metoprolol indications on patient care report

Precautions

Other Medical Problems

• Blood circulation problems, severe or
• Bradycardia (slow heartbeat) or
• Cardiogenic shock (shock caused by heart attack) or
• Heart block or
• Heart failure, severe or
• Peripheral vascular disorders (clogged blood vessels) or
• Sick-sinus syndrome (heart rhythm problem)—Should not be used in patients with these conditions.

What should I avoid while taking metoprolol?

Metoprolol Succinate extended-release tablets are scored and can be divided; however, do not crush or chew the whole or half tablet. Adults: The usual initial dosage is 25 mg to 100 mg daily in a single dose. The dosage may be increased at weekly (or longer) intervals until optimum blood pressure reduction is achieved.

What is the recommended dose of metoprolol?

What other drugs interact with Metoprolol?

• Metoprolol has severe interactions with no other drugs.
• Metoprolol has serious interactions with at least 33 other drugs.
• Metoprolol has moderate interactions with at least 202 other drugs.
• Metoprolol has minor interactions with at least 32 other drugs.

What medications interact with metoprolol?

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: cold feeling in your hands and feet. mild itching or rash. This is not a complete list of side effects and others may occur.

What are the worst side effects of metoprolol?

What are the indications for metoprolol?

Metoprolol is indicated for the treatment of angina, heart failure, myocardial infarction, atrial fibrillation, atrial flutter and hypertension. Some off-label uses of metoprolol include supraventricular tachycardia and thyroid storm. All the indications of metoprolol are part of cardiovascular diseases.

What should be documented after metoprolol?

Monitor vital signs and ECG every 5–15 min during and for several hrs after parenteral administration. If heart rate <40 bpm, especially if cardiac output is also decreased, administer atropine 0.25–0.5 mg IV. Monitor intake and output ratios and daily weights.

What are some nursing considerations for metoprolol?

Nursing Considerations for Metoprolol Instruct the patient that extended-release tablets should be swallowed whole and not be crushed, chewed, or cut, unless the tablet is scored. Abrupt withdrawal of the drug may cause myocardial infarction, ventricular dysrhythmias, and ischemia.

Why would you give a patient metoprolol?

Metoprolol is used alone or together with other medicines to treat high blood pressure (hypertension). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly.

What labs should be monitored with metoprolol?

During the intravenous administration of Metoprolol, blood pressure, heart rate,and electrocardiogram should be carefully monitored.In patients who tolerate the full intravenous dose (15 mg), Metoprolol tartrate tablets, 50 mg every 6 hours, should be initiated 15 minutes after the last intravenous dose and continued ...

What are the nursing considerations when administering a beta-blocker?

Nursing considerations Beta blockers can cause transient increases in serum lipid and glucose levels. Because beta blockers inhibit the sympathetic nervous system response, they also hide the symptoms of hypoglycemia and can be dangerous in patients with diabetes who use insulin.

What should you assess before giving beta blockers?

Because beta blockers lower the heart rate and blood pressure, you will need to monitor your patient for bradycardia and hypotension, including orthostatic hypotension. With that said, always get a blood pressure and heart rate prior to giving the dose.

What are the contraindications of metoprolol?

Metoprolol is contraindicated in patients with severe bradycardia, sick sinus syndrome, second- or third-degree AV block, cardiogenic shock, decompensated heart failure, and sick sinus syndrome unless a functioning pacemaker is present.

What is metoprolol used for and what are the side effects?

Metoprolol is used alone or in combination with other medications to treat high blood pressure. It also is used to prevent angina (chest pain) and to improve survival after a heart attack. Metoprolol also is used in combination with other medications to treat heart failure.

What heart rate is too low for metoprolol?

A heart rate of 55-60 is not unusual in people taking metoprolol. However, if a person had a heart rate that slow without a beta blocker, a doctor would be concerned that they would eventually develop symptoms from that slow of a heart rate.

Does metoprolol affect heart rate?

Metoprolol (Lopressor, Toprol) belongs to a class of drugs known as beta blockers. As you mentioned, these drugs reduce your heart rate; they also lower blood pressure. They work by blocking the effects of the hormone epinephrine (also known as adrenaline), causing your heart to beat more slowly and with less force.

