- March 15, 2022
- Newsletter
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Brand Name :
Kapspargo Sprinkle, Toprol XL
Synonyms :
Metoprolol
Class :
Anti-hypertensives and Beta-Blockers
Brand Name :
Kapspargo Sprinkle, Toprol XL
Synonyms :
Metoprolol
Class :
Anti-hypertensives and Beta-Blockers
Dosage Forms & Strengths
Tablet-ER
25mg
50mg
100mg
200mg
Capsule-ER
25mg
50mg
100mg
200mg
Injectable solution
1mg/ml
Tablet
25mg
50mg
100mg
IR tablets
Initial dose:
100
mg
Orally
once a day
Maintenance dose: 100-450 mg orally once a day
ER tablets:
Initial dose: 25-100 mg orally once a day
Maintenance dose: 100-400 mg orally once a day
IR tablets
Initial dose:
50
mg
Orally
twice a day
Maintenance dose: 100-400 mg orally once a day
ER tablets:
Initial dose: 100 mg orally once a day
Maintenance dose: 100-400 mg orally once a day
Early Treatment
Initial dose::
5
mg
Intravenous (IV)
every 2 minutes as tolerated for three doses
tolerance dose: 50 mg orally every 6 hours; continued for two days
intolerance dose:25-50 mg orally every 6 hours depending on the rate of intolerance
Late Treatment:
Maintenance dose: 100 mg orally twice a day
Congestive Heart Failure:
25 mg orally once a day; double dose every two weeks up to 200 mg orally once a day
Dosage Forms & Strengths
Injectable solution
1mg/ml
tablet (as tartrate)
25mg
50mg
100mg
Tablet-ER
25mg
50mg
100mg
200mg
Capsule-ER
25mg
50mg
100mg
200mg
ER TABLETS
Age: > 6 years old
:
Initial dose: 1 mg/kg orally once a day
Maximum dose: 2 mg/kg orally once a day
may decrease the therapeutic effect when combined with tasimelteon
may decrease the bronchodilatory effect when combined with beta2-agonists
may decrease the bronchodilatory effect when combined with beta2-agonists
may decrease the bronchodilatory effect when combined with beta2-agonists
may decrease the bronchodilatory effect when combined with beta2-agonists
may decrease the bronchodilatory effect when combined with beta2-agonists
The interaction may enhance the drug serum levels of benzodiazepine agonist hypnotics
The interaction may enhance the drug serum levels of benzodiazepine agonist hypnotics
The interaction may enhance the drug serum levels of benzodiazepine agonist hypnotics
The interaction may enhance the drug serum levels of benzodiazepine agonist hypnotics
The interaction may enhance the drug serum levels of benzodiazepine agonist hypnotics
beta-Blockers may enhance the adverse/toxic effect of cholinergic agonists
beta-Blockers may enhance the adverse/toxic effect of cholinergic agonists
beta-Blockers may enhance the adverse/toxic effect of cholinergic agonists
beta-Blockers may enhance the adverse/toxic effect of cholinergic agonists
beta-Blockers may enhance the adverse/toxic effect of cholinergic agonists
may increase the hypotensive effect of beta-blockers
may increase the hypotensive effect of beta-blockers
may increase the hypotensive effect of beta-blockers
may increase the hypotensive effect of beta-blockers
may increase the hypotensive effect of beta-blockers
may increase the risk of adverse effect
may increase the risk of adverse effect
may increase the risk of adverse effect
may increase the risk of adverse effect
may increase the risk of adverse effect
fedratinib increases the effect of metoprolol by altering the intestinal/ hepatic CYP2D6 enzyme metabolism
it may increase the bradycardic effect of beta-blockers
it may increase the bradycardic effect of beta-blockers
it may increase the bradycardic effect of Beta-Blockers
it may increase the bradycardic effect of Beta-Blockers
NSAIDs may diminish the antihypertensive effect of Beta-Blockers
NSAIDs may diminish the antihypertensive effect of Beta-Blockers
NSAIDs may diminish the antihypertensive effect of Beta-Blockers
NSAIDs may diminish the antihypertensive effect of Beta-Blockers
NSAIDs may diminish the antihypertensive effect of Beta-Blockers
may decrease the levels of serum potassium
may increase the av-blocking effect of beta-blockers
may increase the av-blocking effect of beta-blockers
may increase the av-blocking effect of beta-blockers
may increase the av-blocking effect of beta-blockers
may increase the av-blocking effect of beta-blockers
Beta-Blockers increase the effect of hypertension on epinephrine
may enhance the serum concentration of Beta-Blockers
may enhance the serum concentration when combined with mepivacaine
may increase the bradycardic effect
may increase the bradycardic effect
may increase the bradycardic effect
may increase the bradycardic effect
Adverse drug reactions:
Frequency Defined
1-10%
Depression
Diarrhea
Pruritus
Bradycardia
Dizziness
Headache
Tiredness
Rash
Heart failure
Hypotension
Dyspnea
Cold extremities
Heartburn
Xerostomia
Wheezing
Bronchospasm
Constipation
Nausea
Flatulence
Frequency not defined
Raynaud phenomenon
Decreased exercise tolerance
Pregnancy warnings:
AU TGA pregnancy category: C
US FDA pregnancy category: C
Breastfeeding warnings:
The release of the drug into the human breastmilk is known
Pregnancy Categories:
Category A: Satisfactory and well-controlled studies show no risk to the fetus in the first or later trimester.
Category B: No evidence shown of risk to the fetus found in animal reproduction studies, and there are not enough studies on pregnant women
Category C: Adverse effects on the fetus found with evidence in animal reproduction studies and no adequate evidence for a result in humans must take care of potential risks in pregnant women
Category D: There is adequate data available with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits
Category X: Drugs listed in this category outweigh risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.
Category N: There is no data available for the drug under this category
Patient Information Leaflet
Generic Name: metoprolol
Pronounced: MET-oh-PROE-lol
Why do we use metoprolol?
Metoprolol is an anti-hypertensive drug belonging to the subclass beta-blocker used to treat hypertension, angina, and heart failure. It mainly helps decrease high blood pressure and helps from the risk of heart attacks, strokes, and kidney diseases.