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Medicines > classes : Benzodiazepine or Cardioselective (β1) & routes: Oral

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generic:
Alprazolam (1) · Bisoprolol (1) · Metoprolol (1)
brand:
Lopressor (tartrate), Toprol XL (succinate) (1) · Xanax (1) · Zebeta (1)
classes: (Click arrow to add another value)
mechanism:
Cardioselective β1-adrenergic antagonist. Selectivity is dose-dependent and partially lost at higher doses. (1) · GABA-A positive allosteric modulator'"`UNIQ--ref-00000067-QINU`"' '"`UNIQ--vote-00000068-QINU`"' (1) · Highly β1-selective adrenergic antagonist. Greater selectivity than metoprolol or atenolol. (1)
uses:
'"`UNIQ--vote-00000069-QINU`"', '"`UNIQ--vote-0000006A-QINU`"', '"`UNIQ--vote-0000006B-QINU`"' (1) · '"`UNIQ--vote-000004F5-QINU`"', '"`UNIQ--vote-000004F6-QINU`"', '"`UNIQ--vote-000004F7-QINU`"', '"`UNIQ--vote-000004F8-QINU`"', '"`UNIQ--vote-000004F9-QINU`"' (1) · '"`UNIQ--vote-00000636-QINU`"', '"`UNIQ--vote-00000637-QINU`"', '"`UNIQ--vote-00000638-QINU`"' (1)
starting dose:
0.25 mg (1) · 2.5–5 mg daily (HTN); 1.25 mg daily (HFrEF, slow titration) (1) · 25–50 mg BID (tartrate); 25–100 mg daily (succinate); 12.5 mg daily in HFrEF (1)
preparations:
0.25 mg, 0.5 mg, 1 mg, 2 mg tablets (immediate-release and orally disintegrating); 0.5 mg, 1 mg, 2 mg, 3 mg extended-release tablets; 1 mg/mL oral concentrate (1) · 5, 10 mg tabs (1) · Tartrate: 25, 50, 100 mg tabs; 1 mg/mL IV. Succinate ER: 25, 50, 100, 200 mg. (1)
fda max:
10 mg/d (1) · 20 mg/d (1) · 400 mg/d (1)
routes: (Click arrow to add another value)
onset:
1–2 h (1) · 1–2 h (PO); immediate (IV) (1) · 30-60 min (immediate-release); 1-2 h (extended-release) (1)
duration:
24 h (1) · 6 h (immediate-release); ~11 h (extended-release) (1) · 6–12 h (tartrate); 24 h (succinate) (1)
halflife:
11-13 h (immediate-release); 11-16 h (extended-release) (1) · 3–7 h (1) · 9–12 h (1)
bioavailability:
80-90% oral (1) · ~50% (1) · ~90% (low first-pass) (1)
pregnancy:
Category C (2) · Category D'"`UNIQ--ref-0000006C-QINU`"' (1)
legal:
Rx-only in US (2) · Schedule IV (US) (1)

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