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This medicine is used to treat high blood pressure and to prevent chest pain. It is also used to after a heart attack and to prevent an additional heart attack from occurring. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.</p> <h2>What should I tell my health care providers before I take this medicine?</h2> <p>They need to know if you have any of these conditions:</p> 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 <h2>How should I use this medicine?</h2> <p>Take this medicine by mouth with a drink of water. Follow the directions on the prescription label. 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Do not take double or extra doses.</p> <h2>What may interact with this medicine?</h2> <p>Do not take this medicine with any of the following:</p> sotalol <p>This medicine may also interact with the following:</p> clonidine digoxin dobutamine epinephrine isoproterenol medicine to control heart rhythm like quinidine, propafenone medicine for depression like monoamine oxidase (MAO) inhibitors, fluoxetine, and paroxetine medicine for high blood pressure like calcium channel blockers reserpine <p>This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. 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