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Major Side Effects

You should check with your doctor immediately if any of these side effects occur when taking metoprolol:
More common:

Blurred vision
chest pain or discomfort
confusion
dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
shortness of breath
slow or irregular heartbeat
sweating
unusual tiredness or weakness

Less common:

Bloating or swelling of the face, arms, hands, lower legs, or feet
cough
decreased urine output
difficult or labored breathing
difficulty with speaking
dilated neck veins
disturbed color perception
double vision
extreme fatigue
fast, pounding, or racing heartbeat or pulse
halos around lights
headache
inability to move the arms, legs, or facial muscles
inability to speak
irregular breathing
loss of vision
night blindness
noisy breathing
overbright appearance of lights
pain, tension, and weakness upon walking that subsides during periods of rest
paleness or cold feeling in the fingertips and toes
rapid weight gain
seeing, hearing, or feeling things that are not there
short-term memory loss
slow speech
swelling of the face, fingers, feet, or lower legs
tightness in the chest
tingling of the hands or feet
tingling or pain in the fingers or toes when exposed to cold
troubled breathing
tunnel vision
unusual weight gain or loss

Rare

Bluish color skin of the fingers or toes
chills
clay-colored stools
continuing loss of appetite
continuing or severe abdominal or stomach pain
continuing or severe nausea and vomiting
dark urine
difficulty with moving
fever
general tiredness and weakness
hoarseness
increased frequency of urination
itching skin
light-colored stools
lower back or side pain
muscle pain or stiffness
numbness of the fingers or toes
pain, swelling, or redness in the joints
rash
sore throat
sores, ulcers, or white spots on the lips or in the mouth
unpleasant breath odor
unusual bleeding or bruising
upper right abdominal or stomach pain
vomiting of blood
weakness
yellow eyes and skin

Incidence not known:

Black, tarry stools
bleeding gums
blood in the urine or stools
burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
cool, sweaty skin
pinpoint red spots on the skin

If any of the following symptoms of overdose occur while taking metoprolol, get emergency help immediately:
Symptoms of overdose:

Bluish color of the fingernails, lips, skin, palms, or nail beds
change in consciousness
loss of consciousness
no blood pressure or pulse
stopping of heart
unconsciousness
very drowsy or sleepy

Minor Side Effects

Some of the side effects that can occur with metoprolol may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional: knee length bodycon red color dress
Less common:

Belching
bloated
decreased interest in sexual intercourse
difficulty having a bowel movement (stool)
discouragement
dry mouth
excess air or gas in stomach or intestines
feeling of constant movement of self or surroundings
feeling of indigestion
feeling sad or empty
full feeling
inability to have or keep an erection
irritability
loss in sexual ability, desire, drive, or performance
loss of interest or pleasure
nightmares
pain in the chest below the breastbone
passing gas
redness or other discoloration of the skin
runny nose
sensation of spinning
sneezing