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Chest painpounding heartbeats or fluttering in your chestlightheadednessfaintingshortness of breath even with mild exertionswelling of your hands or feetupper stomach painitchingloss of appetitedark urineclay-colored stoolsjaundiceyellowing of the skin or eyeseasy bruisingunusual bleedingnosemouthvaginaor rectumpurple or red pinpoint spots under your skinwheezingtrouble breathingconfusionmemory problemshallucinationsor cold feeling in your hands and feet.

If someone has overdosed and has serious symptoms such as passing out or trouble breathingcall 911Otherwisecall a poison control center right awayUS residents can call their local poison control center at 1-800-222-1222Canada residents can call a provincial poison control centerSymptoms of overdose may includevery slow heartbeatsevere dizzinesssevere weaknessfaintingtrouble breathing.

To prevent chest paina second heart attackor migraine headachesit is very important to take this medication regularly as prescribedThis drug should not be used to treat chest pain or migraines when they occurUse other medications to relieve sudden attacks as directed by your doctorfor examplenitroglycerin tablets placed under the tongue for chest paintriptandrugs such as sumatriptan for migrainesConsult your doctor or pharmacist for details.

Metoprolol is excreted in breast milk in very small quantitiesAn infant consuming 1 liter of breast milk daily would receive a dose of less than 1 mg of the drugConsider possible infant exposure when TOPROL-XL is administered to a nursing woman.

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