On top of its indications, here are some of the most important things to know about Cardiosel:
1. It is not suitable for hypertensive and angina patients with certain conditions
Even if you have angina or hypertension, if your doctor determines you have at least one of these conditions, they will not recommend metoprolol tartrate:
- Sinus bradycardia
- Overt or decompensated cardiac failure
- Severe peripheral arterial circulatory disorder
- Pheochromocytoma, a usually benign tumor in the adrenal gland
- Sick sinus syndrome
- Heart block greater than the first degree
2. It’s not suitable for myocardial infarction patients who…
Cardiosel is also contraindicated in patients who had a heart attack and have:
- Significant first degree, 2nd and 3rd degree heart block
- Heart rate of less than 45 beats per minute
- Systolic blood pressure (upper number) of less than 100 mmhg
- Decompensated heart failure
- Hypersensitivity to the drug and its components
3. Doctors are cautious in prescribing metoprolol to patients with history of noncompliance
This medicine can cause withdrawal symptoms, such as angina and heart attack, and even hypertension and fast heart rates if stopped abruptly. Hence, NEVER stop taking Cardiosel without your doctor’s advice. If your doctor decides this medicine is no longer for you, they will most likely reduce the dose gradually.
4. Additional precautions apply
Experts say there are precautions on those taking illicit drugs such as cocaine or methamphetamine and pregnant patients. Metoprolol is under Pregnancy Category C, which means while there are no human studies yet, animal studies indicated that the medicine increased post-implantation loss and decreased neonatal survival.
5. Monitoring is necessary
Patients taking Cardiosel need to monitor their blood pressure and heart rate.
Also, it’s crucial to note that while the medicine is excreted in the urine, it is metabolized by the liver. Hence, if the patient has history of liver problem, the doctor must know so doses can be adjusted accordingly.
Learn more about Heart Health here.