We Ship Monday through Friday Only - Orders Placed after 2 PM EST might not be shipped until the following business day. Orders placed on weekends or holidays will not be shipped until the next business day. Please allow 2-3 days additional for vet approval for orders that include prescription items, or items out of stock. While generally safe and effective when prescribed by a veterinarian, metoprolol can cause side effects in some animals. Metoprolol should not be used in animals with known hypersensitivity or allergy to the drug. Metoprolol may cause some animals to become weak due to a slow heart rate or low blood pressure. Metoprolol should be used with caution in animals with congestive heart failure. Consult with your veterinarian to determine if other drugs your pet is receiving could interact with metoprolol. Such drugs include furosemide, insulin and calcium channel blockers. buy proventil (albuterol) Toprol XL (metoprolol) is a beta blocker that affects the heart and the blood flow through arteries and veins. Toprol XL is used to treat angina (chest pain and hypertension (high blood pressure). This medication works by decreasing the heart rate and both systolic and diastolic blood pressure, as well as the workload of the heart. This means that the heart requires less blood and oxygen to work properly. Toprol XL also increases the efficiency of the heart, allowing more blood to be pumped out to the rest of the body. We currently have the brand (also known as Beloc Zok) from Turkey manufactured by Astra Zeneca and the brand for New Zealand. The generic comes from Canada and India (also known as Metolar XR). Toprol XL is available in tablet form and strengths of: 25 mg, 50 mg, 100 mg, and 200 mg. 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While this drug may be prescribed for children as young as 6 years for selected conditions, precautions do apply. This medicine may interact with the following medications: -certain medicines for blood pressure, heart disease, irregular heart beat -certain medicines for depression, like monoamine oxidase (MAO) inhibitors, fluoxetine, or paroxetine -clonidine -dobutamine -epinephrine -isoproterenol -reserpine This list may not describe all possible interactions. It is also used to after a heart attack and to prevent an additional heart attack from occurring. Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. Take this medicine with or immediately after meals. Also tell them if you smoke, drink alcohol, or use illegal drugs. Visit your doctor or health care professional for regular check ups. They need to know if you have any of these conditions: -diabetes -heart or vessel disease like slow heart rate, worsening heart failure, heart block, sick sinus syndrome or Raynaud's disease -kidney disease -liver disease -lung or breathing disease, like asthma or emphysema -pheochromocytoma -thyroid disease -an unusual or allergic reaction to metoprolol, other beta-blockers, medicines, foods, dyes, or preservatives -pregnant or trying to get pregnant -breast-feeding Take this medicine by mouth with a glass of water. Contact your doctor right away if your symptoms worsen. 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