METOPROLOL
(Betaloc)Standard Prescription
metoprolol__mg PO Q__H (__mg/kg/24hr)
Dosages
Hypertension:
Initial: 0.5-1 mg/kg/dose PO BID
Max dose: 6 mg/kg/24 hr
CHF/Cardiomyopathy:
Initial: 0.1 -0.2 mg/kg/dose PO BID. Increase as tolerated to maintenance dose of 0.25-1mg/kg/dose PO BID
Adults:
Hypertension: 12.5-50 mg PO daily (Max dose 450 mg/24hr)
CHF: initial dose 12.5-25 mg PO Daily to a target of 200 mg/day (S/R product-not stocked at BCCH)
Initial: 0.5-1 mg/kg/dose PO BID
Max dose: 6 mg/kg/24 hr
CHF/Cardiomyopathy:
Initial: 0.1 -0.2 mg/kg/dose PO BID. Increase as tolerated to maintenance dose of 0.25-1mg/kg/dose PO BID
Adults:
Hypertension: 12.5-50 mg PO daily (Max dose 450 mg/24hr)
CHF: initial dose 12.5-25 mg PO Daily to a target of 200 mg/day (S/R product-not stocked at BCCH)
Mechanism of Action
Beta-1 selective beta-adrenegic blocker
Forms Supplied
tablet: 50 mg, 100 mg
liquid (BCCH): 5 mg/mL, 10 mg/mL
injection: 5 mg/mL
liquid (BCCH): 5 mg/mL, 10 mg/mL
injection: 5 mg/mL
Comments
Allow at least 3 days between dose adjustments when treating hypertension.
Allow 1-2 weeks between dose adjustments when treating cardiomyopathy/CHF due to short-term negative inotropic effects.
Use with caution in reactive airway disease.
Allow 1-2 weeks between dose adjustments when treating cardiomyopathy/CHF due to short-term negative inotropic effects.
Use with caution in reactive airway disease.
References
29, 65 , 192, 193
Last Edited
2019-06-29 20:20:55