Generic Name: Lotemax
What is Lotemax?
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Each ampul contains a sterile solution of metoprolol tartrate USP, 5 mg, and sodium chloride USP, 45 mg, and water for injection USP. Lopressor ampuls are indicated in the treatment of hemodynamically stable patients with definite or suspected acute myocardial infarction to reduce cardiovascular mortality when used in conjunction with oral Lopressor maintenance therapy.
Early Treatment: During the early phase of definite or suspected acute myocardial infarction, initiate treatment with Lopressor as soon as possible after the patient's arrival in the hospital. Such treatment should be initiated in a coronary care or similar unit immediately after the patient's hemodynamic condition has stabilized.
During the intravenous administration of Lopressor, monitor blood pressure, heart rate, and electrocardiogram. In patients who tolerate the full intravenous dose 15 mginitiate Lopressor tablets, 50 mg every 6 hours, 15 minutes after the last intravenous dose and continue for 48 hours.
Thereafter, the maintenance dosage is 100 mg orally twice daily.
Metoprolol was also associated with improved symptoms and cardiac function. In geriatric patients, initiate cautiously. Titrate dose weekly, if needed, up to 400 mg once daily.
Maximum antihypertensive effects occur approximately 1 week after each dose adjustment. When switching from immediate-release metoprolol, the dose may be converted to the same total daily dose of the extended-release tablets. Then, 15 minutes after the last IV dose, begin oral therapy. Clinical practice guidelines state oral beta blockers should be initiated in the first 24 hours in patients with STEMI who do not have signs of heart failure, evidence of low output, increased risk for cardiogenic shock, or other contraindications for beta blocker use.
In patients who did not tolerate the full IV dose, give 25 mg PO every 6 hours for 48 hours. The maintenance dose is 50 to 100 mg PO twice daily. Therapy should be continued during and after hospitalization for all patients with no contraindications for use. In patients unable to receive beta-blockers during the acute phase of the myocardial infarction, a dose of 100 mg PO twice daily should be initiated as soon the patient is stable and has no contraindications for use.
How should I take Lotemax?
The metoprolol extended-release long-acting formulation is usually prescribed to be used in combination with other medications for treating heart failure. Metoprolol helps by relaxing blood vessels and slowing heart rate to improve blood flow and lower blood pressure. Studies show that metoprolol may cause side effects such as tiredness, depression, dizziness or lightheadedness, nausea, vomiting, dry mouth, stomach pain, gas or bloating.
Your healthcare provider will reevaluate your drug treatment and make any adjustments to your regimen. Your healthcare provider will be able to give you guidance based on your overall health status and your current drug regimen. A: According to the prescribing information, metoprolol has been associated with alopecia hair loss and tinnitus ringing in the ear.
Although these side effects are rare, it is important to consult with your physician for proper evaluation if you are experiencing anything unusual or bothersome while taking metoprolol.
What should I avoid while taking Lotemax?
Your dose may need to be changed several times in order to find out what works best for you. In addition to the use of this medicine, treatment for your high blood pressure may include weight control and changes in the types of foods you eat, especially foods high in sodium salt.
Your doctor will tell you which of these are most important for you. You should check with your doctor before changing your diet. Many patients who have high blood pressure will not notice any signs of the problem. In fact, many patients feel normal. It is very important that you take your medicine exactly as directed and that you keep your appointments with your doctor even if you feel well. Remember that this medicine will not cure your high blood pressure, but it does help control it.
Lotemax side effects
Actions that make metoprolol useful in treating hypertension also apply to the management of chronic stable angina. The reduction in myocardial oxygen demand induced by metoprolol decreases the frequency of anginal attacks and the requirements for nitrate, and increases exercise tolerance. Metoprolol has improves cardiovascular outcomes in patients with stable chronic heart failure due to left ventricular systolic dysfunction, and in patients with ischemic or dilated cardiomyopathy.
Metoprolol significantly reduces the incidence of sudden death and death due to progressive heart failure MERIT-HF study. The precise mechanism for the benecial effects of beta-blockers in heart failure has not been elucidated. Metoprolol has been used in the management of hereditary or familial essential tremor. Beta-blockade controls the involuntary, rhythmic and oscillatory movements of essential tremor.
Common Lotemax ide effects may include:
Other serious side effects that should be reported to your physician immediately are chest pain, pounding heartbeats, feeling lightheaded, feeling short of breath with even mild exertion, swelling of your feet or hands, unusual bleeding, wheezing, trouble breathing, depression, confusion, and memory problems.
Co-Enzyme Q10, Ubiquinone: Co-enzyme Q10, ubiquinone CoQ10 may lower blood pressure.
Duloxetine: Orthostatic hypotension and syncope have been reported during duloxetine administration.
Causes of dizziness include: low blood pressure, heart problems, anemia, dehydration, and other medical conditions.
Beth Isaac, PharmDA: Metoprolol belongs to a group of drugs called beta-blockers that affect the heart and circulation blood flow through arteries and veins.
It is used to treat angina chest painhypertension high blood pressureand to treat or prevent heart attack. These uses are not approved by the U.
Where can I get more information?
Angiotensin antagonists shield blood vessels from angiotensin II.
Beta blockers tend to slow down your heart rate and lower your blood pressure.