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Metoprolol

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nerve endings or secreted by the adrenal glands, they bind to β-1 adrenergic receptors found primarily in cardiac tissues such as the heart. This binding activates these receptors, leading to various physiological responses, including an increase in heart rate, force of contraction (inotropic effect), conduction speed through electrical pathways in the heart, and release of renin from the kidneys. Metoprolol competes with adrenaline and noradrenaline for binding sites on these β-1 receptors. By occupying these receptor sites without activating them, metoprolol blocks or inhibits their activation by endogenous catecholamines like adrenaline or noradrenaline.
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Metoprolol exerts its effects by blocking the action of certain neurotransmitters, specifically adrenaline and noradrenaline. It does this by selectively binding to and antagonizing β-1 adrenergic receptors in the body. When adrenaline (epinephrine) or noradrenaline (norepinephrine) are released from
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Metoprolol reduces long-term mortality and hospitalisation due to worsening heart failure. A meta-analysis further supports reduced incidence of heart failure worsening in patients treated with beta-blockers compared to placebo. However, in some circumstances, particularly when initiating metoprolol
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In the 2000s, a lawsuit was brought against the manufacturers of Toprol XL (a time-release formula version of metoprolol) and its generic equivalent (metoprolol succinate) claiming that to increase profits, lower cost generic versions of Toprol XL were intentionally kept off the market. It alleged
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Hjalmarson A, Goldstein S, Fagerberg B, Wedel H, Waagstein F, Kjekshus J, et al. (March 2000). "Effects of controlled-release metoprolol on total mortality, hospitalizations, and well-being in patients with heart failure: the Metoprolol CR/XL Randomized Intervention Trial in congestive heart
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Metoprolol is mostly absorbed from the intestine with an absorption fraction of 0.95. The systemic bioavailability after oral administration is approximately 50%. Less than 5% of an orally administered dose of metoprolol is excreted unchanged in urine; most of it is eliminated in metabolized form
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Adverse effects, especially with higher doses, include dizziness, drowsiness, fatigue, diarrhea, unusual dreams, trouble sleeping, depression, and vision problems such as blurred vision or dry eyes. β-blockers, including metoprolol, reduce salivary flow via inhibition of the direct sympathetic
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Decrease in cardiac output, i.e., decrease in both heart rate and contractility within myocardium cells, where beta-(β)-1 is predominantly located, overall blood output per minute lowers called cardiac output/dysfunction, allowing decreased demands placed onto impaired hearts, reducing oxygen
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Gottlieb SS, Fisher ML, Kjekshus J, Deedwania P, Gullestad L, Vitovec J, et al. (John Wikstrand; MERIT-HF Investigators) (March 2002). "Tolerability of beta-blocker initiation and titration in the Metoprolol CR/XL Randomized Intervention Trial in Congestive Heart Failure (MERIT-HF)".
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and metoprolol are more likely than other less lipophilic beta blockers to cause sleep disturbances such as insomnia, vivid dreams and nightmares. Patients should be cautious while driving or operating machinery due to its potential to cause decreased alertness.
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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 people to become less alert than they are normally, making it dangerous for them to drive or use machines.
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in patients with more symptomatic disease, an increased prevalence of hospitalisation and mortality has been reported within the first two months of starting. Patients should monitor for swelling of extremities, fatigue, and shortness of breath.
964:. Both oral and intravenous forms of metoprolol are available for administration. The different salt versions of metoprolol – metoprolol tartrate and metoprolol succinate – are approved for different conditions and are not interchangeable. 2805: 1194:
Metoprolol was synthesized and its activity discovered in 1969. The specific agent in on-market formulations of metoprolol is either metoprolol tartrate or metoprolol succinate, where tartrate is an immediate-release
1186:. Metoprolol binds mainly to human serum albumin with an unbound fraction of 0.88. It has a large volume of distribution at steady state (3.2 L/kg), indicating extensive distribution throughout the body. 1331:
Because beta blockers can be used to reduce heart rate and minimize tremors, which can enhance performance in sports such as archery, metoprolol is banned by the world anti-doping agency in some sports.
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Swaisland HC, Ranson M, Smith RP, Leadbetter J, Laight A, McKillop D, et al. (2005). "Pharmacokinetic drug interactions of gefitinib with rifampicin, itraconazole and metoprolol".
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Albers S, Elshoff JP, Völker C, Richter A, Läer S (April 2005). "HPLC quantification of metoprolol with solid-phase extraction for the drug monitoring of pediatric patients".
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Heart rate reduction, i.e., decrease of the resting heart rate (negative chronotropic effect) and reduction of excessive elevations resulting from exercise or stress.
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C in Australia, meaning that it may be suspected of causing harmful effects on the human fetus (but no malformations). It appears to be safe in breastfeeding.
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Lafuente-Lafuente C, Valembois L, Bergmann J, Belmin J (2015). "Antiarrhythmics for maintaining sinus rhythm after cardioversion of atrial fibrillation".
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Zamir A, Hussain I, Ur Rehman A, Ashraf W, Imran I, Saeed H, et al. (August 2022). "Clinical Pharmacokinetics of Metoprolol: A Systematic Review".
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Reduction of the force of contraction, i.e., decrease in contractility (negative inotropic effect), which lessens how hard each heartbeat contracts.
