times when I was resting. if you do that you can get about a months worth of data from each day, show it to your doc and that will help I'm determining adjustments to treatment. Hole this info helps.
Rajive Goel
20 April 2010
I used to take 100mg SR at night, my doctor now has prescribed me to take it once in the morning too - Metoproplol 100mg SR capsules. Perhaps fatigue is one of the side effects... I haven't felt anything like that..God bless you, please let me know if I could be of any assistance?
Inactive
3 April 2010
metoprolol adds to the CNS effects of psych meds, so I agree that you should try taking it at night. Matter of fact, before bed may actually help you get to sleep better. Now, you may want to consider that some folks experience urinary incontinence with metoprolol and if you have a tendency to have to go at night more than during the day, this may be something to watch as you try it out. I take it also, as needed, for back pain and I notice that if I take it a couple of days in a row, I start getting that last minute urge/now it's too late kind of thing that goes away when I have a break in dosing. Good luck and I wish you all the best.
clm1970
3 April 2010
Hi, I agree with your medical provider, take it at night.
Related topics
high blood pressure, anxiety, generalized anxiety disorder, metoprolol, hypertension
Further information
- Metoprolol uses and safety info
- Metoprolol prescribing info & package insert (for Health Professionals)
- Side effects of Metoprolol (detailed)
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