Metoprolol - Clinical Pharmacology

Mechanism of Action Metoprolol tartrate is a beta1-selective (cardioselective) adrenergic receptor blocker. This preferential effect is not absolut...

Indications and Usage For Metoprolol

Metoprolol tartrate tablets, USP are indicated for the treatment of hypertension. They may be used alone or in combination with other antihypertens...

Metoprolol Dosage and Administration

Individualized the dosage of Metoprolol tartrate tablets. Metoprolol tartrate tablets should be taken with or immediately following meals.The usual...

How Is Metoprolol Supplied

Metoprolol Tartrate Tablets, USP are available as follows: Tablets 25 mg are white round shaped, film coated tablets debossed with ‘C over 73’ on o...

Which is safer: metoprolol succinate or tartrate?

Metoprolol succinate and metoprolol tartrate contain the same active drug, metoprolol. The only difference is the salt form. Similar side effects m...

Does metoprolol cause weight gain?

Metoprolol is not likely to cause weight gain. However, weight gain can be a warning sign that heart failure is getting worse. If you are taking me...

Does metoprolol lower blood pressure?

Yes, metoprolol causes the blood vessels to relax, which helps to lower blood pressure. If you are prescribed metoprolol for high blood pressure, y...

Is Metoprolol a blood thinner?

No, metoprolol is not a blood thinner. It works to relax blood vessels and slow heart rate. Your doctor may prescribe metoprolol tartrate to: Lower...

Should I take metoprolol in the morning or at night?

When you take metoprolol depends on which salt form is prescribed. Metoprolol tartrate is usually taken twice daily, so it may be taken in the morn...

How long does it take for metoprolol to work?

How long it takes metoprolol to work depends on what form is given and what condition is being treated. Effects on heart rate can be seen within on...

Why should you take blood pressure medicine at night?

Research has suggested that taking your blood pressure medication at night instead of in the morning can provide better blood pressure control at n...

What are the adverse reactions to metoprolol?

The following adverse reactions have been reported during post-approval use of Metoprolol: confusional state, an increase in blood triglycerides and a decrease in High Density Lipoprotein (HDL). Because these reports are from a population of uncertain size and are subject to confounding factors, it is not possible to reliably estimate their frequency.

How much metoprolol is excreted in breast milk?

Metoprolol is excreted in breast milk in a very small quantity. An infant consuming one liter of breast milk daily would receive a dose of less than 1 mg of the drug.

How long does it take to take metoprolol tartrate?

In patients who tolerate the full intravenous dose (15 mg), initiate Metoprolol tartrate tablets, 50 mg every 6 hours, 15 minutes after the last intravenous dose and continue for 48 hours.

Does metoprolol increase hepatic blood flow?

The geriatric population may show slightly higher plasma concentrations of Metoprolol as a combined result of a decreased metabolism of the drug in elderly population and a decreased hepatic blood flow. However, this increase is not clinically significant or therapeutically relevant.

Is metoprolol a metabolite?

Metoprolol is primarily metabolized by CYP2D6. Metoprolol is a racemic mixture of R- and S- enantiomers, and when administered orally, it exhibits stereoselective metabolism that is dependent on oxidation phenotype. CYP2D6 is absent (poor metabolizers) in about 8% of Caucasians and about 2% of most other populations.

Is metoprolol found in breast milk?

About 10% of Metoprolol in plasma is bound to serum albumin. Metoprolol is known to cross the placenta and is found in breast milk.

Does metoprolol help with angina pectoris?

By blocking catecholamine-induced increases in heart rate, in velocity and extent of myocardial contraction, and in blood pressure, Metoprolol reduces the oxygen requirements of the heart at any given level of effort, thus making it useful in the long-term management of angina pectoris.

What are the side effects of metoprolol?

