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Levitra24hrs
Generic Toprol (Metoprolol)
Toprol is a beta-blocker used to treat high blood pressure, heart pain, abnormal rhythms of the heart.
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25mg
30pills
Toprol $32.00
$26.99
$0.90 per pill
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25mg
60pills
Toprol $52.00
$42.99
$0.72 per pill
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save: $10.80
25mg
90pills
Toprol $70.00
$57.99
$0.64 per pill
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25mg
120pills
Toprol $84.00
$69.99
$0.58 per pill
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save: $38.40
25mg
180pills
Toprol $113.00
$93.99
$0.52 per pill
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save: $68.40
25mg
360pills
Toprol $204.00
$169.99
$0.47 per pill
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50mg
30pills
Toprol $46.00
$37.99
$1.27 per pill
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50mg
60pills
Toprol $73.00
$60.99
$1.02 per pill
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50mg
90pills
Toprol $98.00
$81.99
$0.91 per pill
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50mg
120pills
Toprol $119.00
$98.99
$0.82 per pill
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save: $54.00
50mg
180pills
Toprol $160.00
$132.99
$0.74 per pill
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50mg
360pills
Toprol $288.00
$239.99
$0.67 per pill
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100mg
30pills
Toprol $58.00
$47.99
$1.60 per pill
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100mg
60pills
Toprol $92.00
$76.99
$1.28 per pill
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save: $19.20
100mg
90pills
Toprol $125.00
$103.99
$1.16 per pill
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save: $39.60
100mg
120pills
Toprol $149.00
$123.99
$1.03 per pill
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100mg
180pills
Toprol $202.00
$167.99
$0.93 per pill
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save: $120.60
100mg
360pills
Toprol $362.00
$301.99
$0.84 per pill
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save: $273.60
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Common use

Toprol acts mostly blocking beta-adrenoreceptors of the heart and is used to treat hypertension, chest pain (angina), abnormal rhythms of the heart, to treat and prevent myocardial infarction. This medication influences autonomic nervous system which stipulates increased heart rate by blocking its receptors and thus reducing abnormally rapid heart rhythms. It also diminishes myocard irritability, cardiac output and causes other effects.



Dosage and direction

This medication should be taken with food or just after a meal. Do not chew, squash or break a tablet, drink a glass of water with it. Dosage depends on the treated disease and may vary between 100-450 mg daily. Your individual dosage should be prescribed by your physician. Aged patients are recommended to start from 50 mg daily dose. Kidney failure does not require a dosage correction while liver failure requires usage of other beta-adrenoblockers which are not destructed in liver.



Precautions

Avoid drinking alcohol as its interaction with Toprol increases drowsiness and dizziness.



Contraindications

Hypersensitivity to the components of the medication, acute or chronic heart failure, arterial hypotention, congestive heart failure, asthma or other breathing problems, diabetes, disorders of peripheral blood circulation, pregnancy, breast-feeding, depression, liver or kidney disease, a thyroid disorder, or myasthenia gravis.



Possible side effect

At the background of common tolerance to the medication among side effects are noticed abdominal cramps, fatigue, insomnia, nausea, depression, memory loss, fever, impotence, lightheadedness, slow heart rate, low blood pressure, cold extremities, sore throat, diarrhea, constipation, and shortness of breath or wheezing.



Drug interaction

Attention should be paid to intake of calcium channel blockers and digoxin (Lanoxin) which are known by dangerous lowering of blood pressure and heart rate being administered together with Toprol.

Toprol also is able to mask the early symptoms of low blood sugar and should be used with caution in patients suffering from diabetes.



Missed dose

Take the forgotten dose when you remember. If your next dose is less than 4 hours away, skip it and return to your schedule. Do not try to compensate a missed dose by taking an extra one.



Overdose

In case such symptoms of Toprol are noticed: uneven heartbeats, shortness of breath, dizziness, weakness or fainting, bluish-colored fingernails, seek for immediate medical help.



Storage

Store between 15-30 C (59-86 F). Protect this drug from moisture and dispensed in tight, keep in a light-resistant container.



Disclaimer

We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

How does Vardenafil work and what pharmaceutical group does it belong to?

Erection of the penis is a haemodynamic process that is based on the relaxation of the cavernous body's smooth muscles and its arterioles. During sexual stimulation nitrogen oxide is released from the cavernous body's nerve ends and activates the enzyme cGMP. This results in relaxation of the smooth muscles in the cavernous body and increases blood flow to the penis. Vardenafil works by blocking PDE type 5(phosphodiesterase type 5) that is responsible for the inactivation of cGMP. This in its turn increases the amount of cGMP and improves erection.

Which conditions are treated with Vardenafil ?

Vardenafil is indicated for the treatment of erectile dysfunction manifested in inability to achieve and maintain erection, enough for the sexual intercourse.

What should a patient know prior to taking the medication?

  • Vardenafil should not be taken in known hypersensitivity or allergy to any of the medication ingredients.
  • Vardenafil is not intended to treat children and adolescents under 18 years of age.
  • Vardenafil should be used with caution in prolonged QT interval, anatomical deformation of the penis, priapism, blood diseases, severe liver and kidney diseases, arterial hypotension, recent heart attacks and strokes, tendency to bleedings, aggravation of stomach ulcers, aortal stenosis, idiopathic hypertrophic
  • Vardenafil is indicated only for men and should not be used by women.

Which adverse effects may manifest when using the medication?

The side effects of Vardenafil include: headache, hot flushing, dyspepsia, upset stomach, rhinitis, flu-like symptoms, increased levels of creatine kinase in the blood, nausea, dizziness, back pain.

In rare cases Vardenafil may cause arthritis, diarrhea, insomnia, muscle pain, blurred vision and others.

It is not necessary that the side effects will manifest in an individual but the possibility still exist. For more information please consult your health care provider.

Which groups of drugs or specific preparations may interact with Vardenafil?

The drug is affected by the following:

  • Alpha blockers
  • Heart arrhythmia medicines
  • Certain antibiotics
  • Grapefruit juice
  • Nitrates
  • Protease inhibitors

Tell your doctor about all the herbal preparations as well as prescription drugs that you are currently taking even if they are not on the list.

Important information for the patient:

Vardenafil is supplied for individual use. Do not use it to treat other conditions not listed in the leaflet. Keep the product out of children reach. Do not reuse any disposable materials if supplied with the preparation.