Precautions for the Metoprolol

In patients with chronic heart failure, the contractility of the myocardium may worsen, necessitating the use of cardiac glycosides and / or diuretics with careful monitoring of hemodynamic status. In the event of an increasing bradycardia or blockade, it is necessary to reduce the dose or IV injection of atropine. Against the background of diabetes mellitus and hyperthyroidism, metoprolol can mask tachycardia caused by hypoglycemia or thyrotoxicosis. Patients with diabetes require a dose adjustment of antidiabetic drugs and careful monitoring of the level of glycemia. When carried out against the background of treatment, surgical intervention, the means of choice should be an anesthetic with the least negative inotropic effect. Perhaps more pronounced development of the hypersensitivity reaction and the lack of therapeutic effect of usual doses of adrenaline against the background of a weighed allergic anamnesis. At the termination of simultaneous treatment with clonidine, metoprolol is canceled gradually, a few days before the withdrawal of clonidine, because of the danger of developing a severe hypertensive crisis. In patients with pheochromocytoma, use is only possible in conjunction with alpha-adrenolytic drugs. Metoprolol is discontinued 2-3 days before the birth (risk of bradycardia, hypotension, and hypoglycemia in the newborn), in exceptional cases, newborns after birth should be under medical supervision for 48-72 hours. It should be refrained from using in pediatric practice since safety and effectiveness of its use in children are not defined. With the withdrawal of treatment, the dose should be reduced gradually over 10-14 days. Patients with ischemic heart disease should be under close medical supervision during this period. With caution apply during work drivers of vehicles and people whose profession is associated with increased concentration of attention. Metoprolol is discontinued 2-3 days before the birth (risk of bradycardia, hypotension, and hypoglycemia in the newborn), in exceptional cases, newborns after birth should be under medical supervision for 48-72 hours. It should be refrained from using in pediatric practice, since safety and effectiveness of its use in children are not defined. With the withdrawal of treatment, the dose should be reduced gradually over 10-14 days. Patients with ischemic heart disease should be under close medical supervision during this period. With caution apply during work drivers of vehicles and people whose profession is associated with increased concentration of attention. Metoprolol is discontinued 2-3 days before the birth (risk of bradycardia, hypotension, and hypoglycemia in the newborn), in exceptional cases, newborns after birth should be under medical supervision for 48-72 hours. It should be refrained from using in pediatric practice since safety and effectiveness of its use in children are not defined. With the withdrawal of treatment, the dose should be reduced gradually over 10-14 days. Patients with ischemic heart disease should be under close medical supervision during this period. With caution apply during work drivers of vehicles and people whose profession is associated with increased concentration of attention. in exceptional cases, newborns after birth should be under medical supervision within 48-72 hours. It should be refrained from using in pediatric practice since safety and effectiveness of its use in children are not defined. With the withdrawal of treatment, the dose should be reduced gradually over 10-14 days. Patients with ischemic heart disease should be under close medical supervision during this period. With caution apply during work drivers of vehicles and people whose profession is associated with increased concentration of attention. in exceptional cases, newborns after birth should be under medical supervision within 48-72 hours. It should be refrained from using in pediatric practice, since safety and effectiveness of its use in children are not defined. With the withdrawal of treatment, the dose should be reduced gradually over 10-14 days. Patients with ischemic heart disease should be under close medical supervision during this period. With caution apply during work drivers of vehicles and people whose profession is associated with increased concentration of attention. Patients with ischemic heart disease should be under close medical supervision during this period. With caution apply during work drivers of vehicles and people whose profession is associated with increased concentration of attention. Patients with ischemic heart disease should be under close medical supervision during this period. With caution apply during work drivers of vehicles and people whose profession is associated with increased concentration of attention.

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