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    Management of stable, symptomatic (class II or III) heart failure due to ischemic, hypertensive, or cardiomyopathic origin (may be used with ACE inhibitors, diuretics, and/or digoxin; Toprol-XL 25 mg only). Prevention of MI and decreased mortality in patients with recent MI. (pulmonary, vascular, uterine)–adrenergic receptor sites. Therapeutic Effects: Decreased blood pressure and heart rate. Decreased rate of cardiovascular mortality and hospitalization in patients with heart failure. zoloft diabetes IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs. METOPROLOL - ORAL (MET-oh-PROE-lol) COMMON BRAND NAME(S): Lopressor WARNING: Do not stop taking this medication without consulting your doctor. Some conditions may become worse when you suddenly stop this drug. Some people who have suddenly stopped taking similar drugs have had chest pain, heart attack, and irregular heartbeat.

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    Our indication for Metoprolol is for rapid atrial fibrillation and PSVTs in patients already on oral beta blockers. We do not use Metoprolol for Acute Coronary Syndrome care. A few years back Metoprolol was considered life-saving in ACS care, but then more research came out and while it is life-saving for some patients, it is detrimental to others and the experts felt it would be too difficult for us (and I agree0 to distinguish the best candidates lacking our ability to know the patient’s ejection fractions and other considerations. Despite not being used for ACS, I was very excited to get Metoprolol and anxious for the first time I could use it. Our next step is to call medical control, but since we were already arriving at the hospital, I just brought him on in. The patient, an elderly gentleman on Atenolol (another beta blocker), was in a rapid afib in the 160-170 range. I gave my report, got him in the room, went and wrote my run form, came back, looked up at the monitor and saw he had slowed considerably and was in a controlled afib in the 70’s. I drew up the 5 mg of Metoprolol, pushed it slowly and waited. “So, the Metoprolol finally worked,” I said to the nurse. “No,” she said, “We gave him Cardizem.” After that episode I would be tempted to put Metoprolol at the bottom of my list. 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. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. A lower blood pressure can reduce the risk of strokes and heart attacks. Metoprolol is also used to treat severe chest pain (angina) and lowers the risk of repeated heart attacks. It is given to people who have already had a heart attack.

    Metoprolol drug card

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