Metoprolol tartrate
(Beta-Blockers)
(Beta-Blockers)
Dosage form
|
Brand
|
Strength
|
Immediate
release tablet
|
Metprolol®
|
100 mg
|
Indication
:
Angina pectoris, HTN, hemodynamically stable acute MI.
Mechanism
of action :
Block the agonistic effect of the sympathetic neurotransmitters by competing
for receptor binding sites.
Pregnancy
Category C(1st
trimester), D(2nd&3rd trimester)
Contraindication
:
Severe sinus bradycadia, significant 1st-degree heart block.
Precaution
:
Do not w/draw therapy abruptly but gradually taper 1-2 wk to avoid acute
tachycardia, ischemia
Drug
Interaction : Increased risk of myocardial depression w/verapamil,
diliazem&class I antiarrhythmics.
Side
Effect :
Hypotention, bradycardia, 1st-degree heart block; dizziness,
fatigue, depression, pruritus, rash.
Monitoring
parameters :
Blood cell counts and Blood glucose concentrations(for diabetic patients)
Usual
Dose :
Oral. 100 to 400 mg administered once a day for maintenance of established
dosage requirements.
Patient
Education :
Pt may not experience symtoms of hypertention; importance of taking medication
only as directed and keeping appointments with physican. even if feeling well
Missed
Dose :
Takeing as soon as possible; not takeing at all if within 4 hpurs of next
scheduled dose; not doubling doses
Auxiliary
labels : Do not take
other medicine without your doctor’s advice
https://upload.wikimedia.org/wikipedia/commons/thumb/c/c9/Metoprolol_structure.svg/220px-Metoprolol_structure.svg.png