Question

Search for Metoprolol information: Generic Name, Brand Name, Type of drug, Pregnancy Category, Therapeutic action, . Indications, Contraindications,. Dose / Adult and Pediatric, Adverse effects, Interactions, Nursing considerations in implementation and Patient Education

Answer 1

BRAND NAME : Kapspargo Sprinkle, Toprol XL

GENERIC NAME: Metoprolol Succinate

TYPE OF DRUG : BETA BLOCKERS

PREGNANCY CATEGORY :

Risk for the fetus has not been ruled out, per being rated pregnancy . Metoprolol drug that it may be suspected of causing harmful effects on the human fetus (but no malformations). It appears to be safe in breastfeeding.

THERAPEUTIC ACTION:

Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart.

INDICATIONS:

Beta-blockers are indicated and have approval for the treatment of tachycardia, hypertension, myocardial infarction, congestive heart failure, cardiac arrhythmias, coronary artery disease, hyperthyroidism, essential tremor, aortic dissection, portal hypertension, glaucoma, migraine prophylaxis, and other conditions

CONTRAINDICATIONS:

Metoprolol is contraindicated in sinus bradycardia, heart block greater than first degree, cardiogenic shock, and overt cardiac failure. It should be avoided in asthmatics.

DOSAGE:

ADULT:Initial dose: 100 mg orally per day in single or divided doses. Maintenance dose: 100 to 450 mg orally per day

PEDIATRIC:

Initial dose: 1 mg/kg orally once a day (not to exceed 50 mg orally once a day)

Maximum dose: 2 mg/kg (or 200 mg) orally once a day

ADVERSE EFFECTS:

dizziness or lightheadedness.
tiredness.
depression.
nausea.
dry mouth.
stomach pain.
vomiting.
gas or bloating.

INTERACTION:

May interact with this drug is: fingolimod. Other medications can affect the removal of metoprolol from your body, which may affect how metoprolol works. Examples include lumefantrine, propafenone, quinidine, SSRI antidepressants (such as fluoxetine, paroxetine)

NURISNF CONSIDERATION:

• Monitor BP, ECG, and pulse frequently during dose adjustment and periodically during therapy.
• Monitor frequency of prescription refills to determine compliance.
• Monitor vital signs and ECG every 5–15 min during and for several hrs after parenteral administration.
• Monitor intake and output ratios and daily weights. Assess routinely for signs and symptoms of HF (dyspnea, rales/crackles, weight gain, peripheral edema, jugular venous distention)

PATIENT EDUCATION:

Take apical pulse before administering. If <50 bpm or if arrhythmia occurs, withhold medication and notify health care professional.
Administer metoprolol with meals or directly after eating.
Extended-release tablets should be swallowed whole; do not break, crush, or chew.
Swallow Kapspargo Sprinkle whole. If unable to swallow a capsule, may be opened and contents sprinkled over soft food (applesauce, pudding, yogurt). Swallow contents of capsule along with a small amount (tsp) of soft food. Swallow drug/food mixture within 60 min; do not store for future use.