Why Are Beta Blockers Not Recommended For Elderly?

Posted on | By Jason S. Harris

Why Are Beta Blockers Not Recommended For Elderly?

It is argued that the use of beta blockers in older adults may not be justified because of physiologic changes in people over 60 years of age. These include a low cardiac output, bradycardia, high total peripheral resistance, reduced renal blood flow and glomerular filtration rate, and low plasma renin activity [18].
Oct 16, 2017

Can metoprolol cause confusion in the elderly?

Conclusions: Physicians should be aware that metoprolol, a widely used beta-blocker, may rarely cause delirium, especially in the elderly population.

What is the safest blood pressure medicine for the elderly?

Low-dose thiazide diuretics remain first-line therapy for older patients. Beta blockers, angiotensin-converting enzyme inhibitors, angiotensin-receptor blockers, and calcium channel blockers are second-line medications that should be selected based on comorbidities and risk factors.

Is metoprolol good for elderly?

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of metoprolol in the elderly.
Jun 1, 2022

Why would you not give metoprolol?

You should not use metoprolol if you have a serious heart problem (heart block, sick sinus syndrome, slow heart rate), severe circulation problems, severe heart failure, or a history of slow heart beats that caused fainting.

What should I monitor after taking metoprolol?

Metoprolol may worsen the symptoms of heart failure in some patients. Check with your doctor right away if you are having chest pain or discomfort, dilated neck veins, extreme fatigue, irregular breathing or heartbeat, swelling of the face, fingers, feet, or lower legs, trouble breathing, or weight gain.

Why are beta blockers not recommended for elderly?

It is argued that the use of beta blockers in older adults may not be justified because of physiologic changes in people over 60 years of age. These include a low cardiac output, bradycardia, high total peripheral resistance, reduced renal blood flow and glomerular filtration rate, and low plasma renin activity [18].

What is the most common side effect of metoprolol?

The most common adverse reactions were tiredness, dizziness, depression, shortness of breath, bradycardia, hypotension, diarrhea, pruritus, and rash.
May 12, 2022

What medications should not be taken with methotrexate?

Drug-Drug Interactions

Non-steroidal Anti-inflammatory Drugs (NSAIDs) NSAIDs should not be administered prior to or concomitantly with high doses of methotrexate. …

Disease Modifying Antirheumatic drugs (DMARDs) …

Amiodarone. …

L-asparaginase. …

Diuretics. …

Leflunomide. …

Drugs Highly Bound to Plasma Proteins. …

Packed Red Blood Cells.


More items…

Which side effect may occur in a patient who is taking metoprolol?

Metoprolol may worsen the symptoms of heart failure in some patients. Check with your doctor right away if you are having chest pain or discomfort, dilated neck veins, extreme fatigue, irregular breathing or heartbeat, swelling of the face, fingers, feet, or lower legs, trouble breathing, or weight gain.

What medications Cannot be taken with metoprolol?

Conclusion: Metoprolol should not be used concomitantly with paroxetine, fluoxetine or bupropion due to extensive interactions and the risk of serious adverse effects.

Can metoprolol side effects get worse over time?

Metoprolol may worsen the symptoms of heart failure in some patients. Check with your doctor right away if you are having chest pain or discomfort, dilated neck veins, extreme fatigue, irregular breathing or heartbeat, swelling of the face, fingers, feet, or lower legs, trouble breathing, or weight gain.

Is metoprolol good for elderly?

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of metoprolol in the elderly.

Can metoprolol cause confusion in the elderly?

Conclusions: Physicians should be aware that metoprolol, a widely used beta-blocker, may rarely cause delirium, especially in the elderly population.

What is the most common side effect of metoprolol?

The most common adverse reactions were tiredness, dizziness, depression, shortness of breath, bradycardia, hypotension, diarrhea, pruritus, and rash.
12 May 2022

Why are beta blockers not recommended for elderly?

It is argued that the use of beta blockers in older adults may not be justified because of physiologic changes in people over 60 years of age. These include a low cardiac output, bradycardia, high total peripheral resistance, reduced renal blood flow and glomerular filtration rate, and low plasma renin activity [18].
Oct 16, 2017

Is metoprolol good for seniors?

