A member asked:

Is it true that metoprolol excabrate spasms in heart arteries ? and if i have coronary artery spasm i should not be taking it?

4 doctors weighed in across 3 answers
Dr. Ira Friedlander answered

Specializes in Cardiac Electrophysiology

No: Although beta blockade can result in unopposed alpha agonistic spasm, in your case the calcium blocker and long acting nitrates you take effectively control your spasm while the beta blocker is there for effective control of your coronary artery disease and artery blockages. The combination is effective and appropriate especially in your case of heart disease. Risk factor modification is needed.

Answered 8/10/2015

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Spasm: Beta blockers like metoprolol May cause mild constriction of small peripheral arterioles in fingers or toes, but Don't cause spasm in the coronary or other major arteries in the body. Of course they don't dilate arteries the way some medications do. If they're needed for other indications they can be used in patients who have a history of coronary artery spasm. Your cardiologist can best advise yo

Answered 8/10/2015

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Not true: In fact this is a beta blocker, the type of med given routinely to people with coronary artery issues. Why are you taking methotrexate?

Answered 8/10/2015

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