confusion about metoprolol prescriptions

April 2013

There's lots of confusion about metoprolol prescriptions.

It's easy to just write for "metoprolol"...but this leaves pharmacists wondering which formulation to dispense.

Metoprolol TARTRATE (Lopressor, etc) is the immediate-release form.

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Table of Contents

Antihypertensives BIG changes in how hypertension and dyslipidemia are managed
Headache overuse of headache meds for just a few months can actually make their headaches worse
Diabetes a possible increase in acute pancreatitis risk with gliptins (Januvia, etc) and GLP-1 agonists (Byetta, etc)
Pediatrics limiting antibiotics in kids with acute otitis media (AOM)
Pediatrics A new "black box" warning will alert prescribers NOT to use codeine in children after a tonsillectomy or adenoidectomy
Cardiology ACE inhibitors help reduce SYMPTOMS of peripheral artery disease (PAD)
Anticoagulants using the new oral anticoagulants (Pradaxa, Xarelto, Eliquis) for "off-label" uses
NSAIDs kidney risks of NSAIDs
Calcium more negative press about calcium supplements
Constipation Many myths about constipation lead to inappropriate treatment
Cardiology confusion about metoprolol prescriptions