
Metoprolol is a prescription drug used to treat conditions such as high blood pressure, angina, and heart failure. It is a beta-blocker that works by slowing the heart rate and decreasing blood pressure. While metoprolol can be effective in managing these conditions, it may also cause a range of side effects, including joint and muscle pain. Although joint pain was not reported in studies of metoprolol succinate ER tablets, there have been reports of joint pain and musculoskeletal pain in people using metoprolol tartrate IR tablets. The occurrence of these side effects is unclear, and patients experiencing them should consult their doctor to determine the possible cause and explore alternative treatments.
| Characteristics | Values |
|---|---|
| Joint pain | Very rarely reported in studies of metoprolol tartrate IR tablets; it is unknown whether the drug was the cause. |
| Musculoskeletal pain | Reported in studies of metoprolol tartrate IR tablets, but it is not known how often this side effect occurred. |
| Arthritis | Very rarely reported in studies of metoprolol tartrate IR tablets; it is unknown whether the drug was the cause. |
| Side effects | Diarrhea, nausea, dry mouth, gastric pain, constipation, flatulence, heartburn, abdominal pain, vomiting, tiredness, peripheral edema, fatigue, etc. |
| Allergic reactions | May worsen severe allergies, such as to foods or insect stings, and make epinephrine less effective at treating anaphylaxis. |
| Heart problems | May cause heart problems if you suddenly stop taking it, including worsening chest pain or heart attack. |
| Alertness | May cause some people to become less alert than they are normally. |
| Dizziness | May cause dizziness, lightheadedness, or fainting when getting up suddenly from a lying or sitting position. |
| Alcohol consumption | Alcohol could increase many of metoprolol's side effects; doctors will likely recommend avoiding or limiting alcohol consumption while taking it. |
| Drug-induced lupus | An estimated 15,000-30,000 cases of drug-induced lupus occur every year in the US, with metoprolol being a potential cause. |
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What You'll Learn

Metoprolol-induced arthralgia
Metoprolol is a prescription drug used to treat conditions such as high blood pressure, angina (severe chest pain), and heart failure. It is a beta-blocker that works by slowing down the heart rate and decreasing blood pressure. While metoprolol can be an effective treatment for many individuals, as with any medication, it may cause side effects in some people.
One potential side effect of metoprolol is arthralgia, or joint pain. Arthralgia can manifest as pain, stiffness, and swelling in the joints, causing discomfort and reduced mobility. In 1986, Sills documented five cases of self-reported metoprolol-induced arthralgias through the U.S. Food and Drug Administration's spontaneous reporting system. All cases resolved within a few days of discontinuing metoprolol.
The exact mechanism by which metoprolol may cause arthralgia is not fully understood. However, it is important for patients experiencing joint pain while taking metoprolol to consult their doctor. Healthcare professionals can help determine the underlying cause of the joint pain and provide appropriate treatment options. In some cases, discontinuing metoprolol may be recommended if it is deemed to be the cause of the arthralgia.
It is worth noting that joint pain was very rarely reported in studies of metoprolol tartrate IR tablets, and it was not reported at all in studies of metoprolol succinate ER tablets. However, since the drug came on the market, there have been reports of joint pain and musculoskeletal pain in some individuals taking metoprolol. The frequency and causality of these reports are unclear, but it is important to monitor and address any potential side effects.
In addition to joint pain, metoprolol may cause other side effects, including diarrhea, nausea, dry mouth, constipation, fatigue, dizziness, and lightheadedness. Some individuals may also experience more serious side effects, such as chest pain, heart problems, or allergic reactions. It is important for patients taking metoprolol to be aware of potential side effects and to seek medical advice if any adverse symptoms occur.
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Joint swelling and pain
Metoprolol is a prescription drug used to treat conditions such as high blood pressure and angina (severe chest pain). It is also used to treat severe chest pain (angina) and lowers the risk of repeated heart attacks. It is a beta-blocker that works by affecting the response to nerve impulses in certain parts of the body, like the heart.
Arthritis (joint swelling that causes joint pain) was very rarely reported in studies of metoprolol tartrate IR tablets. However, it is unknown whether the drug was the cause. Musculoskeletal pain was also reported in these studies, but it is unclear how often this side effect occurred. Musculoskeletal pain refers to pain in the muscles or bones, for example, leg pain or back pain.
There have been several reports of metoprolol-induced arthralgia (joint pain). In 1986, Sills documented five cases of self-reported metoprolol-induced arthralgias through the U.S. Food and Drug Administration's spontaneous reporting system, all of which resolved within days of discontinuing the medication. Another case report mentions a 59-year-old female who experienced migratory pain in the metatarsal joints of both feet, lateral hips, and wrists, along with morning stiffness in the toes and fingers.
If you experience joint pain while taking metoprolol, it is important to consult your doctor. They can help determine the possible cause and recommend appropriate treatment options. In some cases, joint pain can be eased with gentle movement, hot or cold packs, or over-the-counter anti-inflammatory gels.
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Muscle pain
Metoprolol is a prescription drug used to treat conditions such as high blood pressure and angina (severe chest pain). It is a beta-blocker that works by affecting the response to nerve impulses in certain parts of the body, like the heart. As a result, the heart beats slower and decreases blood pressure.
In 1986, there were five documented cases of self-reported metoprolol-induced arthralgias (joint pain) through the U.S. Food and Drug Administration. All cases resolved within days of discontinuing the medication. One case involved a 59-year-old female who experienced migratory pain in the joints of her feet, hips, and wrists, as well as morning stiffness in her toes and fingers.