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Metoprolol undergoes extensive metabolism in the liver, mainly α-hydroxylation and O-demethylation through various cytochrome P450 enzymes such as
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that the pharmaceutical companies AstraZeneca AB, AstraZeneca LP, AstraZeneca Pharmaceuticals LP, and Aktiebolaget Hassle violated antitrust and
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and the succinate is an extended-release formulation (with 100 mg metoprolol tartrate corresponding to 95 mg metoprolol succinate).
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The selection and use of essential medicines 2023: web annex A: World Health Organization model list of essential medicines: 23rd list (2023)
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Regårdh CG, Jordö L, Ervik M, Lundborg P, Olsson R, Rönn O (1981). "Pharmacokinetics of metoprolol in patients with hepatic cirrhosis".
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innervation of the salivary glands. Metoprolol may also cause the hands and feet to feel cold. Due to the high penetration across the
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law. In a settlement by the companies in 2012, without admission to the claims, they agreed to a settlement pay-out of US$ 11
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Antiarrhythmic effects, such as supraventricular tachycardia prevention. Metoprolol also prevents electrical wave propagation.
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Rote Liste 2017 – Arzneimittelverzeichnis für Deutschland (einschließlich EU-Zulassungen und bestimmter Medizinprodukte)
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Through this mechanism of selective blockade at beta-(β)-1 receptors, metoprolol exerts the following effects:
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Turner MD (April 2016). "Hyposalivation and Xerostomia: Etiology, Complications, and Medical Management".
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There may also be an impact on blood sugar levels and it can potentially mask signs of low blood sugar.
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Metoprolol was first made in 1969, patented in 1970, and approved for medical use in 1978. It is on the
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Geffner DL, Hershman JM (July 1992). "Beta-adrenergic blockade for the treatment of hyperthyroidism".
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InChI=1S/C15H25NO3/c1-12(2)16-10-14(17)11-19-15-6-4-13(5-7-15)8-9-18-3/h4-7,12,14,16-17H,8-11H2,1-3H3
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Cojocariu SA, Maștaleru A, Sascău RA, Stătescu C, Mitu F, Leon-Constantin MM (February 2021).
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Suita K, Fujita T, Hasegawa N, Cai W, Jin H, Hidaka Y, et al. (23 July 2015).
2576: 2520: 2510: 2451: 2414: 2406: 2371: 2367: 2299: 2261: 2253: 2200: 2055: 1887: 1803: 1674: 1666: 1636: 1616: 1544: 1180: 1164:. The primary metabolites formed are α-hydroxymetoprolol and O-demethylmetoprolol. 715: 370: 288: 101: 57: 1853: 1823: 3651: 3482: 3322: 2840: 2653: 2257: 2171:. Bethesda (MD): National Institute of Child Health and Human Development. 1994. 2148:. Bethesda (MD): National Institute of Child Health and Human Development. 2006. 1655:"A meta-analysis of CYP2D6 metabolizer phenotype and metoprolol pharmacokinetics" 961: 872: 785: 508: 400: 378: 2906: 3292: 3214: 2910: 2580: 2059: 1108: 1104: 2875: 3661: 3347: 3302: 3282: 2515: 2481:(8th ed.). Foster City, CA: Biomedical Publications. pp. 1023–1025. 2240:
Barron AJ, Zaman N, Cole GD, Wensel R, Okonko DO, Francis DP (October 2013).
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Metoprolol was approved for medical use in the United States in August 1978.
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recurrence, it is unclear whether the long-term benefits outweigh the risks.
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The safety of metoprolol during pregnancy is not fully established.
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Excessive doses of metoprolol can cause bradycardia, hypotension,
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Rosen's emergency medicine : concepts and clinical practice
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beta blocker. More lipophilic beta blockers tend to cross the
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Blake CM, Kharasch ED, Schwab M, Nagele P (September 2013).
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Risk for the fetus has not been ruled out, per being rated
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Cruickshank JM (2010). "Beta-blockers and heart failure".
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Metoprolol is used for a number of conditions, including
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more readily, with greater potential for effects in the
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Metoprolol contains a stereocenter and consists of two
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concluded that although metoprolol reduces the risk of
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World Health Organization's List of Essential Medicines
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through feces via bile secretion into the intestines.
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Marx JA (2014). "Chapter 152: Cardiovascular Drugs".
