The 10 Metoprolol Side Effects Your Doctor May Not Have Fully Explained

3. Slow Heart Rate (Bradycardia) Metoprolol intentionally lowers heart rate. Sometimes it lowers it more than expected, leading to a pulse that feels unusually slow. Symptoms might include extra fatigue or feeling faint.

4. Shortness of Breath Some individuals notice mild breathing changes or reduced exercise tolerance. This can stem from the heart working at a different pace or, less commonly, effects on the airways.