Metoprolol side effects. Get emergency medical help if you have signs of an allergic reaction to metoprolol: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: very slow heartbeats; a light-headed feeling, like you might pass out;

What diseases can metoprolol cause?

diabetes (taking metoprolol may make it harder for you to tell when you have low blood sugar ); liver disease; congestive heart failure; problems with circulation (such as Raynaud's syndrome ); a thyroid disorder; or. pheochromocytoma (tumor of the adrenal gland).

Why is metoprolol used in the early stages of a heart attack?

Metoprolol is also used to lower your risk of death or needing to be hospitalized for heart failure. Metoprolol injection is used during the early phase of a heart attack to lower the risk of death.

What diseases can you get from taking metoprolol?

asthma, chronic obstructive pulmonary disease ( COPD ), sleep apnea, or other breathing disorder; diabetes (taking metoprolol may make it harder for you to tell when you have low blood sugar ); liver disease; congestive heart failure; problems with circulation (such as Raynaud's syndrome ); a thyroid disorder; or.

What is the FDA's number for diarrhea?

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What drugs can interact with metoprolol?

Many drugs can interact with metoprolol, especially: any other heart or blood pressure medications; epinephrine (Epi-Pen); an antidepressant; an ergot medicine-- dihydroergotamine, ergonovine, ergotamine, methylergonovine; or. an MAO inhibitor -- isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, tranylcypromine.

Can you take metoprolol if you have heart problems?

You should not use metoprolol if you have a serious heart problem ( heart block, sick sinus syndrome, slow heart rate ), severe circulation problems, severe heart failure, or a history of slow heart beats that caused fainting.

How to tell if you need metoprolol?

Check blood pressure and heart rate as the doctor has told you. Have blood work checked as you have been told by the doctor. Talk with the doctor. This medicine may affect certain lab tests. Tell all of your health care providers and lab workers that you take metoprolol injection.

What are the side effects of metoprolol injection?

Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: Feeling dizzy, tired, or weak.

How to avoid passing out after metoprolol injection?

To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down. Be careful going up and down stairs.

What to do if you think you have an overdose?

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Can metoprolol raise blood pressure?

If you are taking metoprolol injection and have high blood pressure, talk with your doctor before using OTC products that may raise blood pressure. These include cough or cold drugs, diet pills, stimulants, ibuprofen or like products, and some natural products or aids.

Can you take metoprolol with all your drugs?

You must check to make sure that it is safe for you to take metoprolol injection with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

Can you take epinephrine while taking metoprolol?

If you use epinephrine to treat very bad allergic reactions, talk with your doctor. Epinephrine may not work as well while you are taking metoprolol injection. Talk with your doctor before you drink alcohol. Tell your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding.

What is metoprolol used for?

Metoprolol has been used to prevent migraine headaches. It also is used sometimes to treat irregular heartbeat, as well as movement disorders caused by drugs for mental illness. 1 

How is metoprolol taken?

Metoprolol is typically taken in the following dosages, according to the condition being treated. All listed dosages are according to the drug manufacturer. Check your prescription and talk to your doctor to make sure you are taking the right dose for you. 7  9 

What is the systolic pressure of metoprolol?

Metoprolol is used to lower blood pressure that is too high, meaning that you have a systolic pressure in your arteries (when your heart is beating) of 130 mm Hg or higher or a diastolic pressure (between heartbeats) of 80 mm Hg or higher. 5 .

Is metoprolol FDA approved?

Metoprolol is FDA-approved as an oral medication to treat high blood pressure (hypertension) and angina. The tablet and intravenous immediate-release version (Lopressor) is also FDA-approved for improving your chances of survival after a heart attack (acute myocardial infarction). The extended-release tablet (Toprol-XL) is also FDA-approved ...

Can you stop taking metoprolol?

Do not stop taking metoprolol suddenly. To do so risks chest pain or a heart attack. Speak with your doctor about the best way to discontinue the medication. 1 

Does metoprolol slow down heart rate?

2  In that way, met oprolol relaxes your blood vessels and slows your heart rate in order to improve blood flow and lower your blood pressure. 1 .

Can metropolol cause chest pain?

To suddenly stop taking the medication may cause chest pain or a heart attack . Speak to your healthcare provider first, who will probably decrease your dose gradually. 7  9