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Medication of the selective β1 receptor blocker type
1485:"Diuretics, Antihypertensives, and Antiarrhythmics" 527: 116: 104: 66: 60: 2392: 1732: 1730: 2393:Page C, Hacket LP, Isbister GK (September 2009). 1567: 3659: 507: 2562: 2560: 2558: 2556: 2554: 2552: 2550: 2548: 2546: 2544: 2492: 2490: 2488: 2479:Disposition of Toxic Drugs and Chemicals in Man 1996: 1994: 1992: 1920:. Treasure Island (FL): StatPearls Publishing. 1911: 1909: 1877: 1767: 1727: 1648: 1646: 482: 1030: 901:Common side effects include trouble sleeping, 3703:World Health Organization essential medicines 3253: 2947: 2917:National Center for Biotechnology Information 2333: 2331: 2329: 2160: 1740:Technological systems and industrial dynamics 1545:"Prescribing medicines in pregnancy database" 3338:Budesonide/glycopyrronium bromide/formoterol 2541: 2485: 2353: 2282: 2233: 2183: 2137: 2092: 1989: 1915: 1906: 1643: 1410: 1378:"Metolar 25/50 (metoprolol tartrate) tablet" 867:among others, is a medication used to treat 207: 2363:The Cochrane Database of Systematic Reviews 2191:failure (MERIT-HF). MERIT-HF Study Group". 2098: 1871: 1743:. Dordrecht: Kluwer Academic. p. 106. 1491:. Jaypee Brothers Publishers. p. 303. 362:In general: ℞ (Prescription only) 3678:Chemical substances for emergency medicine 3260: 3246: 2954: 2940: 2777: 2326: 1600: 1452: 1450: 1448: 1446: 1444: 1442: 1440: 1438: 701: 678: 567: 38: 29: 2848: 2752:Pharmacist's Letter / Prescriber's Letter 2662: 2652: 2524: 2514: 2418: 2265: 1916:Morris J, Dunham A (2023). "Metoprolol". 1807: 1678: 1167:Metoprolol is classified as a moderately 587: 2907:"Metoprolol Therapy and CYP2D6 Genotype" 2020: 1736: 1509: 871:and a number of conditions involving an 152:Lopressor, Metolar XR, Toprol XL, others 2961: 2870: 2868: 2745:"Alternatives for Metoprolol Succinate" 2169:Drugs and Lactation Database (LactMed®) 2146:Drugs and Lactation Database (LactMed®) 1788: 1435: 960:. It is an adjunct in the treatment of 879:and to prevent headaches in those with 674: 547: 180: 3660: 2822: 2476: 2045: 1977:from the original on 25 September 2019 1774:. John Wiley & Sons. p. 461. 1659:Clinical Pharmacology and Therapeutics 1482: 1296: 1059: 692: 338: 3241: 2935: 2622: 2620: 2339:"Metoprolol (Oral Route) Precautions" 2088:from the original on 21 January 2010. 2074: 1802:. Geneva: World Health Organization. 1416: 647: 627: 351: 198: 166: 3620: 2904: 2865: 2742: 1964: 1940:"Metoprolol vs Toprol-XL Comparison" 1515: 1206: 287: 2349:from the original on 16 April 2009. 2246:International Journal of Cardiology 2127:"Common questions about metoprolol" 2025:(3rd ed.). Saunders Elsevier. 1834:from the original on 30 August 2024 1139: 607: 498: 13: 2898: 2685:: CS1 maint: overridden setting ( 2617: 2609:: CS1 maint: overridden setting ( 2225:: CS1 maint: overridden setting ( 1757:from the original on 3 March 2017. 1464:from the original on 12 March 2014 1202: 1090:intrinsic sympathomimetic activity 978: 14: 3714: 3693:N-isopropyl-phenoxypropanolamines 3393:Glycopyrronium bromide/formoterol 2783:Rote Liste Service GmbH (Hrsg.): 1596:from the original on 7 July 2017. 1555:from the original on 8 April 2014 1505:from the original on 7 July 2017. 1398:from the original on 3 March 2016 314: 230: 3645: 3619: 3610: 3609: 2714:10.2165/00003088-200544100-00005 1880:The American Journal of Medicine 1621:10.2165/00003088-198106050-00004 1282: 1271: 1211: 732: 726: 100: 56: 3267: 2816: 2798: 2736: 2693: 2470: 2435: 2386: 2119: 2048:Dental Clinics of North America 2039: 2014: 1958: 1932: 1846: 1816: 1768:Fischer J, Ganellin CR (2006). 