S-Metoprolol

Description

S-Metoprolol is used to reduce high blood pressure and relieve chest pain caused due to reduced blood flow to the heart. It is also used for treating other complications associated with the heart and blood vessels.

Side effects

Major & minor side effects for S-Metoprolol

  • Chest pain and discomfort
  • Decreased blood pressure
  • Blurred vision
  • Dizziness
  • Slow heart beat
  • Shortness of breath
  • Nausea or Vomiting
  • Skin rash

Uses of S-Metoprolol

What is it prescribed for?

  • Hypertension
  • Angina pectoris
  • Heart Attack
  • Congestive Heart Failure
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Concerns

Commonly asked questions

  • Onset of action
    The effect of this medicine can be observed within 1 hour of administration of the dose.
  • Duration of effect
    The effect of this medicine lasts for an average duration of 12 hours.
  • Safe with alcohol?
    Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of side effects such as dizziness, lightheadedness, and fainting. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you consume alcohol during treatment with this medicine.
  • Is it habit forming?
    No habit-forming tendencies were reported.
  • Usage in pregnancy?
    This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
  • Usage while breast-feeding?
    This medicine is not recommended for use in breastfeeding women unless necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

Allergy

This medicine is not recommended for use in patients with a known allergy to S-Metoprolol or any other inactive ingredients present along with this medicine.

Bradycardia

This medicine is not recommended for use in patients with a very low heart rate due to the risk of worsening of the patient's condition.

Cardiogenic shock

This medicine is not recommended for use in patients with cardiogenic shock due to the risk of worsening of the patient's condition.

Sick sinus syndrome

This medicine is not recommended for use in patients with sick sinus syndrome (heart rhythm disorder) due to the risk of worsening of the patient's condition.

Heart block greater than first degree

This medicine is not recommended for use in patients with second or third-degree heart block due to the risk of worsening of the patient's condition.

Decompensated heart failure

This medicine is not recommended for use in patients with decompensated heart failure due to the risk of worsening of the patient's condition.
Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
General warnings

Ischemic heart disease

This medicine should not be discontinued abruptly in patients suffering from ischemic heart disease since abrupt discontinuation may worsen the patient's condition. The dosage should be reduced gradually over a period of 1 to 2 weeks along with close monitoring of heart function before the discontinuation of therapy.

Major surgery

This medicine should be used with extreme caution in patients undergoing a major surgery due to the increased risk of severe adverse effects. Close monitoring of heart function is recommended for such patients.

Pheochromocytoma

This medicine should be administered with extreme caution in patients suffering from pheochromocytoma, a condition which results in an excess of a substance that controls heartbeat and blood pressure. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.

Bronchospastic disease

This medicine should be administered with caution in patients with a disease of the lung or the airways leading to the lungs such as pneumonia, asthma, or chronic obstructive pulmonary disease. Close monitoring of lung function is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.

Hyperthyroidism

This medicine should be administered with caution in patients suffering from hyperthyroidism since it may worsen the patient's condition. You may require a dose adjustment and more frequent monitoring of thyroid function to safely use this medicine. Replacement with a suitable alternative may be required in some cases based on the clinical condition.

Other medicines

S-Metoprolol may interact with many other medicines and may cause severe adverse effects. Hence, it is advised that you inform the doctor about all your current medicines including any herbs and supplements before beginning treatment with this medicine.

Sports

Athletes are advised not to indulge in certain sports while using this medicine. Archery, racing, shooting and other high-risk sports should be avoided. Sportspersons should refer to the list of medicines published by World Anti-Doping Agency (WADA) which are not to be taken while participating in certain specific sports events.

Driving or operating machinery

Use of this medicine may cause dizziness, tiredness, blurring of vision, etc. in some patients. Hence, it is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating heavy machinery if you experience any of these symptoms.

Missed Dose

Take the missed dose as soon as you remember. If it is almost the time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of side effects such as dizziness, lightheadedness, and fainting. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you consume alcohol during treatment with this medicine.
Interaction with Medicine

Ergotamine

Amlodipine

Aminophylline

Diltiazem

Disease interactions

Asthma

This medicine is not recommended for use in patients with bronchial asthma or chronic obstructive pulmonary disease since it may worsen the patient's condition. Replacement with a suitable alternative should be done under your doctor's supervision.

Diabetes

This medicine should be used with caution in patients with diabetes mellitus due to the increased risk of altered blood glucose levels. Close monitoring of blood glucose levels is advised for such patients. Replacement with a suitable alternative may be required based on the clinical condition.

Liver Disease

This medicine should be used with caution in patients suffering from liver diseases due to the increased risk of severe adverse effects. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Glaucoma

This medicine should be administered with caution in patients suffering from glaucoma due to the increased risk of adverse effects. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.

Hyperlipidemia

This medicine should be used with caution in patients with hyperlipidemia due to the increased risk of an elevation of serum triglyceride and cholesterol levels. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Food interactions
Coadministration of multivitamin with minerals and this medicine should be avoided since it may alter the desired effect of S-Metoprolol. A time gap of at least 2 hours should be maintained between the administration of multivitamin with minerals and this medicine to avoid their interaction.
Lab interactions
Information not available.
Take this medicine exactly as instructed by the doctor. Do not take in larger amounts than advised/prescribed. Consult the doctor if you experience any undesirable effects. Do not stop taking the medicine before completion of the course/without consulting your doctor.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works
This medicine works by relaxing the blood vessels and slowing the heartbeat. This results in improved blood flow to the heart and blood pressure are lowered.
Legal Status

Approved

Unknown

Unknown

Unknown

Classification

Category

Cardioselective beta blockers

Schedule

Schedule H

S-metoprolol: the 2008 clinical review. - PubMed - NCBI [Internet]. Ncbi.nlm.nih.gov. 2019 [cited 10 April 2019]. Available from:

https://www.ncbi.nlm.nih.gov/pubmed/18828349

[Internet]. Pdfs.semanticscholar.org. 2019 [cited 10 April 2019]. Available from:

https://pdfs.semanticscholar.org/7806/cc5240d3b1bd29b866219fc44a2b711f8ee4.pdf

Zuventus Healthcare [Internet]. Zuventus.co.in. 2019 [cited 27 May 2019]. Available from:

http://www.zuventus.co.in/patient_wise_products_selected.aspx?Medi_Id=183

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Information on this page was last updated on 27 May 2019

Disclaimer

We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.