Metoprolol Contraindications. Metoprolol should be used with caution in patients with hyperthyroidism or thyrotoxicosis because the drug can mask tachycardia which is a useful monitoring parameter in thyroid disease. Sotalol sold under the brand name Betapace among others is a medication used to treat and prevent abnormal heart rhythms.
Digitalisation andor diuretic therapy should also be considered for patients with a history of heart failure or patients known to have a poor cardiac reserve. Indications Contraindications. In heart failure activation of sympathetic nervous system has been described as one of the most important pathophysiologic abnormalities in pati.
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Specifically its a selective beta blocker as it targets the beta-1 receptor at normal therapeutic doses. It possesses anxiolytic anticonvulsant sedative hypnotic and skeletal muscle relaxant properties. Metoprolol may reduce the effect of diabetes treatment and mask the symptoms of hypoglycaemia. The Metoprolol in Dilated Cardiomyopathy MDC trial19 was a multicenter randomized controlled trial designed to study the impact of metoprolol.