I noticed that everyone has written here the side effects of the Toprol XL but no one has said that they have had success on getting off the drug. I'm 39 years old and I have had some side effects from it too. I'm on Toprol XL 50 mg once a day and everyday my neck gets hot like it's on fire,my face gets flush, my feet sweat and my hands get ice cold. I keep my faith in the Lord that he will help me find a way to get off this poisoning medicine. My blood pressure was 164/110 and I ended up in the hospital back in August of 2008 and after running all the test they chalked it up to anxiety. My belief is that it's the medicine. I'm going to try to find a Doctor who is a Homeopathic and see what he says and I will let you know what I find out.