Metoprolol 100 Stada Dosage/Direction for Use

The dosage should be individually determined, based mainly on the pulse rate or on the therapeutical effectiveness and may not be modified without the permission of the doctor.
The following dosage guidelines apply unless otherwise directed.
High blood pressure (hypertension): Once daily 1 tablet Metoprolol 100 Stada.
Coronary heart disease (angina pectoris): Once daily 1 tablet Metoprolol 100 Stada.
Functional angiocardiopathy (hyperkinetic heart syndrome): Once daily ½-1 tablet Metoprolol 100 Stada.
Rapid forms of cardiovascular irregularities (tachycardiac arrhrythmia), Prophylactic migraine therapy: Once or twice daily 1 tablet Metoprolol 100 Stada.
Acute and long-term therapy during and after myocardial infarction: Acute therapy: In the event of acute myocardial infarction, treatment should be initiated as soon as possible after in-patient admittance with 5mg Metoprolol i.v. with continuous monitoring of cardiovascular and circulatory parameters (blood pressure, pulse, ECG). Under suitable tolerance conditions, further single doses of 5mg Metoprolol tartrate should be administered at 2 minute intervals up to a total of dose of 15mg.
In the full dose of 15mg Metoprolol tartrate i.v. is well tolerated, 25-50 mg oral is then administered every 6 hours over 48 hours, starting 15 minutes after the last injection.
Maintenance dose (long-term therapy): For subsequent maintenance therapy, ½-1 tablet Metoprolol 100 Stada taken twice daily in 2 single dose.
The duration of therapy must be individually established by the physician. Available clinical results would suggest a minimum therapy period of 3 months: the continuation of therapy 1-3 years is recommended.
In the event of severely restricted hepatic function, the dose should be reduced according to individual circumstances.
Type of administration: The tablets should be taken with some liquid without chewing after a meal.
Frequency and time of administration: With a single daily dose, Metoprolol should be taken in the morning unless otherwise directed, with two doses in the morning and the evening. Interruption of modification of the dose should only be at the direction of the physician.
Duration of administration: The physician in charge decides the duration of therapy. Any abrupt discontinuation of therapy must be avoided. This applies in particular to coronary heart disease, as a particular, after longer periods of administration, there exists a possibility of acute deterioration.
If necessary, the metoprolol dose should be reduced by stages during the last 10 days, with the dose in the last 6 days being 25 mg. The patient must be closely monitored during this phase.