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Doctor insights on: Why Can You Give Metoprolol In Chf

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Does metoprolol improve survival in chf?

Does metoprolol improve survival in chf?

Yes: Carvedilol is probably better.."reduction in mortality: there is good-quality evidence that, compared with placebo, beta-blockers reduce mortality in people with heart failure who are also receiving triple therapy. However, beta-blockers do not seem to be effective at reducing mortality in black people." clinical improvement may be delayed and may take 2 to 3 months to become apparent. ...Read more

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Dr. Bennett Werner
731 doctors shared insights

Congestive Heart Failure (Definition)

Congestive heart failure, otherwise known simply as heart failure, is a condition in which the heart muscle is weakened. It may be receiving inadequate blood flow, its valves might be malfunctioning or the heart muscle might have thickened or stiffened. As a result, the heart, which is a pump, cannot supply the body with sufficent oxygen and nutrients. When the left side of the heart is damaged, fluid builds up in the lungs, which results in difficulty breathing. When the right side of the heart is affected, fluid builds up in the extremities and abdomen, resulting in swelling of the legs and poor absorption of nutrients due to ...Read more


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Too much alpha blockade? I take doxazosin for BPH and carvedilol for early chf. Should I change to metoprolol to avoid too much alpha blockade?

Too much alpha blockade? I take doxazosin for BPH and carvedilol for early chf.  Should I change to metoprolol to avoid too much alpha blockade?

Alfa blockade: No, those two meds go well together for bp, prostate enlargement and improving your ejection fraction. Metoprolol may be "added" in small doses, not to replace the drugs your on, but for bp. I can worsen CHF your questions are for your cardiologist.. ...Read more

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CHF/CKD patient suffering from cough that increases at night. treated at hospital for pneumonia. Should metoprolol be switch to nebivolol/nitroquick?

CHF/CKD patient suffering from cough that increases at night.  treated at hospital for pneumonia. Should metoprolol be switch to nebivolol/nitroquick?

Cough: if the cough was due to medication, it would be all day around , not just at night. Most likely etiology of cough is GERD. Try PPI ( Prilosec OTC etc) daily at HS . If not relieved , see and ENT doctor to get checked out for cough at night. ...Read more

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What CHF treatments will not cause fatigue and memory loss? My mother's apparent "dementia" arose from lopressor (metoprolol tartrate) when she got CHF after bowel surgery.

What CHF treatments will not cause fatigue and memory loss? My mother's apparent "dementia" arose from lopressor (metoprolol tartrate) when she got CHF after bowel surgery.

Avoid betablockers: CHF can be treated without the use of a beta blocker (lopressor) although using one is preferable. Thus she can be treated with a diuretic, angiotensin inhibitor, aldosterone antagonist and, it might be reasonable to try a different beta blocker such as carvedilol. It's commonly started at an exceptionally low dose (3.125 mg) and gradually increased to 6.25, 12.5 and 25 mg - all twice a day. ...Read more

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Dx of cardiomyopathy, CHF & diabetes in 9/2012. Taking metoprolol, lisinopril, pravastatin, metformin & lantus (insulin glargine). I have muscle pain w/ activity such as bending, walking, etc. Could it be due to meds?

Dx of cardiomyopathy, CHF & diabetes in 9/2012. Taking metoprolol, lisinopril, pravastatin, metformin & lantus (insulin glargine). I have muscle pain w/ activity such as bending, walking, etc. Could it be due to meds?

Maybe : Generalized muscle aches without any overuse can be caused by pravastatin or statins in general. Consider discussing this symptom with your doc and find other alternatives for cholesterol reduction if this is the side effect. ...Read more

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Benefits of the selective beta blocker toprol (metoprolol) for heart failure/ cardiomyopathy?

Benefits of the selective beta blocker toprol (metoprolol) for heart failure/ cardiomyopathy?

Reverses Ht Failure: Toprol xl (specifically that formulation, not metoprolol tartrate) and Carvedilol (generic or Coreg (carvedilol) brand name) have been shown in large, well controlled clinical trials to slow and sometimes reverse the damage of heart failure. They operate by blocking a malfunctioning feedback loop of hormones and signaling molecules, ultimately by blocking the effect of adrenaline on the heart. Good question! ...Read more

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Female 61, ls heart failure, af thus metoprolol, history lifelong mitochondrial myopathy, pe, oa and nafld. Safe to take rosuvastatin for cholesterol?

Female 61, ls heart failure, af thus metoprolol, history lifelong mitochondrial myopathy, pe, oa and nafld. Safe to take rosuvastatin for cholesterol?

Who knows?: You present a unique group of disorders in which statins have never been tested. Individually, none of your disorders, including your liver disease, are contraindications to rosuvastatin. I would start it and check ck, alt and ast (the known toxicities) at 6 weeks and 6 months. ...Read more

Dr. Joseph Shen
3,283 doctors shared insights

Heart Failure (Definition)

Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more


Dr. Prakash Deedwania
701 doctors shared insights

Metoprolol (Definition)

Metoprolol belongs to the calss of medications know as beta-blockers. It has many functions, including lowering pulse and blood pressure. It can also be used in people who have weak heart muscles to stop/slow the progression of the disease and perhaps even ...Read more