Amiodarone plus Metoprolol are listed as a moderate interaction risk. They are used together at times. Specifically they may reduce the risk of a fatal arrythmia in your situation of being post-myocardial infarction.
The risk indication is that the patient be monitored for bradycardia or other problems.
It is understandable that they have used this combination in your specific case and circumstance however.
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Anthony Bray MD
my heart function is stable The mi was caught quickly enough that minimal danage was done The metoprolol is more or less to help lower bp and stress on the heart and reduce eshemia Dr. said that less eshemia means less arithmia risks. is this the case
Yes the metoprolol is protective of the heart after a heart attack.
The combination with the amiodarone sounds that this was done in the setting of continued arrythmia problems after the MI.
It is correct that the metoprolol reduces heart rate, oxygen consumption and helps to increase survival in a heart attack patient.
in the case of problems or with current risks are there safer choices that would be less of a problem with the beta blocker (The dr. said :"The metoprolol is not optional in this case it's manditory
Metoprolol is a very safe drug. The amiodarone not so much but it sounds that it was necessary in your case.
The amiodarone is one of the most effective drugs to protect against ventricular arrythmias but this drug does have many potential adverse side effects...
I hope this information helps. Let me know if you have further questions and I will be happy to get back with you.