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METOPROLOL
Combination drugs: Co-Betaloc SA®, Co-Betaloc®, Lopressor® HCT
Metoprolol is a beta-blocker drug used to reduce the symptoms of angina pectoris (chest pain), lower blood pressure in people with hypertension, and treat people after heart attacks. Metoprolol is available alone and in a combination product used to lower blood pressure.
Safetychecker Summary
for Metoprolol
(for details about the summarized interactions, read the full article)
 May be Beneficial: Depletion or
interference—The medication may deplete or interfere with the absorption or
function of the nutrient. Taking these nutrients may help replenish them. |
Potassium supplements* High-potassium foods* Pleurisy root* |
Avoid: Adverse interaction—Avoid these supplements when taking this
medication because taking them together may cause undesirable or dangerous results. |
Alcohol High-potassium foods* Pleurisy root* Potassium supplements* |
| Side effect reduction/prevention |
None known |
| Supportive interaction |
None known |
| Reduced drug absorption/bioavailability |
None known |
Interactions with Dietary Supplements
Potassium
Some beta-adrenergic blockers (called
“nonselective” beta blockers) decrease the uptake of potassium from the blood into
the cells,1 leading to excess potassium in the blood, a potentially dangerous
condition known as hyperkalemia.2 People taking beta-blockers should therefore
avoid taking potassium supplements, or eating large quantities of fruit (e.g., bananas), unless directed to do so by their
doctor.
Interactions with Herbs
Pleurisy root
(Asclepius tuberosa)
As pleurisy root and other plants in the Aesclepius genus contain cardiac glycosides,
it is best to avoid use of pleurisy root with heart medications such as
beta-blockers.3
Interactions with Foods and Other Compounds
Food
Food increases the absorption of metoprolol.4 Metoprolol should be taken at the
same time every day5 always with or always without food.
Alcohol
Metoprolol may cause drowsiness, dizziness, lightheadedness, or blurred vision.6
Alcohol may intensify these effects and increase the risk of accidental injury. To prevent
problems, people taking metoprolol should avoid alcohol.
References:
1. Rosa RM, Silva P, Young JB, et al. Adrenergic modulation of extrarenal potassium disposal. N Engl J Med 1980;302:431–4.
2. Lundborg P. The effect of adrenergic blockade on potassium concentrations in different conditions. Acta Med Scand Suppl 1983;672:121–6 [review].
3. Newall CA, Anderson LA, Phillipson JD. Herbal Medicines: A Guide for Health-Care Professionals. London: Pharmaceutical Press, 1996, 213–4.
4. Melander A, Danielson K, Schersten B, Wahlin E. Enhancement of the bioavailability of propranolol and metoprolol by food. Clin Pharmacol Ther 1977;22:108–12.
5. Threlkeld DS, ed. Diuretics and Cardiovasculars, Beta-Adrenergic Blocking Agents. In Facts and Comparisons Drug Information. St. Louis, MO: Facts and Comparisons, Oct 1992, 158p–8q.
6. Threlkeld DS, ed. Diuretics and Cardiovasculars, Beta-Adrenergic Blocking Agents. In Facts and Comparisons Drug Information. St. Louis, MO: Facts and Comparisons, Feb 1993, 158p–8q.
Copyright © 2002 Healthnotes, Inc. All rights reserved. www.healthnotes.com
Please read the disclaimer about the limitations of the information provided here. Do NOT rely solely on the information in this article.
Learn more about Healthnotes, the company.
Learn more about the authors of Safetychecker.
The information presented in Healthnotes is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. For many of the conditions discussed, treatment with prescription or over-the-counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications. Information expires December 2003.
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