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Based on evidence-based guidelines for pharmacologic treatment for episodic migraine prevention in adults from the American Academy of Neurology and the American Headache Society, metoprolol is effective for migraine prevention in adults. Based on the American College of Cardiology/American Heart Association/Heart Rhythm Society (ACC/AHA/HRS) guidelines for the management of adult patients with supraventricular tachycardia, the use of an oral or intravenous beta-blocker, including metoprolol, is effective and recommended for a variety of symptomatic supraventricular tachycardias (atrioventricular nodal reentrant tachycardia [AVNRT], atrioventricular reentrant tachycardia [AVRT], focal atrial tachycardia [AT], and multifocal atrial tachycardia [MAT]). In patients without pre-excitation, intravenous metoprolol is recommended for acute treatment in hemodynamically stable patients and oral metoprolol is recommended for ongoing management of symptomatic supraventricular tachycardias in patients who are not candidates for, or prefer not to undergo, catheter ablation. Intravenous or oral metoprolol may be useful for rate control in the acute treatment or ongoing management of hemodynamically stable patients with atrial flutter. Based on the American Thyroid Association guidelines for diagnosis and management of hyperthyroidism and other causes of thyrotoxicosis, beta-blockers, including metoprolol, are effective and recommended in the treatment of symptomatic thyrotoxicosis. buy xenical weight loss pills Do not stop taking this medication without consulting your doctor. Some conditions may become worse when you suddenly stop this drug. Some people who have suddenly stopped taking similar drugs have had chest pain, heart attack, and irregular heartbeat. If your doctor decides you should no longer use this drug, he or she may direct you to gradually decrease your dose over 1 to 2 weeks. When gradually stopping this medication, it is recommended that you temporarily limit physical activity to decrease strain on the heart. Get medical help right away if you develop chest pain/tightness/pressure, chest pain spreading to the jaw/neck/arm, unusual sweating, trouble breathing, or fast/irregular heartbeat. Show More This medication is a beta-blocker used to treat chest pain (angina), heart failure, and high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. 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Dizziness, nausea, headache, hypotension, diaphoresis, fatigue, weakness, constipation or diarrhea, occasionally impotence Adverse reactions: palpitations with abrupt withdrawal, bradycardia, CHF, pulmonary edema. If less than 50 bpm or arrhythmia occurs, withhold the med & notify MD. Life threatening: agranulocytosis, bronchospasm with high dose Monitor BP, ECG, pulse, I&O. Nursing Education: teach pt how to take apical pulse & take the med exactly as directed, at the same time each day, do not miss or double dose. Monitor VS and ECG every 5 to 15 min during and after administration. HR less than 40 bpm, especially if output is decreased, administer atropine. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when you suddenly stop this drug. Some people who have suddenly stopped taking similar drugs have had chest pain, heart attack, and irregular heartbeat. If your doctor decides you should no longer use this drug, he or she may direct you to gradually decrease your dose over 1 to 2 weeks. When gradually stopping this medication, it is recommended that you temporarily limit physical activity to decrease strain on the heart. Get medical help right away if you develop chest pain/tightness/pressure, chest pain spreading to the jaw/neck/arm, unusual sweating, trouble breathing, or fast/irregular heartbeat. Show More Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Metoprolol nursing implications Metoprolol - Side Effects, Uses, Dosage, Overdose, Pregnancy., Metoprolol Lopressor Nursing Pharmacology Considerations Buy viagra original Emergency cardiac drugs Essential facts for med-surg nurses. July 2010 Vol. 5 No. 7. Metoprolol may be used in the initial treatment of ACS. A cardioselective. 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