Renal/GU Drug Review: Lopressor/Metoprolol

Who?
People experiencing high blood pressure. For prevention of MI. Reduction of angina.

What?
Beta Blocker: blocks stimulation of beta-1 adrenergic receptors. This decreases heart rate and blood pressure.

When?
Daily. In a single dose or two divided doses.

Where?
Both hospital (acute) and home settings (chronic).

Why?
Helps control HTN. May delay progression of kidney failure.

How?
Dose: 100-450 mg.
Route: PO or IV.
Safety: bradycardia, hypotension, fatigue and weakness. Due to these side effects fall risk would be a concern.
Do not administer if preadministration pulse is <50.

-Rosa and Leslie