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    Metoprolol SUCCINATE ER-HCTZ

    precautions

    What should I know regarding pregnancy, nursing and administering Metoprolol SUCCINATE ER-HCTZ to children or the elderly?

    If you are:

    Pregnant:

    Only When Necessary: REPORTS OF INTRAUTERINE GROWTH RETARDATION; MONITOR FETUS/INFANT HEART RATE

    Possibly Safe: NOT RECOMMENDED IN PRE-ECLAMPSIA AND OTHER PREGNANCY-INDUCED HYPERTENSION.

    Nursing:

    Precaution: LIMITED DATA SUGGEST MINIMAL EXCRETION; MONITOR FOR BRADYCARDIA & HYPOTENSION

    Precaution: LIMITED AMOUNTS EXCRETED WITH NO KNOWN ADVERSE EFFECTS IN INFANT.

    An adult over 60:

    management or monitoring precaution: Cardiovascular-Minimize dose to decrease dizziness and falls. Worsening cardiac failure may occur during up-titration of beta-blockers.

    management or monitoring precaution: Cardiovascular-Increased sensitivity to effects on blood pressure. Metabolic-more likely to develop hypokalemia or hypomagnesemia. Endocrine-May worsen glucose control in diabetics. Renal-Not effective with CrCL < 30mL/min.

    Giving metoprolol SUCCINATE ER-HCTZ to a child under 12:

    management or monitoring precaution: Safety and efficacy not established in pediatrics age < 6 years.

    Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, expect as may be authorized by the applicable terms of use.

    CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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