Betacard 50 mg (Tablet)

Unit Price: ৳ 2.00 (10 x 10: ৳ 200.00)
Strip Price: ৳ 20.00

Medicine Details

Category Details
Generic Metoprolol tartrate
Company Aristopharma ltd

Indications

  • Management of hypertension and angina pectoris
  • Treatment of cardiac arrhythmias
  • Adjunct to the treatment of hyperthyroidism
  • Intervention in acute myocardial infarction
  • Pain relief

Pharmacology

  • Selective beta1-blocker
  • Reduction of heart rate, cardiac output, contractility, and blood pressure
  • Less interference with insulin release and carbohydrate metabolism
  • Minimal interference with cardiovascular response to hypoglycemia

Dosage & Administration

  • Range of total daily dosage for hypertension
  • Range of dosage for angina pectoris
  • Control of cardiac arrhythmias
  • Specific dosage for hyperthyroidism
  • Initial and maintenance dosage for myocardial infarction
  • Recommended dosage for heart failure
  • Intravenous injection dosage for arrhythmias, surgery, and myocardial infarction

Interaction

  • Additive effect with catecholamine-depleting drugs
  • Inhibition of CYP2D6 by certain drugs
  • Concomitant use with digitalis glycosides
  • Exacerbation of rebound hypertension with clonidine withdrawal

Contraindications

  • AV block
  • Uncontrolled heart failure
  • Severe bradycardia
  • Sick-sinus syndrome
  • Cardiogenic shock
  • Severe peripheral arterial disease
  • Known hypersensitivity to Metoprolol or other B-blockers
  • Complication of myocardial infarction by bradycardia, first-degree heart block, systolic hypotension, and/or severe heart failure

Side Effects

  • Tiredness
  • Dizziness
  • Depression
  • Diarrhea
  • Itching or rash
  • Shortness of breath
  • Slow heart rate
  • Mental confusion
  • Headache
  • Somnolence
  • Nightmares
  • Insomnia
  • Dyspnea
  • Nausea
  • Dry mouth
  • Gastric pain
  • Constipation
  • Flatulence
  • Digestive tract disorders
  • Heartburn
  • Pruritus
  • Musculoskeletal pain
  • Blurred vision
  • Decreased libido
  • Tinnitus
  • Intensification of AV block

Pregnancy & Lactation

  • Pregnancy Category C
  • Excretion in breast milk
  • Caution during nursing

Precautions & Warnings

  • Use in patients with bronchospastic disease
  • Controversy over withdrawal prior to major surgery
  • Masking of tachycardia during hypoglycemia
  • Effect on peripheral vascular disease
  • Interaction with calcium channel blockers

Use in Special Populations

  • Caution in hepatic impaired patients
  • Clinically relevant differences in pediatric patients aged 6 to 16 years
  • Safety and effectiveness in patients <6 years of age
  • Efficacy and adverse events in older and younger patients

Overdose Effects

  • Manifestation onset and treatment
  • Severe hypotension
  • Sinus bradycardia
  • Atrioventricular block
  • Heart failure
  • Cardiogenic shock
  • Cardiac arrest
  • Bronchospasm
  • Impairment of consciousness
  • Coma
  • Nausea
  • Vomiting
  • Cyanosis
  • Hypoglycemia
  • Hyperkalemia
  • Close monitoring and specific treatments

Storage Conditions

  • Cool and dry place
  • Protected from light

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