## 3. Slow Heart Rate
Metoprolol is designed to slow the heart rate, but occasionally the pulse can become too slow.
Possible symptoms include:
* dizziness
* weakness
* fainting
* unusual fatigue
* shortness of breath
### What may help
If your doctor has asked you to monitor your pulse, keep a record of your readings.
Health
Do not reduce or skip doses on your own simply because your heart rate looks lower than usual.
If you have a very slow pulse together with symptoms, seek medical advice promptly.
## 4. Low Blood Pressure
Some people may experience blood pressure that drops lower than intended.
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Possible signs include:
* blurred vision
* weakness
* dizziness
* confusion
* feeling faint
### What may help
Rise slowly, especially in the morning.
If you use a home blood pressure monitor, record your readings and discuss consistently low values with your healthcare provider.
Your doctor may need to review the dose or other blood pressure medicines you are taking.
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## 5. Cold Hands and Feet
Beta blockers can reduce blood flow to the extremities, which may make your fingers and toes feel colder than usual.
This is often uncomfortable rather than dangerous.
