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
Dr. Jesse Krakauer answered
45 years experience Endocrinology
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
Answered on Apr 22, 2016
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