Dosing With Metoprolol Succinate

Metoprolol Succinate Dosage for Congestive Heart Failure

The recommended starting dosage of metoprolol succinate for people with congestive heart failure is 12.5 mg to 25 mg once a day. The more severe the heart failure, the lower the starting dose tends to be. Every two weeks or so, the dose may be increased. Based on the response and/or metoprolol succinate side effects, the dosage may be increased or decreased until the optimal dose is determined, up to a maximum of 200 mg per day.

General Information About Dosing With Metoprolol Succinate

Some considerations for people taking metoprolol succinate include:
  • Your metoprolol succinate dosage should be taken by mouth.
  • Metoprolol succinate should be taken with or immediately following a meal.
  • Metoprolol succinate tablets should not be crushed or chewed (because they are extended-release tablets). However, they may be cut in half (along the score line) without causing any problems.


  • Make sure to take metoprolol succinate at the same time each day to maintain even levels of the medicine in your blood.
  • For metoprolol succinate to work properly, you have to take it as prescribed. Metoprolol succinate will not work if you take it in a way other than how your healthcare provider has prescribed it.
  • If you do not take your metoprolol succinate as scheduled, take your next dose as soon as you remember. If it is almost time for the next scheduled dose, skip the missed one and continue with normal dosing. Do not take a double dose.
  • You should not stop metoprolol succinate without first discussing it with your healthcare provider. Abruptly stopping metoprolol succinate increases the risk of serious side effects (see Precautions and Warnings With Metoprolol Succinate).
  • If you are unsure about anything related to your dosage or dosing with metoprolol succinate in general, please talk with your doctor, nurse, or pharmacist. Also, as explained above, you should not adjust your metoprolol succinate dose unless your healthcare provider specifically instructs you to do so.
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Metoprolol Succinate (Toprol-XL)

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