If you are experiencing muscle pain while taking metoprolol, it is important to consult your doctor. They can help determine the possible cause and recommend appropriate treatment options. In some cases, non-steroidal anti-inflammatory drugs (NSAIDs) may be suggested to alleviate the pain. Additionally, gentle movement, hot or cold packs, and over-the-counter anti-inflammatory gels may provide relief.
It is worth noting that metoprolol may also cause other side effects, such as dizziness, lightheadedness, fatigue, diarrhoea, nausea, and dry mouth. Some people may also experience more serious side effects, including chest pain, heart problems, and severe allergic reactions. Therefore, it is always advisable to discuss any concerns or symptoms with a healthcare professional.
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Diarrhea and other side effects
Metoprolol is a prescription drug used to treat high blood pressure and angina (severe chest pain). It is also given to people who have already had a heart attack to lower the risk of repeated heart attacks.
Diarrhea is a common side effect of metoprolol, occurring in 1% to 10% of people. Other common side effects in this frequency range include nausea, dry mouth, gastric pain, constipation, flatulence, heartburn, abdominal pain, and vomiting.
Some people may experience constipation while taking metoprolol, but diarrhea is more common with this drug. Constipation was reported in studies of metoprolol tartrate IR tablets but was not a common occurrence. It was not reported in studies of metoprolol succinate ER tablets. Since the drug came on the market, there have been reports of constipation, but it is unclear how often this occurs or if the drug is the direct cause.
Other side effects of metoprolol include:
- Dizziness, lightheadedness, or fainting when getting up suddenly from a lying or sitting position. Getting up slowly and lying down may help alleviate these symptoms.
- Changes in blood sugar levels, including an increased risk for serious or prolonged hypoglycemia (low blood sugar). This may be of particular concern for people with diabetes.
- Increased sensitivity to sunlight, which can cause severe sunburns, blisters, and swelling.
- Pancreatitis, or inflammation of the pancreas, which may cause vomiting or severe pain in the upper belly that travels to the back.
- Liver damage, also called hepatotoxicity.
- Severe skin reactions, such as Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN), which can lead to death if untreated.
- Arthritis (joint swelling that causes joint pain) and musculoskeletal pain have been reported very rarely in studies of metoprolol tartrate IR tablets, but it is unknown if the drug was the direct cause. Since the drug has been on the market, there have been reports of joint pain and musculoskeletal pain, but the frequency and causation are unclear.
If you experience any side effects that are bothersome or persist for several days, speak to your doctor or pharmacist. They can help determine the possible cause and recommend appropriate treatments or adjustments to your medication.
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Heart problems
Metoprolol is a prescription drug used to treat conditions such as high blood pressure and angina (severe chest pain). It is also used to treat severe chest pain (angina), lower the risk of repeated heart attacks, and treat patients with heart failure. It is a beta-blocker that works by affecting the response to nerve impulses in certain parts of the body, like the heart. As a result, the heart beats slower and decreases blood pressure.
While metoprolol can be beneficial for heart health, it is important to be aware of potential side effects related to heart problems:
- Chest pain and heart attack: In rare cases, stopping metoprolol suddenly can lead to chest pain or heart attack, particularly in people with heart disease. It is crucial not to discontinue the medication without consulting a healthcare provider first.
- Worsening of heart failure: Metoprolol may worsen the symptoms of heart failure in some patients. Anyone experiencing chest pain or discomfort, extreme fatigue, irregular breathing or heartbeat, swelling of the face, fingers, feet, or lower legs, trouble breathing, or weight gain should consult their doctor immediately.
- Increased risk of hypoglycaemia: Metoprolol can decrease early signs of low blood sugar, such as a fast heartbeat, and make it harder to detect low blood sugar levels, especially for people with diabetes. This can increase the risk for serious or prolonged hypoglycaemia.
- Breathing problems: Metoprolol may cause the muscles around the airways to tighten (bronchospasm), leading to serious breathing difficulties. Discontinuing the medication and seeking immediate medical attention is advised if breathing problems occur.
- Age-related considerations: Elderly patients taking metoprolol are more likely to experience age-related heart problems, and dose adjustments may be necessary.
It is important to note that metoprolol may also cause other side effects, such as joint and muscle pain, constipation, diarrhoea, dizziness, and lightheadedness. Alcohol consumption is generally not recommended while taking metoprolol, as it can increase the severity of side effects. Always consult a healthcare professional if you have any concerns or experience adverse effects while taking this medication.
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Frequently asked questions
Joint pain and musculoskeletal pain have been reported by people using metoprolol since the drug came on the market. However, it is unclear how often this has happened or whether the drug was the cause. Arthritis (joint swelling that causes joint pain) was very rarely reported in studies of metoprolol tartrate IR tablets, but it is unknown whether the drug was the cause.
If you experience joint pain while taking metoprolol, talk to your doctor. They can help you determine the possible cause. Joint pain can sometimes be eased with gentle movement, hot or cold packs, or over-the-counter anti-inflammatory gels.
Like all medicines, metoprolol can cause side effects, but many people have no side effects or only minor ones. Some common side effects include diarrhea, nausea, dry mouth, gastric pain, constipation, flatulence, heartburn, abdominal pain, and vomiting. Some less common side effects include peripheral edema, fatigue, and tiredness.
If you experience bothersome side effects from metoprolol, ask your doctor to recommend a suitable treatment option. If your doctor determines that the problem is caused by metoprolol, they may recommend switching you to a different treatment. It is important not to stop taking metoprolol suddenly without first consulting your doctor.











