1761: 1706:"Lopressor: FDA-Approved Drugs" 1350:"Lopressor Product information" 1301: 1054: 931: 838:Key:IUBSYMUCCVWXPE-UHFFFAOYSA-N 3668:Drugs developed by AstraZeneca 3493:Sodium zirconium cyclosilicate 2372:10.1002/14651858.CD005049.pub4 1476: 1370: 1342: 1006: 735: 720: 327: 1: 3566:Cambridge Antibody Technology 2399:Journal of Medical Toxicology 2131:National Health Service (NHS) 1771:Analogue-based Drug Discovery 1335: 813:O(c1ccc(cc1)CCOC)CC(O)CNC(C)C 385:70% (repeated administration) 2841:10.18773/austprescr.2015.059 2654:10.1371/journal.pone.0133664 2258:10.1016/j.ijcard.2013.05.068 1965:Eske J (25 September 2019). 1892:10.1016/0002-9343(92)90681-Z 1712:Food and Drug Administration 1387:Food and Drug Administration 1309: 1189: 969:supraventricular tachycardia 946:supraventricular tachycardia 863:, sold under the brand name 7: 3698:Drugs developed by Novartis 1132:Lowering of blood pressure. 1042: 1031:Pregnancy and breastfeeding 942:acute myocardial infarction 898:or is given intravenously. 10: 3719: 2927:. Bookshelf ID: NBK425389. 2912:Medical Genetics Summaries 2581:10.1007/s40262-022-01145-y 2060:10.1016/j.cden.2015.11.003 1812:. WHO/MHP/HPS/EML/2023.02. 1266:Enantiomers of metoprolol 873:abnormally fast heart rate 710:Chemical and physical data 3605: 3584: 3546: 3275: 3198: 3166: 3144: 3062: 2974: 2823:Hughes D (October 2015). 2702:Clinical Pharmacokinetics 2569:Clinical Pharmacokinetics 2444:Biomedical Chromatography 2002:"Metoprolol (Oral Route)" 1796:World Health Organization 1609:Clinical Pharmacokinetics 1489:Modern Medical Toxicology 1265: 1252:, i.e. a 1:1 mixture of ( 1111:-induced increase in the 1103:-adrenergic receptors in 846: 821: 801: 797:120 °C (248 °F) 791: 779: 757: 744: 714: 709: 690: 658: 638: 618: 598: 578: 558: 538: 518: 493: 473: 449: 444: 432: 419: 399: 389: 377: 369: 304: 299: 274: 262: 244: 218: 188: 174: 156: 146: 51: 46: 37: 28: 3688:Isopropylamino compounds 2880:World Anti Doping Agency 2758:(250302). Archived from 2516:10.3390/medicina57020155 2205:10.1001/jama.283.10.1295 1737:Carlsson B, ed. (1997). 1326: 954:congestive heart failure 894:medication. It is taken 3561:Alexion Pharmaceuticals 1129:demand-supply mismatch. 1076:. It is specifically a 967:Off-label uses include 950:ventricular tachycardia 928:million prescriptions. 920:. It is available as a 3513:Trastuzumab deruxtecan 3508:Tixagevimab/cilgavimab 3403:Isosorbide mononitrate 1289:CAS-Nummer: 81024-42-2 1278:CAS-Nummer: 81024-43-3 1179:as well as associated 1177:central nervous system 1113:sarcoplasmic reticulum 1074:β-adrenergic receptors 992:beta blockers such as 3468:Salbutamol/budesonide 3333:Budesonide/formoterol 2876:"The Prohibited List" 2829:Australian Prescriber 2304:10.1161/hc1002.105180 1824:"The Top 300 of 2022" 1549:Australian Government 1417:Jasek W, ed. (2007). 877:myocardial infarction 2765:on 20 September 2016 2101:Indian Heart Journal 1671:10.1038/clpt.2013.96 1086:-adrenergic receptor 956:, and prevention of 2645:2015PLoSO..1033664S 2021:Costanzo L (2009). 1317:consumer protection 1297:Society and culture 1173:blood–brain barrier 1099:Metoprolol blocks β 1060:Mechanism of action 1021:atrial fibrillation 986:blood–brain barrier 347:(Prescription only) 323:(Prescription only) 25: 3549:acquired companies 3225:Never to phase III 2810:www.prnewswire.com 2411:10.1007/bf03161225 1971:Medical News Today 1579:Medical Toxicology 1483:Pillay VV (2012). 1105:heart muscle cells 1080:antagonist of the 1049:metabolic acidosis 1037:pregnancy category 958:migraine headaches 922:generic medication 465:)-1--3-propan-2-ol 21: 3683:CYP2D6 inhibitors 3633: 3632: 3353:Disufenton sodium 3235: 3234: 2708:(10): 1067–1081. 2477:Baselt R (2008). 2199:(10): 1295–1302. 1358:. 