Medscape - Hypertension-specific dosing for Lopressor, Toprol XL (metoprolol), frequency-based adverse effects, comprehensive interactions, 5 mg rapid IV q2min, up to 3 doses; then, 15 minutes after last IV, 50 mg PO q6hr for 48 hours; then mg PO q12hr; If full IV dose not tolerated: mg PO q6hr after last. Detailed Metoprolol dosage information for adults and children. Includes dosages for Hypertension, Congestive Heart Failure, Myocardial Infarction and more; plus renal, liver and dialysis adjustments.
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Dosing†. Acute setting: to 5 mg IV bolus over 2 minutes; may repeat every 5 minutes to a maximum dose of 15 mg. Non-acute setting or maintenance: Metoprolol tartrate (immediate-release): 25 to mg PO twice daily. Metoprolol succinate (extended-release): 25 to mg daily. Elderly: May need lower doses. A patient who has been taking beta blockers for CAD and hypertension will be NPO for several days after GI surgery. What IV beta IV metoprolol ( mg boluses) or atenolol ( mg every hours) are reasonable choices with careful monitoring of the heart rate to ensure adequate beta blockade.
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