Cardiovascular Medicine Book

Congestive Heart Failure

Pericardial Disorders

http://www.fpnotebook.com/

MetoprololAka: Lopressor

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  1. Mechanism
    1. Selective Beta Blocker
  2. Indications
    1. Myocardial Infarction
    2. Atrial Fibrillation Rate Control
  3. Pharmacokinetics
    1. Onset of action in 5 minutes after intravenous dose
    2. Sustained response for 6-8 hours
  4. Dosing: Oral
    1. Regular: 50 mg PO bid (Maximum 450 mg/day)
    2. Extended: 50-100 mg PO qd (Maximum 400 mg/day)
  5. Dosing: Intravenous
    1. Load: 2.5 to 5 mg IV over 2 to 5 minutes
    2. Repeated up to 3 doses (15 mg maximum)

Metoprolol (C0025859)

Definition (MSH)A selective adrenergic beta-1-blocking agent with no stimulatory action. It's binding to plasma albumin is weaker than alprenolol and it may be useful in angina pectoris, hypertension, or cardiac arrhythmias.
Definition (NCI)A cardioselective competitive beta-1 adrenergic receptor antagonist with antihypertensive properties and devoid of intrinsic sympathomimetic activity. Metoprolol antagonizes beta 1-adrenergic receptors in the myocardium, thereby reducing the rate and force of myocardial contraction leading to a reduction in cardiac output. This agent may also reduce the secretion of renin with subsequent reduction in levels of angiotensin II thereby preventing vasoconstriction and aldosterone secretion.
ConceptsOrganic Chemical (T109) , Pharmacologic Substance (T121)
MSHD008790
EnglishMetoprolol, METOPROLOL PREPARATION
Spanishmetoprolol
Parent ConceptsEthanolamines (C0014983), Propanolamines (C0033442), Phenoxypropanolamines (C1563753), Adrenergic beta-Antagonists (C0001645), [CV100] BETA-BLOCKERS/RELATED (C0973513), Beta 1 blocking agent (C0304516)
SourcesAOD, LCH, LNC, MSH, NCI, NDFRT, RXNORM, SCTSPA, SNOMEDCT, USPMG, VANDF
Derived from the NIH UMLS (Unified Medical Language System)


Lopressor (C0700776)

ConceptsOrganic Chemical (T109) , Pharmacologic Substance (T121)
MSHD008790
EnglishLopressor
SourcesMSH, NCI, RXNORM
Derived from the NIH UMLS (Unified Medical Language System)



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