22 October 2009 1294: 1293: 1290: 1279: 1242: 1241: 858: 857: 770:Interactive image 660:CompTox Dashboard 383:50% (single dose) 355: 342: 330: 318: 234: 201: 3710: 3650: 3649: 3648: 3641: 3623: 3622: 3613: 3612: 3597:Louis Schweitzer 3547:Predecessors and 3262: 3255: 3248: 3239: 3238: 2956: 2949: 2942: 2933: 2932: 2928: 2892: 2891: 2889: 2887: 2882:. 3 January 2023 2872: 2863: 2862: 2852: 2820: 2814: 2813: 2812:(Press release). 2802: 2796: 2781: 2775: 2774: 2772: 2770: 2764: 2749: 2740: 2734: 2733: 2697: 2691: 2690: 2684: 2676: 2666: 2656: 2624: 2615: 2614: 2608: 2600: 2575:(8): 1095–1114. 2564: 2539: 2538: 2528: 2518: 2494: 2483: 2482: 2474: 2468: 2467: 2439: 2433: 2432: 2422: 2390: 2384: 2383: 2357: 2351: 2350: 2343:Drug Information 2335: 2324: 2323: 2286: 2280: 2279: 2269: 2237: 2231: 2230: 2224: 2216: 2187: 2181: 2180: 2164: 2158: 2157: 2141: 2135: 2134: 2133:. 15 March 2022. 2123: 2117: 2116: 2096: 2090: 2089: 2078: 2072: 2071: 2043: 2037: 2036: 2018: 2012: 2011: 1998: 1987: 1986: 1984: 1982: 1962: 1956: 1955: 1953: 1951: 1936: 1930: 1929: 1913: 1904: 1903: 1875: 1869: 1868: 1866: 1864: 1850: 1844: 1843: 1841: 1839: 1820: 1814: 1813: 1811: 1792: 1786: 1785: 1765: 1759: 1758: 1734: 1725: 1724: 1722: 1720: 1702: 1693: 1692: 1682: 1650: 1641: 1640: 1604: 1598: 1597: 1574: 1565: 1564: 1562: 1560: 1551:. 3 March 2014. 1541: 1532: 1531: 1513: 1507: 1506: 1480: 1474: 1473: 1471: 1469: 1454: 1433: 1432: 1414: 1408: 1407: 1405: 1403: 1397: 1382: 1374: 1368: 1367: 1365: 1363: 1346: 1322: 1288: 1286: 1277: 1275: 1263: 1262: 1237: 1234: 1215: 1207: 1181:neuropsychiatric 1140:Pharmacokinetics 1064:Metoprolol is a 927: 892:receptor blocker 854: 853: 772: 752: 737: 734: 728: 722: 705: 694: 683: 682: 668: 666: 651: 631: 611: 591: 571: 551: 531: 511: 501: 500: 486: 424: 353: 350: 340: 337: 329: 326: 316: 313: 291: 232: 229: 211: 200: 197: 184: 170: 141: 140: 137: 136: 133: 130: 127: 124: 121: 118: 115: 112: 109: 106: 97: 96: 93: 92: 89: 86: 83: 80: 77: 74: 71: 68: 65: 62: 42: 33: 26: 24: 20: 3718: 3717: 3713: 3712: 3711: 3709: 3708: 3707: 3658: 3657: 3656: 3646: 3644: 3636: 3634: 3629: 3601: 3580: 3548: 3542: 3483:Sebelipase alfa 3323:Brompheniramine 3271: 3266: 3236: 3231: 3230: 3215:Clinical trials 3194: 3173:- + β-selective 3171: 3162: 3149: 3140: 3067: 3058: 2978:, non-selective 2970: 2960: 2905:Dean L (2017). 2901: 2899:Further reading 2896: 2895: 2885: 2883: 2874: 2873: 2866: 2821: 2817: 2804: 2803: 2799: 2782: 2778: 2768: 2766: 2762: 2747: 2743:Cupp M (2009). 2741: 2737: 2698: 2694: 2678: 2677: 2639:(7): e0133664. 2625: 2618: 2602: 2601: 2565: 2542: 2495: 2486: 2475: 2471: 2456:10.1002/bmc.436 2440: 2436: 2391: 2387: 2366:(3): CD005049. 2358: 2354: 2345:. Mayo Clinic. 2337: 2336: 2327: 2287: 2283: 2238: 2234: 2218: 2217: 2188: 2184: 2166: 2165: 2161: 2143: 2142: 2138: 2125: 2124: 2120: 2097: 2093: 2080: 2079: 2075: 2044: 2040: 2033: 2019: 2015: 2000: 1999: 1990: 1980: 1978: 1963: 1959: 1949: 1947: 1946:. 1 August 2019 1938: 1937: 1933: 1914: 1907: 1876: 1872: 1862: 1860: 1852: 1851: 1847: 1837: 1835: 1822: 1821: 1817: 1793: 1789: 1782: 1766: 1762: 1751: 1735: 1728: 1718: 1716: 1704: 1703: 1696: 1651: 1644: 1605: 1601: 1590: 1576: 1575: 1568: 1558: 1556: 1543: 1542: 1535: 1528: 1514: 1510: 1499: 1481: 1477: 1467: 1465: 1456: 1455: 1436: 1429: 1415: 1411: 1401: 1399: 1395: 1380: 1376: 1375: 1371: 1361: 1359: 1348: 1347: 1343: 1338: 1329: 1320: 1312: 1304: 1299: 1287: 1276: 1238: 1232: 1229: 1222:needs expansion 1216: 1205: 1203:Stereochemistry 1192: 1142: 1102: 1085: 1062: 1057: 1045: 1033: 1017:Cochrane Review 1009: 981: 979:Adverse effects 962:hyperthyroidism 934: 925: 891: 849: 847: 842: 839: 834: 829: 828: 817: 814: 809: 808: 786:Racemic mixture 775: 750: 740: 731: 725: 686: 662: 654: 634: 614: 594: 574: 554: 534: 514: 497: 489: 469: 466: 457: 456: 422: 391:Protein binding 384: 379:Bioavailability 371:Pharmacokinetic 365: 295: 247: 240: 221: 214: 103: 99: 