
Metoprolol is a generic drug used to treat certain heart problems and is available in several brand-name drugs, including Lopressor. Like most drugs, metoprolol can cause a range of side effects, from mild to severe that vary depending on the individual. While many people have minor side effects or none at all, some people may experience muscle weakness, fatigue, and muscle cramps. In rare cases, metoprolol has also been associated with more serious side effects, including chest pain, irregular heartbeat, and respiratory distress. It is important to consult a doctor if any side effects occur while taking metoprolol, as sudden discontinuation can also lead to adverse effects.
| Characteristics | Values |
|---|---|
| Muscle Weakness | Metoprolol has been associated with muscle cramps, muscular weakness, and generalized fatigue. |
| Impact on Muscles | The diaphragm and chest wall muscles can be affected, and weakness in these areas can negatively impact respiratory status. |
| Mitochondrial Disorders | Metoprolol can aggravate mitochondrial dysfunction, worsening underlying chest wall weakness. |
| Other Side Effects | Metoprolol may cause dizziness, blurred vision, headache, confusion, slurred speech, and unusual tiredness or weakness. |
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What You'll Learn
- Metoprolol can cause muscle weakness in patients with mitochondrial disease
- Myasthenia gravis, a muscle weakness condition, may be exacerbated by metoprolol use
- Metoprolol may cause or worsen skin conditions like psoriasis and eczema
- Metoprolol can cause dizziness and fatigue
- Metoprolol may mask symptoms of thyroid disease

Metoprolol can cause muscle weakness in patients with mitochondrial disease
Metoprolol is a generic drug used to treat certain heart problems and is available as several brand-name drugs, including Lopressor. It is also used to treat hypertension and high blood pressure in some children.
Like most drugs, metoprolol can cause a range of side effects, from mild to severe, and these may vary from person to person. Some of the common side effects include dizziness, weakness, chest pain, constipation, memory loss, and skin conditions like eczema. In rare cases, serious side effects such as lung problems and heart problems, as well as allergic reactions, have been reported.
It is important to note that metoprolol may cause or worsen Central Nervous System depression in individuals with a history of psychiatric disease. Additionally, it can mask the symptoms of thyroid disease, such as elevated heart rate, which is crucial for monitoring and diagnosing thyroid dysfunction.
Notably, there is evidence suggesting that metoprolol can lead to muscle weakness in patients with mitochondrial disease. Mitochondrial disorders are a group of diseases characterised by dysfunction of the mitochondria, which are responsible for generating energy for the body. A case report describes a paediatric patient with a mitochondrial disorder who developed respiratory distress and muscle weakness after being prescribed metoprolol. Discontinuation of the medication led to an improvement in symptoms, indicating that metoprolol may have aggravated the underlying mitochondrial dysfunction.
Another case report mentions an adult patient with a mitochondrial disorder who experienced muscular weakness, fatigue, and muscle cramps after starting a beta-blocker. Beta-blockers, including metoprolol, have been identified as potential mitochondrial-toxic agents, particularly in patients with mitochondrial disorders. Therefore, healthcare providers should exercise caution when prescribing beta-blockers to patients with mitochondrial disease, as these agents may trigger or exacerbate muscle weakness and other symptoms associated with mitochondrial dysfunction.
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Myasthenia gravis, a muscle weakness condition, may be exacerbated by metoprolol use
Metoprolol is a medication that can cause a range of side effects, and while many people do not experience any side effects, those that do can range from mild to severe. It is important to consult a doctor or healthcare provider if you are experiencing any side effects from taking metoprolol.
Myasthenia gravis (MG) is an autoimmune disease that causes antibodies to block or break down communication between nerves and muscles, resulting in muscle weakness. MG patients often experience weakness in their arm and leg muscles, double vision, and difficulties with speech and eating. MG patients must avoid certain medications to prevent complications and worsening of their symptoms. Beta-blockers, such as metoprolol, are among the drugs that are potentially dangerous for MG patients and could worsen their symptoms.
Beta-blockers have been associated with muscle weakness and may aggravate or trigger muscle weakness in patients with mitochondrial disease. Beta-adrenergic receptor blocking agents, or beta-blockers, have also been associated with rare cases of aggravating muscle weakness in patients with pre-existing myasthenic symptoms. In addition, beta-blockers have been known to cause paradoxical increases in blood pressure in patients with pheochromocytoma, which can be dangerous.
Therefore, it is recommended that individuals with myasthenia gravis avoid beta-blockers like metoprolol, as they may exacerbate the condition and worsen symptoms. If beta-blockers must be used, it is advised to use them cautiously and at the lowest effective dose, especially during initial use.
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Metoprolol may cause or worsen skin conditions like psoriasis and eczema
Metoprolol is a medication that lowers blood pressure and heart rate, making it easier for the heart to pump blood to the rest of the body. It is a type of beta-blocker. While metoprolol is beneficial for treating high blood pressure, it can also cause side effects. Side effects of metoprolol can vary depending on the individual, and many people have no side effects or only minor ones. However, it is important to note that metoprolol may cause or worsen skin conditions.
