Metoprolol

  • Metoprolol is a selective beta-1 adrenergic receptor blocker (β1-blocker) used primarily to manage cardiovascular conditions.
  • It reduces the effects of adrenaline on the heart, leading to decreased heart rate, cardiac output, and blood pressure.

Chemical Structure & Formula:

  • Comprises an aromatic ring joined to an oxypropanolamine chain and is typically used as a racemic mixture (with the (S)-enantiomer being more active).
  • Approximate Formula: C₁₅H₂₅NO₃
  • Structure of Metoprolol

Mechanism of Action:

  • Selectively blocks β₁ receptors in the heart, reducing heart rate, contractility, and myocardial oxygen demand.

Side Effects of Metoprolol:

  • Bradycardia and hypotension
  • Fatigue and dizziness
  • Occasional gastrointestinal disturbances
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Clinical Uses of Metoprolol:

  • Widely used for hypertension, angina, arrhythmias, and in post–myocardial infarction management.

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