59: 55: 17: 12: 11: 5: 3716: 3706: 3705: 3700: 3695: 3690: 3685: 3680: 3675: 3670: 3655: 3654: 3631: 3630: 3628: 3627: 3617: 3606: 3603: 3602: 3600: 3599: 3594: 3588: 3586: 3582: 3581: 3579: 3578: 3573: 3568: 3563: 3558: 3552: 3550: 3544: 3543: 3541: 3540: 3535: 3530: 3525: 3520: 3515: 3510: 3505: 3500: 3495: 3490: 3485: 3480: 3475: 3470: 3465: 3460: 3455: 3450: 3445: 3440: 3435: 3430: 3425: 3420: 3415: 3410: 3405: 3400: 3395: 3390: 3385: 3380: 3375: 3370: 3365: 3360: 3355: 3350: 3345: 3340: 3335: 3330: 3325: 3320: 3315: 3310: 3305: 3300: 3295: 3293:Andexanet alfa 3290: 3285: 3279: 3277: 3273: 3272: 3265: 3264: 3257: 3250: 3242: 3233: 3232: 3229: 3228: 3227: 3226: 3223: 3212: 3206: 3200: 3199: 3196: 3195: 3193: 3192: 3187: 3182: 3176: 3174: 3169: 3164: 3163: 3161: 3160: 3154: 3152: 3147: 3142: 3141: 3139: 3138: 3133: 3128: 3123: 3118: 3113: 3108: 3103: 3098: 3093: 3088: 3083: 3078: 3072: 3070: 3065: 3060: 3059: 3057: 3056: 3051: 3046: 3041: 3036: 3027: 3022: 3017: 3012: 3007: 3002: 2997: 2992: 2987: 2981: 2979: 2972: 2971: 2959: 2958: 2951: 2944: 2936: 2930: 2929: 2900: 2897: 2894: 2893: 2864: 2835:(5): 167–170. 2815: 2797: 2793:978-3946057109 2776: 2735: 2692: 2616: 2540: 2484: 2469: 2450:(3): 202–207. 2434: 2405:(3): 139–143. 2385: 2352: 2325: 2298:(10): 1182–8. 2281: 2232: 2182: 2167:"Metoprolol". 2159: 2144:"Metoprolol". 2136: 2118: 2107:(2): 101–110. 2091: 2073: 2054:(2): 435–443. 2038: 2032:978-1416023203 2031: 2013: 1988: 1957: 1931: 1905: 1870: 1845: 1815: 1787: 1781:978-3527607495 1780: 1760: 1750:978-0792399728 1749: 1726: 1694: 1642: 1615:(5): 375–388. 1599: 1589:978-0781728454 1588: 1566: 1533: 1527:978-1455706051 1526: 1508: 1498:978-9350259658 1497: 1475: 1434: 1428:978-3852001814 1427: 1409: 1369: 1340: 1339: 1337: 1334: 1328: 1325: 1311: 1308: 1303: 1300: 1298: 1295: 1292: 1291: 1280: 1268: 1267: 1240: 1239: 1219: 1217: 1210: 1204: 1201: 1191: 1188: 1141: 1138: 1137: 1136: 1133: 1130: 1126: 1123: 1109:norepinephrine 1100: 1083: 1061: 1058: 1056: 1053: 1044: 1041: 1032: 1029: 1008: 1005: 980: 977: 933: 930: 913:polymorphism. 889: 856: 855: 844: 843: 841: 840: 837: 835: 832: 824: 823: 822: 819: 818: 816: 815: 812: 804: 803: 802: 799: 798: 795: 789: 788: 783: 777: 776: 774: 773: 765: 763: 755: 754: 748: 742: 741: 738: 729: 723: 718: 712: 711: 707: 706: 696: 688: 687: 685: 684: 671: 669: 656: 655: 653: 652: 644: 642: 636: 635: 633: 632: 624: 622: 616: 615: 613: 612: 604: 602: 596: 595: 593: 592: 584: 582: 576: 575: 573: 572: 564: 562: 556: 555: 553: 552: 544: 542: 536: 535: 533: 532: 524: 522: 516: 515: 513: 512: 504: 502: 491: 490: 488: 487: 479: 477: 471: 470: 468: 467: 460: 452: 451: 450: 447: 446: 442: 441: 436: 430: 429: 426: 417: 416: 403: 397: 396: 393: 387: 386: 381: 375: 374: 367: 366: 364: 363: 360: 348: 335: 324: 310: 308: 302: 301: 297: 296: 294: 293: 280: 278: 272: 271: 266: 260: 259: 250: 248:administration 242: 241: 239: 238: 236: 226: 224: 216: 215: 213: 212: 194: 192: 186: 185: 178: 172: 171: 164: 154: 153: 150: 144: 143: 53: 49: 48: 44: 43: 35: 34: 15: 9: 6: 4: 3: 2: 3715: 3704: 3701: 3699: 3696: 3694: 3691: 3689: 3686: 3684: 3681: 3679: 3676: 3674: 3673:Beta blockers 3671: 3669: 3666: 3665: 3663: 3653: 3643: 3642: 3639: 3626: 3618: 3616: 3608: 3607: 3604: 3598: 3595: 3593: 3590: 3589: 3587: 3583: 3577: 3574: 3572: 3569: 3567: 3564: 3562: 3559: 3557: 3554: 3553: 3551: 3545: 3539: 3536: 3534: 3531: 3529: 3526: 3524: 3521: 3519: 3516: 3514: 3511: 3509: 3506: 3504: 3501: 3499: 3496: 3494: 3491: 3489: 3486: 3484: 3481: 3479: 3476: 3474: 3471: 3469: 3466: 3464: 3461: 3459: 3456: 3454: 3451: 3449: 3446: 3444: 3441: 3439: 3436: 3434: 3431: 3429: 3426: 3424: 3421: 3419: 3416: 3414: 3411: 3409: 3406: 3404: 3401: 3399: 3396: 3394: 3391: 3389: 3386: 3384: 3381: 3379: 3376: 