Monograph Details

Cardiovascular System > Angina
LOPRESSOR
Manufacturer
Novartis Pharmaceuticals Corp
Legal Classification
Rx
Pharmacological Class
β-blocker.
Generic Name
Metoprolol tartrate 50mg, 100mg; scored tabs.
Indications
Long-term management of angina.
Children
Not recommended.
Adults
Take with meals. Initially 100mg daily in 2 divided doses. Increase, if needed, weekly. Usual range: 100–400mg/day.
Contraindications
Sinus bradycardia. 2nd- or 3rd-degree AV block. Overt heart failure. Cardiogenic shock.
Precautions
CHF. Bronchospastic disease, COPD. Hepatic dysfunction. Diabetes. Hyperthyroidism. Surgery. SLE. Avoid abrupt cessation. Pregnancy (Cat.C). Nursing mothers.
Interactions
Bradycardia with catecholamine-depleting drugs. Potentiated by felodipine. May increase cardiac effects of calcium channel blockers, digitalis. Antagonized by NSAIDs, barbiturates, rifampin. May interfere with glaucoma screening tests. May block epinephrine.
Adverse Reactions
Fatigue, dizziness, depression, diarrhea, rash, dyspnea, bradycardia, cold extremities, palpitations, CHF, peripheral edema, hypotension, bronchospasm, heart block.
How Supplied
Tabs—100, 1000
Additional Resources
Related Prescribing Note