Point Pleasant, WV
A 18-year-old female asked:
What should a doctor consider before giving a patient metoprolol for heart palpitations due to too much adrenaline?
1 doctor answer • 2 doctors weighed in

Dr. Jesse Krakaueranswered
Endocrinology 47 years experience
An endocrinologist: B"sd It is essential to define the nature and source of the excess "adrenaline", which usually refers to normetanephrine (NE) and less commonly but much more dangerous epinephrine (E). Metoprolol is a selective beta blocker which can counter the effects of excess NE. However, E is both beta and alpha. In conditions of E excess metoprolol can result in paradoxical severe hypertension emergency
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1 comment

A Verified Doctor commented
A US doctor answered Learn more
If it is true excess catecholamines (epinephrine or norepinephrine), this treatment could be extremely dangerous and life threatening and the condition should be treated by a doctor, usually an endocrinologist, experienced it's treatment.
Apr 22, 2016
Last updated Apr 22, 2016
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