![]() Monitor signs of peripheral vasoconstriction, such as extreme coldness in the hands and feet, cyanosis. Repeated or prolonged bronchoconstriction may require a change in dose or medication. Perform pulmonary function tests to quantify suspected changes in ventilation and respiration (See Appendices I, J, K). Document improvements in these variables, but also report any decline in exercise tolerance or increased frequency/severity of anginal attacks.Īssess symptoms of bronchospasm (wheezing, coughing, tightness in chest). Each extended-release capsule contains 10.24 mg, 20.48 mg, 40.96 mg, and 81.92 mg of metoprolol free base, present as 23.75 mg, 47.5 mg, 95 mg, and 190 mg of metoprolol succinate and equivalent to. Whether this drug is successful in helping manage the patient's pain.Īssess exercise tolerance and episodes of angina pectoris. If used to prevent migraine headaches, monitor the incidence and severity of migraine attacks to document Report low blood pressure (hypotension), especially if patient experiences dizziness or syncope. Like other beta blockers, metoprolol works by changing the way your body responds to some nerve impulses, especially in the heart. Report any new or increased signs of heart failure, but also determine if drug therapy is effective in reducing these symptoms in patients with preexisting heart failure.Īssess blood pressure periodically and compare to normal values (See Appendix F) to help document antihypertensive effects. Watch for signs of CHF and pulmonary edema, including dyspnea, rales/crackles, weight gain, peripheral edema, and jugular venous distention. The drug was originally sold under the brand name Lopressor. This beta blocker is prescribed for patients with hypertension and heart problems such as angina pectoris, heart failure, rapid pulse and/or irregular heart rhythms. Report an unusually slow heart rate (bradycardia) or signs of other arrhythmias, including palpitations, chest pain, shortness of breath, fainting, and fatigue/weakness. We have been writing about problems with generic metoprolol for more than a decade. Although intended to treat certain arrhythmias, this drug can unmask or precipitate new arrhythmias (proarrhythmic effect). Metoprolol succinate ER is a beta-blocker that treats hypertension (chronic high blood pressure), as well as chest pain (angina). Generic forms are available.Assess heart rate, ECG, and heart sounds, especially during exercise (See Appendices G, H). Metoprolol tartrate may be used off-label for other conditions such as migraine prevention and to treat certain arrhythmias.īoth metoprolol tartrate and metoprolol succinate are classified as "selective" beta-blockers which means they are less likely to affect breathing and insulin response than nonselective beta-blockers.An injectable form of metoprolol tartrate is available which may be given by health care providers for people with unstable angina or arrhythmia.Extended-release metoprolol succinate may be beneficial in people with certain types of heart failure. ![]() ![]() Metoprolol succinate should not be used to prevent heart attacks. Metoprolol succinate extended release tablets: 25 mg orally once a day (12.5 mg orally once a day in patients with more severe heart failure) double dose every 2 weeks to highest tolerated dose or up to 200 mg orally once a day.Metoprolol tartrate may also be used to reduce the risk of death or another heart attack when given immediately following a heart attack, and to lower the risk of a heart attack in people with heart disease.Both metoprolol tartrate and metoprolol succinate are used to lower blood pressure and relieve symptoms of angina in people with heart disease.As a result, there are differences in the dosages and indications for both metoprolol tartrate and metoprolol succinate and they are not considered interchangeable. The main difference between metoprolol tartrate and metoprolol succinate is that metoprolol tartrate is only available as an immediate-release tablet which means it must be taken several times per day, whereas metoprolol succinate is an extended-release tablet that can be taken once a day. Metoprolol is available as two different salts: metoprolol tartrate and metoprolol succinate.
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