KAMPUS PUNCAK ALAM CAWANGAN SELANGOR

BACHELOR OF OCCUPATIONAL THERAPY (HONS.)

FACULTY OF HEALTH SCIENCES

UPH654 KNOW YOUR MEDICINE (CASE STUDY ASSESSMENT):

METOPROLOL TARTRATE

PREPARED FOR:

MADAM NUR SABIHA MD HUSSIN

PREPARED BY:

NURUL NIYAZD BT MD RIDZUAN

2020899264

HS245
1.0 SUBJECT DESCRIPTION

Name of the subject Mr. R

Age 61 years old
Height 152cm
Weight 63kg
Body Mass Index (BMI) 27.27kg/m
1. TAB Metoprolol Tartrate 100mg Tablet
2. TAB Amlodipine Besylate 10mg Tablet
3. TAB Prazosin MCI 1mg Tablet
Current medication list
4. Insulin Premixed (Insugen – 30/70)
5. CAP Calcium Carbonate 500mg Tablet
6. TAB Simvastin 40mg Tablet
• Malay male
• Non-smoker, non-drug user and non-
alcoholic
• Married and blessed with 5 children
• Pensioners, previously work as a Director of
Information and Communications
Social History
Technology (ICT)
• Performing gardening activity during leisure
time
• No recent travel history
• Has undergone surgery to remove cataract
in 2020
1. Diabetes Mellitus
2. Hypertension
Past medical condition
3. Renal Disease
4. Bilateral eye cataract
1. Hypertension Urgency
Current medical condition
2. Uncontrolled Diabetes Mellitus
2.0 MEDICATION DETAILS
Generic name of medicine
Brand name of medicine
Specific indication of the medicine
Strength of the medicine
Dose of the medicine
Instruction on how to take medicine
Formulation of the medicine
Route of administration
Registration number
Medicine storage
Metoprolol Tartrate
Betawin
• Hypertension
• Angina pectoris
• Heart failure
• Cardiac arrythmias
• Adjunct in hyperthyroidism
• Prophylaxis of migraine
• Adjunct in the early management of acute
myocardial infarction
• Cardiac arrythmias
• Prophylaxis or control of arrhythmias on
induction of anaesthesia
• 25mg
• 50mg
• 100mg
• 100mg
May be taken with or without food
Tablet
Oral
MAL19913262AZ
• Store below 30°C
• Protect from light
• Keep out of reach of children
Contraindications • 2nd or 3rd degree atrioventricular block
• Decompensated cardiac failure
• Severe bradycardia
• Sick-sinus syndrome (without pacemaker)
• Untreated phaeochromocytoma
• Severe peripheral arterial disease
• Cardiogenic shock
• Allergic disorders
Adverse reactions • Significant: Bradycardia, atrioventricular
block, hypotension
• Cardiac disorders: dyspnoea, pulmonary
oedema, palpitations
• Ear and labyrinth disorders: tinnitus
• Eye disorders: blurred vision, visual
disturbances
• Gastrointestinal disorders: nausea,
vomiting, abdominal pain, constipation,
flatulence, dry mouth, heartburn
• General disorders and administration site
conditions: fatigue
• Immune system disorders: psoriasis
• Metabolism and nutrition disorders:
peripheral oedema
• Musculoskeletal and connective tissue
disorders: musculoskeletal pain
• Nervous system disorders: headache
• Psychiatric disorders: depression,
confusion, nightmares, insomnia,
hallucinations
• Respiratory, thoracic and mediastinal
disorders: bronchospasm
• Skin and subcutaneous tissue disorders:
photosensitivity, skin rash

Use in pregnancy and lactation
Shape of medicine
Colour of medicine
• Vascular disorder: orthostatic hypotension
(occasionally with syncope), cold
extremities
Use in pregnancy
• The beta adrenergic blocking agents may
cause bradycardia in the fetus and newborn
infant. These drugs should only be given
after weighing the needs of the mother
against the risk to the fetus during the final
part of pregnancy and parturition.
• Animal studies have not demonstrated any
adverse maternal or fetus effects except for
high doses in the rabbit whereby slight
reduction of litter size and slightly higher
value of fetal loss were demonstrated.
• Clinical suggests that in cases where its use
is considered to be essential.
• Metoprolol may be administered during
pregnancy.
Use in Lactation
• Metoprolol is excreted in human breast milk.
• Beta blockers taken by the mother may
cause side effects such as bradycardia in
the breast-fed infant even the doses used
are in recommended range.
• Metoprolol only need be discontinued during
lactation if the infant’s hepatic function is
severely impaired.
11mm, round
White
3.0 PHOTO OF THE MEDICINE
REFERENCES

1. DailyMed - METOPROLOL TARTRATE- metoprolol tablet. (2019). Retrieved 20 May

2021, from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=24837d82-0f3f-

4482-9af0-31e5f675c30f

2. Metoprolol: Indication, Dosage, Side Effect, Precaution | MIMS Malaysia. Retrieved 20

May 2021, from https://www.mims.com/malaysia/drug/info/metoprolol?mtype=generic

3. RA. Betawin. (2013). BETAWIN. Klang, Selangor: DUOPHARMA (M) SDN BHD.

4. Generic Name Drug Listing. Retrieved 20 May 2021, from

https://www.rxassist.org/pap-info/generic-drug-list-print

5. Boyle, S., Nicolae, M., Kostner, K., Davies, K., Cukovski, I., Cunliffe, A., & Morton, A.

(2018). Dilated Cardiomyopathy in Pregnancy: Outcomes From an Australian Tertiary

Centre for Maternal Medicine and Review of the Current Literature. Heart, Lung and

Circulation. doi:10.1016/j.hlc.2018.02.017