Metoprolol is a good choice, as it is inexpensive and proven to reduce mortality in patients with a history of MI or heart failure.

What does metoprolol do to your body?

This medicine is a beta-blocker. It works by affecting the response to nerve impulses in certain parts of the body, like the heart. As a result, the heart beats slower and decreases the blood pressure. When the blood pressure is lowered, the amount of blood and oxygen is increased to the heart.

Can metoprolol cause problems?

Metoprolol may worsen the symptoms of heart failure in some patients. Check with your doctor right away if you are having chest pain or discomfort, dilated neck veins, extreme fatigue, irregular breathing or heartbeat, swelling of the face, fingers, feet, or lower legs, trouble breathing, or weight gain.
Jun 1, 2022

Why are beta blockers not recommended for people over 60?

It is argued that the use of Beta Blockers in older adults may not be justified because of physiologic changes in people over 60 years of age. These include a low cardiac output, bradycardia, high total peripheral resistance, reduced renal blood flow and glomerular filtration rate, and low plasma renin activity [18].

When should you not take metoprolol tartrate?

Important Information. You should not use Metoprolol Tartrate if you have a serious heart problem (heart block, sick sinus syndrome, slow heart rate), severe circulation problems, severe heart failure, or a history of slow heart beats that caused fainting.

What is the difference between metoprolol and metoprolol tartrate?

Metoprolol, also referred to as metoprolol tartrate, is used to treat high blood pressure and chest pain, and to prevent heart attacks. Metoprolol ER, also known as metoprolol succinate, is also used to treat chest pain and high blood pressure, but unlike metoprolol, it should not be used to prevent heart attacks.

How does metoprolol tartrate make you feel?

Taking Lopressor (metoprolol tartrate) may make you feel more tired or out of breath during exercise or your normal daily routines. This gets better for most people, but for some it may not go away. Not a first choice treatment for high blood pressure, unless you have heart failure or heart disease.

Is metoprolol well tolerated?

Extensive research and clinical usage of metoprolol have shown the compound to be safe and well tolerated if the contraindications are taken into consideration. However, as with other beta-blockers, unwanted effects may occur during treatment.

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As a result, the heart beats slower and decreases the blood pressure. When the blood pressure is lowered, the amount of blood and oxygen is increased to the heart.”[[CB-C]][[CB-C]], [[CB-O]]”@type”: “Question”,”name”: “Why would you not give metoprolol?”,”acceptedAnswer”: [[CB-O]]”@type”: “Answer”,”text”: “You should not use metoprolol if you have a serious heart problem (heart block, sick sinus syndrome, slow heart rate), severe circulation problems, severe heart failure, or a history of slow heart beats that caused fainting.”[[CB-C]][[CB-C]], [[CB-O]]”@type”: “Question”,”name”: “Can metoprolol side effects get worse over time?”,”acceptedAnswer”: [[CB-O]]”@type”: “Answer”,”text”: “Metoprolol may worsen the symptoms of heart failure in some patients. 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These include a low cardiac output, bradycardia, high total peripheral resistance, reduced renal blood flow and glomerular filtration rate, and low plasma renin activity [18].Oct 16, 2017″[[CB-C]][[CB-C]], [[CB-O]]”@type”: “Question”,”name”: “Is metoprolol well tolerated?”,”acceptedAnswer”: [[CB-O]]”@type”: “Answer”,”text”: “Extensive research and clinical usage of metoprolol have shown the compound to be safe and well tolerated if the contraindications are taken into consideration. However, as with other beta-blockers, unwanted effects may occur during treatment.”[[CB-C]][[CB-C]], [[CB-O]]”@type”: “Question”,”name”: “Why are beta blockers not recommended for people over 60?”,”acceptedAnswer”: [[CB-O]]”@type”: “Answer”,”text”: “It is argued that the use of beta blockers in older adults may not be justified because of physiologic changes in people over 60 years of age. These include a low cardiac output, bradycardia, high total peripheral resistance, reduced renal blood flow and glomerular filtration rate, and low plasma renin activity [18].”[[CB-C]][[CB-C]]][[CB-C]]

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