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Metoprolol, sold under the brand name Lopressor among others, is a medication used to treat angina, high blood pressure and a number of conditions involving an abnormally fast heart rate. [4] It is also used to prevent further heart problems after myocardial infarction and to prevent headaches in those with migraines . [ 4 ]
Class Ic drugs do not affect action potential duration and have the strongest effect on the initiation phase 0 of depolarization Contraindicated immediately after myocardial infarction; Prevent paroxysmal atrial fibrillation; Treat recurrent tachycardia associated with abnormal conduction pathways, such as Wolff–Parkinson–White syndrome; II
[14] [15] [16] Bisoprolol, carvedilol, and sustained-release metoprolol are specifically indicated as adjuncts to standard ACE inhibitor and diuretic therapy in congestive heart failure, although at doses typically much lower than those indicated for other conditions. Beta blockers are only indicated in cases of compensated, stable congestive ...
The primary application for phentolamine is for the control of hypertensive emergencies, most notably due to pheochromocytoma. [5]It also has usefulness in the treatment of cocaine-induced cardiovascular complications, where one would generally avoid β-blockers (e.g. metoprolol), as they can cause unopposed α-adrenergic mediated coronary vasoconstriction, worsening myocardial ischemia and ...
Tachycardia secondary to peripheral vasodilation and cardiac stimulation (Such tachycardia may be accompanied by palpitations.) [4] Tremor, excessive sweating, anxiety, insomnia, and agitation [5] More severe effects include paradoxical bronchospasm, hypokalemia, and in rare cases a myocardial infarction. [4]
The first-dose reaction can also result in tachycardia and orthostatic hypotension, which is characterised by a feeling of extreme dizziness that gets worse with an upright posture. [1] Intravascular volume reduction , or concomitant use of other antihypertensive drugs can also lead to reflex tachycardia and orthostatic hypotension .
More than 38 million Americans have diabetes, and between 90% and 95% of them have type 2 diabetes. While most are adults over the age of 45, an increasing number of children and teens are also ...
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