In rare cases, metoprolol has been associated with skin conditions such as lichenoid drug eruption (LDE). LDE presents as multiple discrete, pruritic, hyperpigmented, and lichenoid plaques over the legs, thighs, and arms. The skin eruptions typically disappear within days to months after discontinuing the medication. Additionally, metoprolol may cause or worsen skin conditions like psoriasis and eczema. While there are limited reports of metoprolol directly causing or exacerbating these specific skin conditions, it is important for patients with a history of skin issues to be cautious and consult their healthcare provider.
Metoprolol has also been linked to muscle weakness in some cases, particularly in individuals with mitochondrial disorders. Mitochondrial disorders are a group of diseases characterized by dysfunction of the mitochondria, which are responsible for generating energy for the body. Metoprolol may trigger or aggravate muscle weakness in patients with mitochondrial diseases. This can include the diaphragm and chest wall muscles, which are crucial for respiratory function. In one case, a pediatric patient with a mitochondrial disorder developed respiratory distress and chest wall weakness after being prescribed metoprolol.
It is always advisable to consult a healthcare provider before starting or discontinuing any medication, including metoprolol. They can provide personalized advice and guidance based on an individual's medical history and current health status. Additionally, reporting any suspected side effects of medications is essential to help improve understanding and ensure patient safety.
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Metoprolol can cause dizziness and fatigue
Metoprolol is a generic drug used to treat certain heart problems. It is also available as several brand-name drugs, including Lopressor. Like most drugs, it can cause a range of side effects, from mild to severe that vary depending on the individual.
Metoprolol may also cause fatigue or unusual tiredness. If side effects such as these continue or are bothersome, it is important to check with your doctor or pharmacist. In some cases, side effects may go away during treatment as the body adjusts to the medicine. However, it is always best to consult a healthcare provider to ensure the information is applicable to your personal circumstances.
In addition to dizziness and fatigue, metoprolol has been associated with other side effects, including muscle weakness and cramps. There have been reports of beta-blockers, including metoprolol, triggering or aggravating muscle weakness in patients with mitochondrial disease. Furthermore, musculoskeletal pain, arthralgias, and arthritis have been reported in studies of metoprolol tartrate IR tablets, although the frequency and causal relationship are unclear.
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Metoprolol may mask symptoms of thyroid disease
Metoprolol is a beta-blocker, a class of medications used to treat cardiac arrhythmias and systemic hypertension. Beta-blockers are also prescribed to provide symptomatic relief for hyperthyroidism while waiting for other treatments to take effect. Hyperthyroidism is a condition where the thyroid gland produces too much thyroid hormone, accelerating the body's metabolism. Metoprolol may mask the symptoms of thyroid disease, making it more difficult to recognise warning signs of excess thyroid hormone in the body.
Beta-blockers work by blocking the effects of adrenaline and other stress hormones on the body's beta receptors, which are part of the sympathetic nervous system. This inhibits the "fight, flight, or freeze" response, slowing down the heart rate and reducing blood pressure. While this can be beneficial for managing the symptoms of hyperthyroidism, it is important to recognise that metoprolol does not address the root cause of the condition, which is the overproduction of thyroid hormones.
The use of metoprolol has been associated with muscle cramps, muscular weakness, generalised fatigue, myopathy, and lactic acidosis. These side effects can be explained by the drug's impact on the body's beta receptors, which are present in various tissues, including the heart, blood vessels, and muscles. By blocking the action of adrenaline on these receptors, metoprolol can contribute to feelings of fatigue and reduced physical activity, which may mask the underlying symptoms of thyroid disease.
In addition to masking the symptoms, metoprolol may also worsen the condition in some cases. For example, beta-blockers can constrict airways, worsening respiratory symptoms, especially in people with asthma. They can also cause gastrointestinal issues, weight gain, and, in rare cases, contribute to depression and sexual dysfunction. Therefore, while metoprolol can provide symptomatic relief for hyperthyroidism, it is crucial to monitor for these potential side effects and adjust the treatment plan accordingly.
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Frequently asked questions
Metoprolol is a generic drug that’s prescribed to treat certain heart problems. It’s also available as several brand-name drugs, including Lopressor.
Like all medicines, metoprolol can cause side effects, but many people have no side effects or only minor ones. Some of the common side effects of metoprolol are muscle weakness, fatigue, dizziness, chest pain, skin conditions, and arthralgia.
If you're experiencing minor side effects, try resting and relaxing. Eat and drink slowly and have smaller and more frequent meals. You can also apply a heat pad or a covered hot water bottle to your stomach. If the side effects are bothering you or last more than a few days, speak to your doctor or pharmacist.
Yes, muscle weakness is one of the possible side effects of taking metoprolol. Beta-blockers, a class of drugs that includes metoprolol, have been associated with muscle weakness, especially in patients with mitochondrial disease.








