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metoprolol succinate(Toprol-XL)

Cardioselective (β1-selective) beta-blocker, extended-release

Pronunciation

/məˈtoʊproʊlɒl ˈsʌksɪneɪt/ Mechanism of action Selectively blocks β1-adrenergic receptors in the heart, reducing heart rate, contractility, and AV nodal conduction. Lowers myocardial oxygen demand. In heart failure with reduced ejection fraction (HFrEF), chronic β1 blockade reverses sympathetic-mediated cardiac remodeling and improves survival. Selectivity diminishes at higher doses \\[1\\]. Standard dosing -/

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At a glance

Generic name
metoprolol succinate
Brand names
Toprol-XL
Therapeutic class
Cardioselective (β1-selective) beta-blocker, extended-release
Mechanism (summary)
Selectively blocks β1-adrenergic receptors in the heart, reducing heart rate, contractility, and AV nodal conduction. Lowers myocardial oxygen demand. In heart failure with reduced ejection fraction (HFrEF), chronic β1 blockade reverses sympathetic-mediated cardiac remodeling ...

Clinical pearls

Sources

  1. PharmDHub Internal Drug Card — Pharmacist Reviewed

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