Beta-1 selective adrenergic blocker
Who should not take Metoprolol
A contraindication is a condition under which Metoprolol (Metoprolol) should not be taken because the risk outweighs the benefit. Metoprolol has both absolute contraindications (do not use) and relative cautions (use only after careful review). This page summarises both at the 25mg, 50mg, 100mg, 200mg dosing range.
Absolute contraindications
According to the prescribing information for Metoprolol, absolute contraindications typically include severe allergic reactions to the active ingredient or excipients, severe hepatic or renal impairment, certain cardiovascular conditions, and concurrent use of specific interacting medications. The exact list depends on the molecule and is detailed in the official label.
Relative cautions
Relative cautions are situations where Metoprolol can be used but with extra monitoring, dose reduction or alternative considered. These often include mild-to-moderate organ impairment, age extremes, multiple comorbidities, and complex medication regimens. Metoprolol selectively blocks beta-1 adrenergic receptors in the heart, reducing heart rate, contractility and atrioventricular conduction velocity, and lowering myocardial oxygen demand.
Frequently asked questions
Can someone with heart disease take Metoprolol? ▾
Some forms of heart disease are absolute contraindications for Metoprolol, particularly with nitrate use or recent cardiovascular events. Stable, well-controlled cardiovascular disease may allow Metoprolol use under specialist supervision. The prescribing information for Metoprolol should be reviewed.
Is Metoprolol safe with kidney problems? ▾
Mild to moderate kidney impairment usually allows Metoprolol at adjusted lower 25mg, 50mg, 100mg, 200mg doses. Severe kidney failure is often a contraindication or requires substantial dose reduction. The prescriber decides based on lab results and concurrent medications.
Products containing Metoprolol
More on Metoprolol
- With alcoholMetoprolol and alcohol — is it safe to drink?
- With foodShould Metoprolol be taken with food?
- Side effectsMetoprolol side effects: common, rare and warning signs
- Dosage guideMetoprolol dosage guide: how much to take and when
- OnsetHow fast does Metoprolol start working?
- DurationHow long does Metoprolol last?
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.