Do not stop metoprolol suddenly without your prescriber’s guidance
Contact your doctor or pharmacist before making any change
Ask for a tapering plan if stopping is appropriate
Follow the exact dose-reduction schedule you are given
Monitor for chest pain, fast heartbeat, shortness of breath, dizziness, or severe headache
Seek urgent medical care if you develop severe symptoms after reducing or stopping
Do not restart, skip, or change doses on your own without medical advice
If you miss a dose, follow the instructions on your prescription label or ask a pharmacist
If you are stopping because of side effects, tell your prescriber right away
If you have heart disease, high blood pressure, or a history of arrhythmia, get medical advice before stopping