3374: 3371: 3369: 3366: 3364: 3361: 3359: 3356: 3354: 3351: 3349: 3348:Dapagliflozin 3346: 3344: 3341: 3339: 3336: 3334: 3331: 3329: 3326: 3324: 3321: 3319: 3316: 3314: 3311: 3309: 3306: 3304: 3303:Asfotase alfa 3301: 3299: 3296: 3294: 3291: 3289: 3286: 3284: 3283:Acalabrutinib 3281: 3280: 3278: 3274: 3270: 3263: 3258: 3256: 3251: 3249: 3244: 3243: 3240: 3224: 3222: 3219: 3218: 3216: 3213: 3210: 3207: 3205: 3202: 3201: 3197: 3191: 3188: 3186: 3183: 3181: 3178: 3177: 3175: 3172: 3165: 3159: 3156: 3155: 3153: 3150: 3143: 3137: 3134: 3132: 3129: 3127: 3124: 3122: 3119: 3117: 3114: 3112: 3109: 3107: 3104: 3102: 3099: 3097: 3094: 3092: 3089: 3087: 3084: 3082: 3079: 3077: 3074: 3073: 3071: 3068: 3061: 3055: 3052: 3050: 3047: 3045: 3042: 3040: 3037: 3035: 3031: 3028: 3026: 3023: 3021: 3018: 3016: 3013: 3011: 3008: 3006: 3003: 3001: 2998: 2996: 2993: 2991: 2988: 2986: 2983: 2982: 2980: 2977: 2973: 2968: 2964: 2963:Beta blockers 2957: 2952: 2950: 2945: 2943: 2938: 2937: 2934: 2926: 2922: 2918: 2914: 2913: 2908: 2903: 2902: 2881: 2877: 2871: 2869: 2860: 2856: 2851: 2846: 2842: 2838: 2834: 2830: 2826: 2819: 2811: 2807: 2801: 2794: 2790: 2786: 2780: 2761: 2757: 2753: 2746: 2739: 2731: 2727: 2723: 2719: 2715: 2711: 2707: 2703: 2696: 2688: 2682: 2674: 2670: 2665: 2660: 2655: 2650: 2646: 2642: 2638: 2634: 2630: 2623: 2621: 2612: 2606: 2598: 2594: 2590: 2586: 2582: 2578: 2574: 2570: 2563: 2561: 2559: 2557: 2555: 2553: 2551: 2549: 2547: 2545: 2536: 2532: 2527: 2522: 2517: 2512: 2508: 2504: 2500: 2493: 2491: 2489: 2480: 2473: 2465: 2461: 2457: 2453: 2449: 2445: 2438: 2430: 2426: 2421: 2416: 2412: 2408: 2404: 2400: 2396: 2389: 2381: 2377: 2373: 2369: 2365: 2364: 2356: 2348: 2344: 2340: 2334: 2332: 2330: 2321: 2317: 2313: 2309: 2305: 2301: 2297: 2293: 2285: 2277: 2273: 2268: 2263: 2259: 2255: 2252:(4): 3572–9. 2251: 2247: 2243: 2236: 2228: 2222: 2214: 2210: 2206: 2202: 2198: 2194: 2186: 2178: 2174: 2170: 2163: 2155: 2151: 2147: 2140: 2132: 2128: 2122: 2114: 2110: 2106: 2102: 2095: 2087: 2084:. Drugs.com. 2083: 2077: 2069: 2065: 2061: 2057: 2053: 2049: 2042: 2034: 2028: 2024: 2017: 2009: 2008: 2003: 1997: 1995: 1993: 1976: 1972: 1968: 1961: 1945: 1941: 1935: 1927: 1923: 1919: 1912: 1910: 1901: 1897: 1893: 1889: 1885: 1881: 1874: 1859: 1855: 1849: 1833: 1829: 1825: 1819: 1810: 1805: 1801: 1797: 1791: 1783: 1777: 1773: 1772: 1764: 1756: 1752: 1746: 1742: 1741: 1733: 1731: 1715: 1713: 1707: 1701: 1699: 1690: 1686: 1681: 1676: 1672: 1668: 1664: 1660: 1656: 1649: 1647: 1638: 1634: 1630: 1626: 1622: 1618: 1614: 1610: 1603: 1595: 1591: 1585: 1581: 1580: 1573: 1571: 1554: 1550: 1546: 1540: 1538: 1529: 1523: 1519: 1512: 1504: 1500: 1494: 1490: 1486: 1479: 1463: 1459: 1453: 1451: 1449: 1447: 1445: 1443: 1441: 1439: 1430: 1424: 1420: 1419:Austria-Codex 1413: 1394: 1390: 1388: 1379: 1373: 1357: 1356: 1355:Health Canada 1351: 1345: 1341: 1333: 1324: 1318: 1307: 1285: 1281: 1274: 1270: 1269: 1264: 1261: 1259: 1255: 1251: 1247: 1236: 1233:November 2022 1227: 1223: 1220:This section 1218: 1214: 1209: 1208: 1200: 1198: 1187: 1185: 1182: 1178: 1174: 1170: 1165: 1163: 1159: 1155: 1151: 1146: 1134: 1131: 1127: 1124: 1121: 1120: 1119: 1116: 1114: 1110: 1106: 1097: 1093: 1091: 1087: 1079: 1075: 1071: 1067: 1052: 1050: 1040: 1038: 1028: 1024: 1022: 1018: 1013: 1004: 1001: 998: 995: 991: 987: 976: 974: 973:thyroid storm 970: 965: 963: 959: 955: 951: 947: 943: 939: 929: 923: 919: 914: 912: 908: 904: 903:feeling tired 899: 897: 893: 886: 882: 878: 874: 870: 866: 862: 852: 845: 836: 831: 830: 827: 820: 811: 810: 807: 800: 796: 794: 793:Melting point 790: 787: 784: 782: 778: 771: 767: 766: 764: 761: 756: 749: 747: 743: 719: 717: 713: 708: 704: 700: 697: 695: 693:ECHA InfoCard 689: 681: 677: 676:DTXSID2023309 673: 672: 670: 661: 657: 650: 646: 