Metoprolol belongs to the class of medications called beta-blockers. Metoprolol is used to treat high blood pressure and prevent the symptoms of certain types of angina (chest pain). It is also used to help reduce the risk of death right after a heart attack. Metoprolol is also taken by people who have had a heart attack to reduce the risk of having another one. Metoprolol is often used in combination with other high blood pressure medications such as diuretics (water pills) when the use of one medication by itself is not enough to control blood pressure. This medication may be available under multiple brand names and/or in several different forms. Any specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of this medication may not be used for all of the conditions discussed here. By Mike Mc Evoy Generic Name: Metoprolol (multiple manufacturers) Common Brand Name: Lopressor (Novartis Pharmaceuticals – U. S.) Popularity: 16th most commonly prescribed drug between 2002 – 2008 (U. S.) Classes: Beta-adrenergic blocker, antianginal, antiarrhythmic, antihypertensive, antimigraine. Treatment Uses — Angina pectoris, heart failure, mild to moderate high blood pressure, and to improve survival after heart attacks. Also effective in treating arrhythmias, pheochrocytoma, essential tremor and neuroleptic drug induced movement disorders, preventing migraine headaches, reducing eye pressures in glaucoma, and reducing the frequency of vasovagal syncopal episodes. May have a role in treatment of aggressive behavior, panic attacks, and reducing atherosclerosis. Widely used (off-label) by performers to reduce symptoms of stage fright. Buy celebrex from canada Cialis liver disease Jul 23, 2014. Q I take metoprolol 100 mg twice daily and my pulse is low, sometimes fewer than 50 beats per minute. I also use amlodipine 10 mg per day. Metoprolol, marketed under the tradename Lopressor among others, is a medication of the. This medicine may cause changes in blood sugar levels or cover up signs of low blood sugar, such as a rapid pulse rate. It also may cause some. Metoprolol may induce or aggravate bradycardia, symptoms of peripheral arterial circulatory disorders and anaphylactic shock. If the pulse rate decreases to. White to off-white, circular, biconvex uncoated tablets impressed “50” and the identifying letters “MJ” on either side of a central division line on one face, plain on the reverse. 3) Cardiac arrhythmias (especially supraventricular tachyarrhythmias). Metoprolol tartrate has been shown to reduce mortality when administered to patients with acute myocardial infarction. The score line is only to facilitate breaking for ease of swallowing and not to divide into equal doses. The following dosage regimes are intended only as a guideline and should always be adjusted to the individual requirements of the patient. This may be increased, if necessary, to 200mg daily in single or divided doses. Pain relief may also decrease the need for opiate analgesics. 6) Early intervention of metoprolol tartrate in acute myocardial infarction reduces infarct size and the incidence of ventricular fibrillation. Combination therapy with a diuretic or vasodilator may also be considered to further reduce blood pressure. Metoprolol may be administered with benefit both to previously untreated patients with hypertension and to those in whom the response to previous therapy is inadequate. In the latter type of patient the previous therapy may be continued and metoprolol added in to the regime with adjustment of the previous therapy if necessary. In general a significant improvement in exercise tolerance and reduction of anginal attacks may be expected with a dose of 50-100mg twice daily. Beta-blockers lower your blood pressure by blocking the effect of hormones called adrenaline and noradrenaline. By blocking these hormones, beta-blockers slow down your heart rate and reduce the force at which blood is pumped round your body. Beta-blockers also block your kidneys from producing a hormone called angiotensin II. Reducing the amount of angiotensin in your body allows your blood vessels to relax and widen, making it easier for blood to flow through. Beta-blockers are not usually used as a first choice medicine for high blood pressure. They are usually given to people who cannot tolerate other blood pressure medicines, or whose blood pressure is not being lowered enough by other medicines. If you have previously had a heart attack, have angina, heart failure or an irregular heart beat, you may be given a beta-blocker. 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