- Hypertension:
- Initially PO 25-100mg OD
- Usual range 50-100mg/day
- May be increased at intervals of 1 week or longer
- Max 400mg/day
- Angina: Initially PO 100mg/day
- May be increased at intervals of 1 week or longer
- Max 400mg/day
- Congestive heart failure:
- Initially PO 25mg OD increased every 2 weeks PRN
- Target dose: 200mg/day
- Migraine(Off-label):
- PO 50-200mg OD
- Max: 200mg/day
- Taper dose over 1-2 weeks to discontinue
- Tablet:
- 25mg
- 50mg
- 100mg
- Taken with or without food
Beta blocker
Cardio-selective for beta 1 receptors at low doses, with little or no effect on beta 2 receptors
- Fatigue
- Dizziness
- Diarrhea
- Pruritus
- Rash
- Depression
- Dyspnea
- Bradycardia
- Sleep disturbance
- Nightmares
- Sinus bradycardia
- HR <45 BPM (MI use)
- Sick sinus syndrome (patients without pacemaker)
- 2nd-3rd degree AV block (patients without pacemaker)
- AV block with PR interval >0.24sec (MI use)
- Decompensated heart failure
- Moderate-severe heart failure (MI use)
- SBP <100 (MI use)
- Cardiogenic shock
- Pheochromocytoma (beta blocker monotherapy use)
- Severe PVD
- Isocarboxazid
Drug Status
Availability | Prescription only |
Pregnancy | Category C |
Breastfeeding | Use with caution |
Schedule | Not controlled |
BRAND NAME | STRENGTH | FORMULATION | PACK SIZE | MANUFACTURER | DISTRIBUTOR |
---|---|---|---|---|---|
Betaloc ZOK | 50mg | Tablet | 30’s | AstraZeneca | AstraZeneca |
Betaloc ZOK | 25mg | Tablet | 14’s | AstraZeneca | AstraZeneca |
Betaloc ZOK | 100mg | Tablet | 30’s | AstraZeneca | AstraZeneca |
Met XL | 25mg | Tablet | 30’s | Ajanta Pharma | Harley’s Ltd |
Met XL | 50mg | Tablet | 30’s | Ajanta Pharma | Harley’s Ltd |
Met XL | 100mg | Tablet | 30’s | Ajanta Pharma | Harley’s Ltd |
Metpure XL | 25mg | Tablet | 30’s | Emcure Pharma | Lazor Pharma |
Metpure XL | 50mg | Tablet | 30’s | Emcure Pharma | Lazor Pharma |
Metpure XL | 100mg | Tablet | 30’s | Emcure Pharma | Lazor Pharma |
Revelol XL | 25mg | Tablet | 30’s | IPCA Labs | Sai Pharma |
Revelol XL | 50mg | Tablet | 30’s | IPCA Labs | Sai Pharma |