645: 643: 641: 637: 630: 626: 625: 623: 621: 617: 610: 606: 605: 603: 601: 597: 590: 586: 585: 583: 581: 577: 570: 566: 565: 563: 561: 557: 550: 546: 545: 543: 541: 537: 530: 526: 525: 523: 521: 517: 510: 506: 505: 503: 496: 492: 485: 481: 480: 478: 476: 472: 464: 459: 458: 455: 448: 443: 440: 437: 435: 431: 427: 425: 418: 415: 411: 407: 404: 402: 398: 394: 392: 388: 382: 380: 376: 372: 368: 361: 359: 349: 346: 336: 334: 325: 322: 312: 311: 309: 307: 303: 298: 290: 285: 282: 281: 279: 277: 273: 270: 267: 265: 261: 258: 254: 251: 249: 243: 237: 228: 227: 225: 223: 217: 210: 205: 196: 195: 193: 191: 187: 183: 179: 177: 173: 169: 165: 163: 159: 155: 151: 149: 145: 139: 95: 54: 52:Pronunciation 50: 47:Clinical data 45: 41: 36: 32: 27: 19: 3592:Tom McKillop 3538:Zolmitriptan 3528:Ximelagatran 3458:Rosuvastatin 3407: 3368:Esomeprazole 3318:Bicalutamide 3313:Benralizumab 3120: 3034:Iodopindolol 2911: 2884:. Retrieved 2879: 2832: 2828: 2818: 2809: 2800: 2784: 2779: 2767:. Retrieved 2760:the original 2755: 2751: 2738: 2705: 2701: 2695: 2681:cite journal 2636: 2632: 2605:cite journal 2572: 2568: 2506: 2502: 2478: 2472: 2447: 2443: 2437: 2402: 2398: 2388: 2361: 2355: 2342: 2295: 2291: 2284: 2249: 2245: 2235: 2221:cite journal 2196: 2192: 2185: 2168: 2162: 2145: 2139: 2130: 2121: 2104: 2100: 2094: 2082:"Metoprolol" 2076: 2051: 2047: 2041: 2022: 2016: 2005: 1981:24 September 1979:. Retrieved 1970: 1960: 1950:24 September 1948:. Retrieved 1943: 1934: 1917: 1886:(1): 61–68. 1883: 1879: 1873: 1861:. Retrieved 1857: 1848: 1836:. Retrieved 1827: 1818: 1809:10665/371090 1799: 1790: 1770: 1763: 1739: 1717:. Retrieved 1709: 1665:(3): 394–9. 1662: 1658: 1612: 1608: 1602: 1578: 1557:. Retrieved 1548: 1517: 1511: 1488: 1478: 1466:. Retrieved 1458:"Metoprolol" 1418: 1412: 1400:. Retrieved 1384: 1372: 1360:. Retrieved 1353: 1344: 1330: 1313: 1305: 1302:Legal status 1257: 1256:)- and the ( 1253: 1248:. This is a 1243: 1230: 1226:adding to it 1221: 1193: 1184:side effects 1166: 1147: 1143: 1117: 1098: 1094: 1066:beta blocker 1063: 1055:Pharmacology 1046: 1034: 1025: 1014: 1010: 1002: 999: 982: 966: 935: 932:Medical uses 915: 900: 884: 864: 860: 859: 848:   462: 421:Elimination 306:Legal status 300:Legal status 269:Beta blocker 190:License data 18: 3533:Zafirlukast 3488:Selumetinib 3478:Saxagliptin 3473:Savolitinib 3453:Roflumilast 3448:Ravulizumab 3433:Palivizumab 3428:Osimertinib 3413:Motavizumab 3383:Fulvestrant 3343:Candesartan 3298:Anifrolumab 3288:Anastrozole 3269:AstraZeneca 3211:from market 3039:Propranolol 2292:Circulation 2007:Mayo Clinic 1246:enantiomers 1197:formulation 1152:(primary), 1088:and has no 1007:Precautions 994:propranolol 753: g·mol 699:100.051.952 445:Identifiers 257:intravenous 176:MedlinePlus 148:Trade names 3662:Categories 3518:Vandetanib 3503:Ticagrelor 3463:Roxadustat 3443:Quetiapine 3423:Omeprazole 3408:Metoprolol 3363:Eculizumab 3358:Durvalumab 3328:Budesonide 3185:Carvedilol 3180:Arotinolol 3158:Butaxamine 3151:-selective 3121:Metoprolol 3101:Celiprolol 3096:Bisoprolol 3091:Bevantolol 3076:Acebutolol 3069:-selective 3049:Tertatolol 3025:Penbutolol 3020:Oxprenolol 3010:Mepindolol 3005:Cloranolol 2995:Bupranolol 2990:Bopindolol 2985:Alprenolol 2509:(2): 155. 2023:Physiology 1918:StatPearls 1336:References 1169:lipophilic 1070:antagonist 990:lipophilic 905:, feeling 883:. 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Index



/mɛˈtprlɑːl/
/mɛtˈprlɑːl/
Trade names
AHFS
Drugs.com
Monograph
MedlinePlus
a682864
License data
DailyMed
Metoprolol
Pregnancy
category

Routes of
administration

By mouth
intravenous
Drug class
Beta blocker
ATC code
C07AB02
WHO
Legal status
S4
℞-only
POM
℞-only
Pharmacokinetic
Bioavailability
Protein binding

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