Start beta-blocker treatment in all patients within 24 hours if there are no contraindications
Other β-blockers, that are available, are not recommended by the ESC as a specific rate-control agents in patients with AF
The half-life of metoprolol is about 3 to 4 hours in most patients for non-extended release tabs
Both
It works by affecting the response to nerve impulses in certain parts of the body, like the heart
Mix the contents of the opened capsule with water into a syringe
5 mg carvedilol or 50 mg metoprolol tartrate orally already before percutaneous coronary intervention (PCI) of the infarct-related artery, uptitrating to a daily target dose of 50 mg carvedilol or 150 mg metoprolol during the first 25 mg, 50 mg, 100 mg, 200 mg extended-release tablets (succinate) IV: 5 mL ampules (1 mg/mL) Special Notes Abrupt cessation my precipitate angina, MI, arrhythmias, or rebound HTN; discontinue by tapering over 1-2 weeks
Why it Metoprolol Tartrate is a commonly prescribed medication
Metoprolol tartrate is available as an immediate-release (Lopressor tablets) formulation and metoprolol succinate is available in an extended-release (Toprol XL tablets and Kapspargo sprinkle capsules) version
Your doctor may adjust your dose as needed
Follow your health care provider’s directions for when to take metoprolol
Upsides
Figure 1
Beta-blockers reduce the heart rate, lower the heart's oxygen demand, and reduce the frequency of angina attacks
Metoprolol and atenolol are very similar in terms of how they work and their side effects
Toprol-XL (metoprolol succinate) is the extended-release version and Lopressor (metoprolol tartrate) is the immediate-release version
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Propranolol is mainly used for blood pressure and angina control; however, it also has a role in migraine prevention and Oral metoprolol is the most commonly prescribed β-receptor blocker in patients with ACS