Class and Action
This drug family blocks the effects of epinephrine at beta receptors; metoprolol mainly targets beta 1 receptors.
What is a beta blocker, specifically a beta 1 selective beta blocker?
Before giving a dose, assess these two measurements and follow the ordered hold parameters.
What are heart rate and blood pressure? Report concerning or symptomatic findings
Name two common effects a patient might report while getting used to metoprolol.
What are tiredness and dizziness? Other labeled effects include diarrhea and shortness of breath.
This once daily extended-release form may be split if scored, but should never be crushed or chewed.
What is metoprolol succinate ER? Immediate-release metoprolol tartrate has a different schedule; verify the formulation.
By slowing the heart rate and reducing the heart’s workload, metoprolol lowers this heart muscle requirement during exertion.
What is myocardial oxygen demand? It also helps lower blood pressure.
In a patient with diabetes, metoprolol can hide this early warning sign of low blood glucose.
What is a fast heartbeat or tachycardia? Continue glucose monitoring as directed.
An unusually slow pulse with lightheadedness or faintness suggests this important adverse effect.
What is symptomatic bradycardia? Check blood pressure as well; hypotension can occur.
A patient says, “My blood pressure is better, so I will quit tonight.” Give the key correction.
What is do not stop metoprolol abruptly; speak with the prescriber about a gradual reduction? Sudden stopping can worsen angina or trigger ischemic events.